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Rule 1 |
General Definitions and General Provisions |
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Rule 2 |
Workers’ Compensation Premium Surcharges |
PDF Printable |
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Rule 3 |
Insurance Coverage |
PDF Printable |
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Rule 4 |
Carrier Compliance |
PDF Printable |
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Rule
5 |
Claims Adjusting Requirements |
PDF Printable |
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Rule 6 |
Modification, Termination or Suspension of Temporary Disability Benefits |
PDF Printable |
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Rule 7 |
Closure of Claims, Approval of Settlement
Agreements and Petitions to Reopen |
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Rule 8 |
Authorized Treating Physician |
PDF Printable |
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Rule 9 |
Division of Workers’ Compensation Dispute Resolution |
PDF Printable |
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Rule 10 |
Medical Utilization
Review |
PDF Printable |
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Rule 11 |
Division
Independent Medical Examination |
PDF Printable |
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Rule 12 |
Permanent Impairment
Rating Guidelines |
PDF Printable |
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Rule 13 |
Accreditation of Physicians |
PDF Printable |
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Rule
14 |
Applications for Admission and Payment of Benefits from the Major Medical
Insurance Fund, the Medical Disaster Fund and Request for Benefits from the
Subsequent Injury Fund |
PDF Printable |
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Rule 15 |
Vocational Rehabilitation Rules Applicable to Claims based upon an Injury or
Illness Occurring prior to July 2, 1987 at 4:16 p.m. |
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Rule 16 |
Utilization Standards |
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Rule
17 |
Medical Treatment
Guidelines |
PDF Printable |
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Exhibit 1 - Low Back
Pain Medical Treatment Guidelines |
PDF Printable |
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Exhibit 2 – Carpal Tunnel Syndrome Medical Treatment Guidelines |
PDF Printable |
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Exhibit 3 - Thoracic Outlet Syndrome
Medical Treatment Guidelines |
PDF
Printable |
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Exhibit 4 – Shoulder Injury Medical Treatment Guidelines |
PDF
Printable |
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Exhibit 5 – Cumulative Trauma Disorder Medical Treatment Guidelines |
PDF
Printable |
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Exhibit 6 – Lower Extremity Medical Treatment Guidelines |
PDF Printable |
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Exhibit 7 – Complex Regional Pain Syndrome/Reflex Sympathetic
Dystrophy
Medical Treatment Guidelines |
PDF Printable |
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Exhibit 8 – Cervical Spine Injury Medical Treatment Guidelines |
PDF Printable |
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Exhibit 9 – Chronic Pain Disorder Medical Treatment Guidelines |
PDF Printable |
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Exhibit 10 – Traumatic Brain Injury Medical Treatment Guidelines |
PDF Printable |
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Rule 18 |
Medical Fee Schedule |
PDF Printable |
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Exhibit 1 - DRGs
with Relative Weights, Geometric and Arithmetic Means |
PDF Printable |
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Exhibit 2 - Base
Rates and Cost-to-Charge Ratios |
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Exhibit 3 - Critical Access
Hospitals |
PDF Printable |
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Exhibit 4 - Outpatient Surgery
Facility Codes and Fees |
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Exhibit 5 - Rural Primary Care
Facilities |
PDF Printable |
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Exhibit 6 - Dental Fee Schedule |
PDF Printable |