The MedRisk Blog
In mid-March the Division of Workers’ Compensation published a draft revision to California’s Official Medical Fee Schedule, which would convert the OMFS from single statewide rate to 32 distinct regional rates, based on Medicare MSA-based localities now in the process of a six-year phase-in.
The DWC asserts that using Medicare’s Geographic Practice Cost Index will improve injured workers’ access to health care in high-cost areas and will eventually result in a small overall reduction in medical costs after “hold-harmless” protections against decreases in low-cost regions expire in 2022. The proposed effective date of the regulation is January 1, 2019.
Virginia has enacted HB 558, which clarifies the appropriate regulatory rate to apply to services delivered by out-of-state providers. If the employer’s principal place of business is located in Virginia, the ZIP Code of that address is considered to be the applicable medical provider “community” for applying the regional fee schedule. If the employer’s principal place of business is not located in Virginia, the ZIP Code of the regional Workers’ Compensation Commission office where the dispute would be conducted is used to determine the applicable fee schedule.
The New York Assembly has sent to the Senate a bill authorizing the Workers’ Compensation Board to establish a WC fee schedule for massage therapy services. The bill, AB 6797, would require these services to be provided by a licensed massage therapist and for the referral to be made by an authorized physician. Further, the measure specifically prohibits massage therapists from performing independent medical examinations.
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