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California Code of Regulations (Last Updated: August 6, 2014) |
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Title 8. Industrial Relations |
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Division 1. Department of Industrial Relations |
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Chapter 4.5. Division of Workers' Compensation |
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Subchapter 1. Administrative Director -Administrative Rules |
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Article 5.5.1. Utilization Review Standards |
| § 9792.6. Utilization Review Standards-Definitions - for Utilization Review Decisions Issued Prior to July 1, 2013 for Injuries Occurring Prior to January 1, 2013. |
| § 9792.6.1. Utilization Review Standards-Definitions - on or After January 1, 2013. |
| § 9792.7. Utilization Review Standards - Applicability. |
| § 9792.8. Utilization Review Standards -Medically-Based Criteria. |
| § 9792.9.1. Utilization Review Standards-Timeframe, Procedures and Notice - on or After January 1, 2013. |
| § 9792.10. Utilization Review Standards-Dispute Resolution - for Utilization Review Decisions Communicated Prior to July 1, 2013 for Injuries Occurring Prior to January 1, 2013. |
| § 9792.10.1. Utilization Review Standards -Dispute Resolution - on or After January 1, 2013. |
| § 9792.10.2. Application for Independent Medical Review, Dwc Form Imr. |
| § 9792.10.3. Independent Medical Review - Initial Review of Application. |
| § 9792.10.4. Independent Medical Review - Assignment and Notification. |
| § 9792.10.5. Independent Medical Review - Medical Records. |
| § 9792.10.6. Independent Medical Review - Standards and Timeframes. |
| § 9792.10.7. Independent Medical Review - Implementation of Determination and Appeal. |
| § 9792.10.8. Independent Medical Review - Payment for Review. |
| § 9792.10.9. Independent Medical Review - Publishing of Determinations. |
| § 9792.11. Investigation Procedures: Labor Code §4610 Utilization Review Violations. |
| § 9792.12. Administrative Penalty Schedule for Utilization Review and Independent Medical Review Violations. |
| § 9792.13. Assessment of Administrative Penalties - Penalty Adjustment Factors. |
| § 9792.14. Liability for Penalty Assessments. |
| § 9792.15. Administrative Penalties Pursuant to Labor Code §§ 4610, 4610.5, and 4610.6 - Order to Show Cause, Notice of Hearing, Determination and Order, and Review Procedure. |