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July Compliance Updates
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Here are the top updates for workers' comp and auto casualty for the month of July.
- California
- Florida
- Michigan
- New York
- Tennessee
- Washington
- Fee Schedule Updates
- Additional Updates
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MTUS Drug List v.9 WC
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California's Division of Workers' Compensation updated the Medical Treatment Utilization Schedule (MTUS) Drug List to Version 9. The new drug list includes COVID-19 recommendations, changes the status of several drugs from non-exempt to exempt, deletes two drug recommendations, and changes diclofenac potassium to non-exempt status due to its higher risk profile. These changes are effective August 1, 2021. Learn more →
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Healthcare Provider Manual Revised Proposal WC
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FL has proposed changes to its Health Care Provider Reimbursement Manual pursuant to Rule 69L-7.020. A public hearing on the proposed rules is scheduled for August 26, 2021. A full copy of the Division's proposed rules will be available on the state's website 7 days prior to the hearing date. The division has also released a copy of the audio recording from the prior public hearing conducted on May 6, 2021. Learn more →
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Expanded Scope of Physician Assistants WC
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HB 431 expands scope of practice of Physician Assistants by allowing PA's to procure drugs and medical devices and perform work comp medical exams (except MMI exams). Authorizes 3rd party payors to reimburse for PA services. Chaptered on July 6, 2021, and effective July 1, 2021.Learn more →
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Senate Bill 0028 WC
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Senate Bill 0028 appropriates funds ($25 million) to provide financial relief to post-acute providers (e.g. attendant care, etc.) that can demonstrate that section 3157 of the insurance code of1956, PA 218, MCL 500.3157 has caused the provider to bill at rates below the cost of providing services. Signed by Governor on July 15, 2021. Learn more →
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Dispensing Fees for Topical Medications WC
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Michigan's Workers' Disability Compensation Agency proposed changes to the reimbursement for all commercially manufactured topical medications. The new language allows a provider to only be reimbursed one dispense fee per topical medication in a 10-day period. Learn more →
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Proposed Permanent Telehealth WC/Auto
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New York posts proposed permanent telehealth rules under section 325-1.13 of Title 12 NYCCR. This would provide for permanent rules for telehealth visits. There will be 60 days for public comments starting on July 14, 2021. Learn more →
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Proposed DME Update WC/Auto
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The NY Workers' Compensation Board proposes to update several codes for the DME fee schedule prior to adoption. The Board will accept public comments for 60 days after publication in the July 14, 2021, State Register. Learn more →
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Telemedicine WC
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The TN Department of Labor and Workforce Development has released its finalized Telemedicine rules for use in Workers' Comp. After receipt of testimony at the public hearing, the state amended its rules to permit PT initial assessments via telemedicine and removed the geographic restrictions on provisions of services. Effective October 19, 2021. Learn more →
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Electronic Billing WC
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The TN Department of Labor and Workforce Development has released its finalized E-Billing rules for use in Workers' Comp. After receipt of testimony at the public hearing, the state amended its rules to extend the payment timeframe for electronic bills to 30 days, from the previous 15 days, and removes the prior language that could have awarded costs and attorneys fees for bill review collections. Effective September 22, 2021. Learn more →
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Arizona Proposes New Pharmaceutical Reimbursement WC
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The Industrial Commission of Arizona held a public hearing on July 29, 2021, for the annual review of the Physicians' and Pharmaceutical Fee Schedule. The Commission staff released a proposal for pharmacy reimbursement that includes a new methodology using the National Average Drug Acquisition Cost (NADAC), Wholesale Acquisition Cost (WAC), Average Wholesale Price (AWP), or Generic Equivalent Average Price (GEAP).
Comments will be accepted until the close of business on Thursday, August 5, 2021. Learn more →
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Mexico Supreme Court Rules Recreational Marijuana Prohibition Unconstitutional WC/Auto
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Mexico's lower house passed a bill that would legalize the use of marijuana for ages 18 and older, and regulate the production for medical, industrial, and recreational purposes, but was stalled in the Senate. On June 28, 2021, Mexico's Supreme Court ruled the prohibition of recreational marijuana unconstitutional in an 8-3 ruling, putting pressure on the President and Legislature. If marijuana use is fully legalized, Mexico would become one of the world's largest markets. Learn more →
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