Article 5.5.1 - Utilization Review Standards

  1. § 9792.6 - Utilization Review Standards-Definitions - for Utilization Review Decisions Issued Prior to July 1, 2013 for Injuries Occurring Prior to January 1, 2013
  2. § 9792.6.1 - Utilization Review Standards-Definitions - on or After January 1, 2013
  3. § 9792.7 - Utilization Review Standards-Applicability
  4. § 9792.8 - Utilization Review Standards-Medically-Based Criteria
  5. § 9792.9 - Utilization Review Standards-Timeframe, Procedures and Notice Content - for Injuries Occurring Prior to January 1, 2013, Where the Request for Authorization is Received Prior to July 1, 2013
  6. § 9792.9.1 - Utilization Review Standards-Timeframe, Procedures and Notice - on or After January 1, 2013
  7. § 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
  8. § 9792.10.1 - Utilization Review Standards-Dispute Resolution - on or After January 1, 2013
  9. § 9792.10.2 - Application for Independent Medical Review, DWC Form IMR
  10. § 9792.10.3 - Independent Medical Review - Initial Review of Application
  11. § 9792.10.4 - Independent Medical Review - Assignment and Notification
  12. § 9792.10.5 - Independent Medical Review - Medical Records
  13. § 9792.10.6 - Independent Medical Review - Standards and Timeframes
  14. § 9792.10.7 - Independent Medical Review - Implementation of Determination and Appeal
  15. § 9792.10.8 - Independent Medical Review - Payment for Review
  16. § 9792.10.9 - Independent Medical Review - Publishing of Determinations
  17. § 9792.11 - Investigation Procedures: Labor Code Section 4610 Utilization Review Violations
  18. § 9792.12 - Administrative Penalty Schedule for Utilization Review and Independent Medical Review Violations
  19. § 9792.13 - Assessment of Administrative Penalties - Penalty Adjustment Factors
  20. § 9792.14 - Liability for Penalty Assessments
  21. § 9792.15 - Administrative Penalties Pursuant to Labor Code Sections 4610, 4610.5, and 4610.6 - Order to Show Cause, Notice of Hearing, Determination and Order, and Review Procedure

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