§ 10575. Petition Appealing Independent Medical Review Determination.
8 CA ADC § 10575Barclays Official California Code of Regulations
8 CCR § 10575
§ 10575. Petition Appealing Independent Medical Review Determination.
(a) An aggrieved party may file a petition appealing the Administrative Director's independent medical review (IMR) determination. For purposes of this rule, a “determination” includes a decision regarding medical necessity and/or a decision that a dispute is not eligible for independent medical review.
(b) The petition shall set forth specifically and in full detail the factual and/or legal grounds upon which the petitioner considers the IMR determination to be incorrect, and every issue to be considered by the Workers' Compensation Appeals Board. The petitioner shall be deemed to have finally waived all objections, irregularities and illegalities concerning the IMR determination other than those set forth in the petition. Any petition that fails to comply with any of the following requirements may be subject to summary dismissal.
(i) If the IMR determination is rescinded by the workers' compensation judge or the Appeals Board, the medical treatment dispute shall be returned to the Administrative Director with an order specifying the basis for the rescission and an order to submit the dispute to IMR in accordance with Labor Code section 4610.6(i).
Credits
Note: Authority cited: Sections 133, 5307, 5309 and 5708, Labor Code. Reference: Sections 4610.6, 5500, 5501, 5502, 5700 et seq., 5800 et seq. and 5900 et seq., Labor Code.
History
1. Renumbering of former section 10957.1 to section 10575, including amendment of section heading, section and Note, filed 12-17-2019; operative 1-1-2020. Submitted to OAL for printing only pursuant to Government Code section 11351 (Register 2019, No. 51).
This database is current through 8/30/24 Register 2024, No. 35.
Cal. Admin. Code tit. 8, § 10575, 8 CA ADC § 10575
End of Document |