ARTICLE 2. Determination of Medical Issues [4060. - 4068.]
Article 2 added by Stats. 1989, Ch. 892, Sec. 28.
§§ 4060–4068 · 15 sections
- § 4060 (a) This section shall apply to disputes over the compensability of any injury. This section shall not apply where injury to any part or parts of the body is…
- § 4061 This section shall not apply to the employee’s dispute of a utilization review decision under Section 4610, nor to the employee’s dispute of the medical…
- § 4061.5 The treating physician primarily responsible for managing the care of the injured worker or the physician designated by that treating physician shall, in…
- § 4062 (a) If either the employee or employer objects to a medical determination made by the treating physician concerning any medical issues not covered by Section…
- § 4062.1 (a) If an employee is not represented by an attorney, the employer shall not seek agreement with the employee on an agreed medical evaluator, nor shall an…
- § 4062.2 (a) Whenever a comprehensive medical evaluation is required to resolve any dispute arising out of an injury or a claimed injury occurring on or after January…
- § 4062.3 (a) Any party may provide to the qualified medical evaluator selected from a panel any of the following information: (1) Records prepared or maintained by the…
- § 4062.4 (a) (1) The administrative director shall develop and make available a template qualified medical evaluator (QME) report form, which shall include all…
- § 4062.5 If a qualified medical evaluator selected from a panel fails to complete the formal medical evaluation within the timeframes established by the administrative…
- § 4062.8 The administrative director shall develop, not later than January 1, 2004, and periodically revise as necessary thereafter, educational materials to be used to…
- § 4063 If a formal medical evaluation from an agreed medical evaluator or a qualified medical evaluator selected from a three member panel resolves any issue so as to…
- § 4064 (a) The employer shall be liable for the cost of each reasonable and necessary comprehensive medical-legal evaluation obtained by the employee pursuant to…
- § 4067 If the jurisdiction of the appeals board is invoked pursuant to Section 5803 upon the grounds that the effects of the injury have recurred, increased,…
- § 4067.5 This article shall become operative for injuries occurring on and after January 1, 1991.
- § 4068 (a) Upon determining that a treating physician’s report contains opinions that are the result of conjecture, are not supported by adequate evidence, or that…