California Regulations 10132.1

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§ 10132.1 Reasonable Fee Schedule



All billings for casework provided are to be itemized in tenths of an hour, unless alternative agreements are made under Section 10132(c).

Non-billable costs include: postage, clerical services, photocopies, in-house waiting time, attempts telephone contacts, and in-house staffing. If detailed documentation of these activities is required, the activity is billable at the normal hourly rate of actual time spent.

Adjustments to the Fee Schedule will be reviewed by the Administrative Director of the Division of Worker's Compensation on an annual basis. Recommendations regarding adjustments to the Fee Schedule shall be reviewed by the Rehabilitation Advisory Committee prior to public hearings.

Professional Hourly Rate $65.00

Vocational Evaluation Modules:

Work Sample Testing, Vocational Testing, Situational Assessment, or related activities in a group setting shall be subject to the following fee schedule. Includes report.Service Code #Item DescriptionSchedule 60One Day$175 61Three Day$375 62Five Day$500 63Eight Day$800 3090 Day QRR Benefit CallActual time at professional hourly rate, not to exceed 5 HoursIncludes all contacts to schedule appointments, preparation of RU90/91, visit verification, employer contact, first physician contact. Subsequent contacts to be billed at professional hourly rate.31Job Analysis of Position at Time of InjuryActual time at professional hourly rate, not to exceed 5 HoursIncludes contacts to schedule appointment, site visit, document completion, document review with employee/attorney, securing signatures and completed report.PHASE A: EVALUATION OF VOCATIONAL FEASIBILITY AND PLAN DEVELOPMENT MAXIMUM AGGREGATE PERMISSIBLE FEES NOT TO EXCEED $3000Service Code #Item DescriptionSchedule 32Initial InterviewActual time, not to exceed 5 HoursIncludes initial file review, scheduling contact with employee, contact with employee and representative, if any, interview, assessment of vocational feasibility and completed Initial Evaluation Summary, Form RU-120. Billing for the RU-120 shall not exceed 1.2 hours. The QRR must review with the employee the report and his or her initial recommendations regarding the employee's likely ability to benefit from the provision of rehabilitation services and regarding the nature, extent and cost of any additional services.60,61,62,63Vocational/Work Evaluation ServicesAppropriate module To be used at most appropriate module if required to assist in the evaluation of vocational feasibility.34Vocational Testing & Report.Actual time at Professional Hourly Rate, not to exceed 5 Hours or most appropriate module (and related service code) if testing is done at a vocational/work evaluation facility.Includes administration and scoring of a standard battery of vocational tests.35Counseling & Research ServiceActual Time at Professional Hourly RateIncludes professional time meeting with employee, assessment of transferrable skills, guidance through vocational exploration, test interpretation with employee, labor market assessment and resource research, determination of physical appropriateness of a proposed vocational goal.43DWC Form RU-102Actual time at professional hourly rate, not to exceed 1 HourAll required documents and cover letter completion for plans involving modified or alternative work.44DWC Form RU-102 Actual time, at professional hourly rate, not to exceed 2 HoursAll required documents and cover letter completion for plans involving Direct placement, OJT, Training, Self-Employment.PHASE B: PLAN MONITORING AND JOB PLACEMENT MAXIMUM AGGREGATE PERMISSIBLE FEES NOT TO EXCEED $3500.Service Code #Item DescriptionSchedule 45Plan MonitoringActual time, by report Includes activities necessary to oversee the employee's successful completion of the plan. May entail contacts with employee, training facility or OJT employer.46Plan Monitoring ReportActual time, not to exceed .5 hours 41Job Seeking SkillsActual time, not to exceed 4 hours at $65 hourAll activity directed to providing the employee with skills, resume preparation, and personal presentation necessary to obtain employment.42Job PlacementActual time at $65/hourJob placement services, placement follow-up and placement counseling.INTERPHASE SERVICES (pertains to all phases, to be charged during the phase in which the activity occurs and included within the maximum aggregate expenditure for each phase)Service Code #Item DescriptionSchedule 21Travel RateNot to exceed $32.50/hour plus $0.24 per mile 51Telephone CallsActual time52File Review/New Document ReviewActual Time at $65.00After an initial review, file review is billable activity only for re-opening or re-activation of a file, or for conference preparation purposes. Review of new medical/legal reports, or work evaluation reports, upon receipt, is billable activity.35Counseling & Research ServicesActual Time at Professional Hourly Rate 53ReportingThe fee for completion of the Vocational Rehabilitation Progress Report, Form RU-121, is .5 hours at Professional Hourly Rate.For narrative reports at the request of a party unless otherwise specified, three-tenths of an hour per page, up to one and one half hour maximum.54Rehabilitation UnitActual time at professional rate. Conference, Informal Conference & Professional AppearancePreparation time up to one hour. Education & Training:As between schools of equal merit, preference will be given to those schools who have reduced their tuition rates by 10% from published 1989 tuition rates, in accordance with the reduction required by Labor Code section 139.5(a)(4). Documentation reflecting the tuition reduction shall be available upon request. Private Vocational schools may not charge a tuition rate for rehabilitation students which is greater than the lowest rate than that given to the general public. 90Extraordinary Services/Expenses For Dates of Injury prior to 1/1/94: It is recognized that there can occasionally be exceptional circumstances which may require services and fees beyond those listed. Billings above the recommended fee schedule shall require additional documentation prior authorization for excess billings should be obtained before service delivery. NOTE: Authority cited: Sections 133, 139.5 and 5307.3, Labor Code. Reference: Sections 4635, 4636, 4638 and 4639, Labor Code.