Florida Regulations 59A-30.004

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§ 59A-30.004 Selection Criteria for Expert Medical Advisors.

(1) The minimum criteria for a physician to be certified as an expert medical advisor is as follows:

(a) Be certified as a health care provider by the Agency pursuant to Chapter 59A-29, F.A.C.; and (b) Possess board certification or board eligibility in specialty or area of practice. The physician shall be in good standing with a certifying board listed in this rule. The list of ABMS, AOA and APMA boards referred to in this rule is hereby incorporated by reference. The version of the list required by this rule shall bear the date October 15, 1994. A copy of the list may be obtained from the Agency for Health Care Administration, 2727 Mahan Drive, Mail Stop-26, Tallahassee, Florida 32308-5403; and (c) Treated no fewer than 24 work-related injuries per calendar year in the one year period before the date of the application. The treatment provided shall have been approved by the carrier; and (d) Attended at least one Agency sponsored or Agency approved workshop during the two year period before the date of application including training on impairment rating using the Florida Impairment Rating Guide; and (e) Performed no fewer than 12 independent medical examinations in workers' compensation cases in the two years before the date of application; and (f) Performed medical record reviews in workers' compensation cases in the two years before the date of application; and (g) Assigned no fewer than twelve permanent impairment ratings with a rating greater than 0% to an injured employee pursuant to Rule 4L-7.604, F.A.C.; and (h) Satisfies one of the following: 1. Been in practice a minimum of 20 hours per week in the five years before the date of application and has practiced in his/her specialty in the three years before the date of application; or 2. Is on the faculty of an institution of higher learning in his/her discipline; or 3. Participated on an Agency advisory committee, task force committee, or peer review committee or has performed consultant services for the Agency within the three years before the date of application.

(2) A physician who has been suspended or decertified by the Agency pursuant to Chapter 59A-29, F.A.C., is not eligible to be selected as an expert medical advisor during the period of suspension or decertification.

Specific Authority 440.13(9), 440.591 FS. Law Implemented 440.13(9) FS. History - New 1-23-95, Formerly 38F-54.004.