California Regulations 14

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§ 14 Determination of Fees for QME Eligibility

(a)All Doctors of Chiropractic, in lieu of board certification, shall be certified in workers' compensation evaluation by either a California professional chiropractic association, or an accredited California college recognized by the Council. (b) California professional chiropractic associations or accredited California colleges applying to be recognized by the Council for the purpose of providing courses to chiropractors in California workers' compensation evaluation, shall meet the following criteria:

(1) The provider's courses shall be administered and taught by a California chiropractic association or California chiropractic college accredited by the Council on Chiropractic Education. Instructors shall be licensed or certified in their profession or if a member of a non-regulated profession have at least two years experience in their area of instruction regarding workers' compensation issues.

(2) The provider's method of instruction and testing shall include all of the following: (A) lecture, didactic sessions and group discussion including an initial 8 hours of overview of the workers' compensation system and 36 additional hours in medical-legal issues for total minimum class time of 44 hours. Up to 4 hours of instruction covering the regulations affecting QME use and/or writing ratable reports may be satisfied by distance learning. The initial eight hours of overview are transferable to any other approved program provider for credit; (B) passing a written test at the completion of the program to determine proficiency and application of course material; (C) writing a narrative conclusion to medical-legal issues in response to facts presented or a narrative report, in appropriate format, which would meet the standards of a ratable report;

(3) The initial 8 hours of the course material shall cover the following information: (A) overview of California Labor Code, DWC (Division of Workers' Compensation of the California Department of Industrial Relations) and Council regulations governing medical-legal reports and evaluations; (B) obligations of the treating and evaluating physicians; (C) review of appropriate workers' compensation terminology;

(4) The remaining 36 hours shall focus on the following: (A) history and examination procedure requirements, including all relevant IMC guidelines; (B) work capacity guidelines and disability ratings; (C) apportionment; (D) vocational rehabilitation; (E) continued or future medical care.

(5) The provider's course material and tests shall be submitted to the Council for annual review and the Council shall monitor a provider's course as necessary to determine if the provider meets the criteria for recognition.

(6) The provider's course advertising shall clearly state whether or not the course is recognized for chiropractic California workers' compensation evaluation by the Council.

(7) Course Material shall also cover at a minimum, the material within the text of the 'Physicians Guide to Medical Practice in the California Workers' Compensation system (2nd Edition).' Note: The 'Physicians Guide' does not appear as a part of this regulation. Copies are available through the Executive Medical Director of the Industrial Medical Council; P.O. Box 8888 San Francisco, CA 94128-8888.

History: renumbering and amendment of former section 13.5 to section 14 effective 5/14/00.