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CA DWC Issues Notice of Proposed Emergency Rulemaking Action for AB 1244’s Medical Provider Suspension Process to Combat Fraud

14 Dec, 2016 WorkersCompensation.com

                               

San Francisco, CA (WorkersCompensation.com) - The Division of Workers’ Compensation (DWC) issued its Notice of Emergency Regulatory Action to implement the provider suspension process required under Assembly Bill 1244. The bill, a major step to combat fraud in the workers’ compensation system, requires the suspension of medical providers found to have committed a felony or misdemeanor involving fraud or abuse of the Medi-Cal or Medicare programs, the workers’ compensation system itself, or fraud or abuse of any patient. The regulations provide for a hearing process should the provider wish to contest the suspension order.

The emergency regulations will be filed with the state’s Office of Administrative Law (OAL) on December 21, 2016. The regulations to be filed with OAL can be found on the DWC website.

OAL has up to 10 days to consider the rules, but may approve them before the 10 days have elapsed. Upon OAL approval and filing with the Secretary of State, the regulations are effective for 180 days while the Division initiates formal rulemaking procedures to adopt permanent regulations. For information on the OAL procedure, and to learn how you may comment on the emergency regulations, go to the OAL’s website.

A notice will be posted at the DWC website when the emergency regulations become effective.

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