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Texas DWC Request Comments On UR Amendments

27 Jul, 2011 WorkersCompensation.com

                               Austin, TX (CompNewsNetwork) - The Texas Department of Insurance, Division of Workers' Compensation (TDI-DWC) is accepting public comment on the proposed amendments to amend 28 TAC §133.2, §133.240, §133.250, §133.270, §133.305, regarding General Medical Provisions, and 28 TAC §134.600, regarding Preauthorization, Concurrent Utilization Review, and Voluntary Certification of Health Care.
 
The proposal will be published in the July 29, 2011 issue of the Texas Register and may be viewed at http://www.sos.state.tx.us/texreg/index.shtml. A courtesy copy is also available on the TDI website at http://www.tdi.state.tx.us/wc/rules/proposedrules/index.html. The public comment period closes Tuesday, September 27, 2011 at 5 p.m. Central Standard Time (CST).
 
Public comments may be submitted to the TDI-DWC by e-mailing rulecomments@tdi.state.tx.us or by mailing or delivering the comments to:
 
Texas Department of Insurance, Division of Workers' Compensation
Maria Jimenez
Workers' Compensation Counsel MS - 4D
7551 Metro Center Drive, Suite 100
Austin, Texas 78744 -1645
 
The proposals set a public hearing on these rules on Thursday, September 15, 2011 at 9:30 a.m. CST in the Tippy Foster Room at the TDI-DWC Central Office at 7551 Metro Center Drive, Suite 100, Austin, Texas 78744. The TDI-DWC will reschedule this public hearing to 1:30 p.m. CST on Thursday, September 15, 2011 at the same location. The rescheduling notice will be published in the August 5, 2011 issue of the Texas Register. The TDI-DWC will audio stream the public hearing for persons who are unable to attend in person. Written and oral comments presented at the hearing will be considered.
 
To listen to the audio stream, access the calendar at www.tdi.state.tx.us/wc/events/index.html and click
“Link to Live Webcast”. Media Player 7 (or newer version) or RealPlayer 10 (or newer version) are required to hear the audio stream. Audio streaming will begin approximately five minutes before the scheduled time of the public hearing.
 
The TDI-DWC provides reasonable accommodations for persons attending meetings, hearings, or educational events, as required by the Americans with Disabilities Act. If you require accommodations in
order to attend the hearing please contact Idalia Salazar at 512-804-4403 at least two business days prior to the confirmed hearing date.
 
The purpose of these proposals is primarily to harmonize these rules with the Texas Department of Insurance's (TDI) proposed amendments to 28 Texas Administrative Code (TAC) §§19.2001 – 19.2017 and 19.2019 - 19.2021 (Subchapter U), concerning utilization reviews for health care provided under workers' compensation coverage, published in the July 8, 2011 issue of the Texas Register on July 8, 2011. In addition to these changes made to harmonize these rules with the TDI's proposed amendments to Subchapter U, the TDI-DWC has also made other clarifying or harmonizing amendments necessary to conform to other rule or statutory changes or current agency policy, including prescribing the required elements for a paper version of an insurance carrier remittance. Once the rule is adopted, the TDI-DWC plans to eliminate the DWC Form-062, Explanation of Benefits.

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