TX DWC Adopts New Statute Regarding Case Management

Austin, TX (CompNewsNetwork) - On December 3, 2010, Commissioner of Workers' Compensation Rod Bordelon adopted new 28 Texas Administrative Code §137.5 regarding Case Management.
The purpose of this adoption is to establish certification standards for case managers used by insurance carriers for non-network workers' compensation claims. The new rule clarifies that case managers are required to be certified, provides credentialing requirements, specifies the limitations of when skilled, non-certified case managers are allowed to provide case management services, requires insurance carriers be responsible for verifying and documenting compliance with the rule, and reiterates that claims adjusters are prohibited from being used as case managers.
The adopted rules are effective September 1, 2011.

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