TX Proposed Changes To DWC Form-069

Austin, TX (CompNewsNetwork) - The Texas Department of Insurance, Division of Workers' Compensation (TDI-DWC) has proposed revisions to the DWC Form-069, Report of Medical Evaluation. Doctors selected by TDI-DWC, an insurance carrier or the treating doctor must use this form when evaluating permanent impairment or maximum medical improvement of an injured employee. In addition, treating doctors may agree or disagree with the other doctors' findings on this form. The proposed form is available for download from the TDI-DWC website at http://www.tdi.state.tx.us/wc/forms/documents/dwc069draft.pdf. TDI-DWC is accepting public comments regarding the proposed revisions to DWC Form-069 until 5:00 p.m., August 16, 2010.
Public comments may be submitted to TDI-DWC by e-mailing informalrulecomments@tdi.state.tx.us or by mailing or delivering the comments to Maria Jimenez at:
Texas Department of Insurance, Division of Workers' Compensation
Workers' Compensation Counsel, MS - 4D
7551 Metro Center Drive, Suite 100
Austin, Texas 78744 -1645
The purpose of this memo is to request input from system participants regarding the proposed changes to DWC Form-069. Since this is not a formal proposal, public comments received will not be responded to in accordance with the Texas Administrative Procedures Act.
The proposed revisions to DWC Form-069 are intended to provide more clarity and harmony with 28 TAC §130.1 regarding Certification of Maximum Medical Improvement and Evaluation of Permanent Impairment.
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