LexisNexis® Legal Newsroom
CA: DWC Issues Second Notice of Revisions to MPN and Employee Information Rules

OAKLAND, CA - The Division of Workers' Compensation (DWC) has modified its medical provider network (MPN) and e mployee information regulations. These draft regulations are a continuing part of the division’s 12-point plan to monitor and help control medical costs in California’s workers’...

CA: CWCI Reports on Medical Network Provider Use in California

OAKLAND, CA - New CWCI Research finds that the use of network providers to deliver medical services to injured workers, which rose sharply following the introduction of MPNs, has continued, albeit at a slower pace, as has the growth in the percentage of medical dollars flowing to network providers. ...

CA: DWC Issues Third Notice of Revisions to Medical Provider Network, Employee Information Rules

OAKLAND, CA - The Division of Workers' Compensation (DWC) has modified its medical provider network (MPN) and employee information regulations. These draft regulations are another part of the division’s 12-point plan as the division works to re-craft regulations to streamline and relieve...

CA: Injured Worker Not Entitled to Continuous Self-Procured Medical Treatment When Employer Cured Defect in MPN Notice

Helen B. Jakes (Helen Jakes Elam) v. State of California, Department of Corrections Medical Provider Networks--Notice Requirements--WCAB, rescinding arbitrator's finding, held that defendant was not liable for medical treatment self-procured by applicant/correctional officer who claimed to have...

CA: DWC's Non-Substantive Amendments To Medical Provider Network Regulations Is Approved

Sacramento, CA (CompNewsNetwork) - The Division of Workers' Compensation (DWC) revised the medical provider network (MPN) regulations to correct subdivision references in Title 8 California Code of Regulations, section 9767.3. These non-substantive changes are technical corrections approved by the...

California W.C.A.B. Affirms Prior Valdez Decision

When it rains it pours... Having just issued an en banc decision yesterday on QME panel issues, the W.C.A.B. has just issued its 3rd Reconsideration decision in Valdez v Warehouse Demo Services . The original decision issued in April 2011 holding reports obtained by an applicant outside of a validly...

California W.C.A.B. Affirms Prior Valdez Decision

When it rains it pours... Having just issued an en banc decision yesterday on QME panel issues, the W.C.A.B. has just issued its 3rd Reconsideration decision in Valdez v Warehouse Demo Services . The original decision issued in April 2011 holding reports obtained by an applicant outside of a validly...

Cal. Comp. Cases October Advanced Postings (9/29/2011)

Here’s the first batch of advanced postings for the October 2011 issue of Cal. Comp. Cases. Lexis.com subscribers can link to the complete headnotes and summaries. © Copyright 2011 LexisNexis. All rights reserved. Charter Oak Unified School District, PSI, York Insurance Services Group...

Cal. Comp. Cases October Advanced Postings (9/29/2011)

Here’s the first batch of advanced postings for the October 2011 issue of Cal. Comp. Cases. Lexis.com subscribers can link to the complete headnotes and summaries. © Copyright 2011 LexisNexis. All rights reserved. Charter Oak Unified School District, PSI, York Insurance Services Group...

Deposit Premiums: California Workers' Comp Cases Roundup (10/13/2011)

CALIFORNIA COMPENSATION CASES Vol. 76 No. 9 September 2011 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions Denied Judicial Review © Copyright 2011 LexisNexis. All rights reserved. FEATURED...

Deposit Premiums: California Workers' Comp Cases Roundup (10/13/2011)

CALIFORNIA COMPENSATION CASES Vol. 76 No. 9 September 2011 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions Denied Judicial Review © Copyright 2011 LexisNexis. All rights reserved. FEATURED CASE...

California Workers' Comp Case Roundup (6/9/2012)

CALIFORNIA COMPENSATION CASES Vol. 77 No. 5 May 2012 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions Denied Judicial Review CONTENTS OF THIS ISSUE © Copyright 2012 LexisNexis. All rights reserved...

California: 26 Noteworthy Panel Decisions You Should Know About (January-June 2012)

Here are the publisher's picks for the top noteworthy panel decisions recently reported in the LexisNexis services. The list is based upon feedback from our consultants about current topics and issues that are of interest to the entire workers’ compensation community. Lexis.com subscribers...

California: Lien Claim Fails When Applicant Not Entitled to Self-Procure Outside Medical Provider Network

FREE ENEWSLETTER; SIGN UP TODAY HERE Here's a sneak peek of a recent noteworthy panel decision that will be added soon to the LexisNexis services: Medical Provider Networks; Treatment Outside MPN. WCAB, reversing WCJ, ordered that lien claimant take nothing by way of its lien for medical...

California: Independent Medical Review – Which One Applies To What?

There is much confusion over the two Independent Medical Reviews in the California workers’ compensation system: MPN-IMR and UR-IMR. Attorneys should beware of mixing apples and oranges when it comes to these two separate and distinct processes. This article hopefully will clarify the issues and...

Independent Contractor Required to Transfer Medical Care Into MPN: Cal. Comp. Cases October Advanced Postings (10/10/2013)

Here’s the third batch of advanced postings for the October 2013 issue of Cal. Comp. Cases. Lexis.com and Lexis Advance subscribers can link to the case to read the complete headnotes and summaries. © Copyright 2013 LexisNexis. All rights reserved. Hattie Goings , Petitioner v. Workers'...

California: Supreme Court Affirms COA in Valdez

The Supreme Court has issued its long awaited ruling in the W.C.A.B. en banc decision (titled Valdez v W.C.A.B . in the Appellate Courts) regarding the admissibility of medical reports obtained by applicants under Labor Code § 4605. The W.C.A.B. in its decision had rule such reports to be not admissible...

California: W.C.A.B. Rules Expedited Hearing Available Remedy to Enforce MPN During 90 Day Delay

The Workers’ Compensation Appeals Board has issued its first published decision of 2014 with a significant panel decision * in the case of Eun Jae Kim v. B.C.D. Tofu House; Cypress Insurance Company . In this decision the WCAB addresses the question of whether an expedited hearing pursuant to Labor...

CWCI Schedules Online Seminar on New MPN Regs and Other Recent Regulatory Revisions

The California Workers’ Compensation Institute (CWCI) has scheduled an online seminar for Thursday, September 18 to educate workers’ compensation claims and medical professionals, attorneys and other members of the community on revised regulations governing medical provider networks (MPNs...

California: Stipulation to Treatment Outside a Medical Provider Network

In Shawl v. Steve’s Automotive , 2015 Cal. Wrk. Comp. P.D. LEXIS --, a split WCAB panel rescinded the WCJ’s decision and held that the applicant, who incurred an industrial injury to multiple body parts on 3/7/2001, was entitled to continue treatment with Jacob Rabinovich, M.D., outside the...

California: A Medical Provider Network Conundrum: The Second Opinion Process

In Bautista v. Arlon Graphics , 2015 Cal. Wrk. Comp. P.D. LEXIS --, a split panel WCAB affirmed the WCJ’s finding that the applicant machine operator with a 4/6/2014 admitted industrial injury to his ribs, pulmonary system, lumbar spine, and right ankle and alleged consequential injury his psyche...

WCAB Bars Applicant’s Psychiatric Injury Caused by Disciplinary Action: Cal. Comp. Cases January Advanced Postings (1/13/2016)

Here’s another batch of advanced postings for the January 2016 issue of Cal. Comp. Cases. Lexis.com and Lexis Advance subscribers can link to the case to read the complete headnotes and summaries. © Copyright 2016 LexisNexis. All rights reserved. Dennis Stolp, Petitioner v. Workers'...

California: Medical Provider Network Access Standards: Three Physicians Required?

In Soto v. Sambrailo Packaging , 2016 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB held that the WCJ erred in finding that the applicant who suffered an industrial injury to her neck, back and right shoulder was entitled to treat outside the defendant’s MPN because the defendant failed to meet the statutory...

California: Disputing an MPN Physician’s Release From Care

When an employee disputes an MPN physician’s release from care, is the employee entitled to choose to resolve the dispute with the treating physician’s diagnosis or treatment by either obtaining a second opinion within the MPN or by selecting a panel qualified medical evaluator? In...