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Workers' Compensation Rules

DISCLAIMER: The following rules are provided as a courtesy by the Division of Workers' Compensation (DWC).  While DWC makes every effort to ensure the accuracy and completeness of this information, the official version of proposed and adopted rules are those filed with the Secretary of State, which is the repository of official DWC rules. Those rules can be accessed directly from the Texas Register, Office of Secretary of State. ( http://www.sos.state.tx.us/texreg/index.shtml ) With respect to the following documents, or other documents available from this site or others to which it links, DWC and the State of Texas make no warranty as to their accuracy, completeness, reliability, timeliness, and/or usefulness.

Table of contents in PDF

102 | 103 | 104 | 108 | 109 | 110 | 112 | 114 | 116 | 120 | 122 | 124 | 126127 | 128 | 129 | 130 | 131 | 132 | 133 | 134 | 136 | 137 | 140 | 141 | 142 | 143 | 144 | 147 | 148 | 149 | 150 | 152 | 156 | 160 | 165 | 166 | 180


    CHAPTER 102 - PRACTICES AND PROCEDURES--GENERAL PROVISIONS (PDF)

§102.2 Gifts, Grants, and Donations
§102.3 Computation of Time
§102.4 General Rules for Non-Commission Communications
§102.5 General Rules for Written Communications to and from the Commission
§102.7 Abbreviations
§102.8 Information Requested on Written Communications to the Division
§102.9 Submission of Information Requested by the Commission
§102.10 Interest, General
§102.11 Electronic Formats for Electronic Claim Data Request and Report.

    CHAPTER 103 - AGENCY ADMINISTRATION (PDF)

Chapter repealed effective 12/12/2013

    CHAPTER 104 - GENERAL PROVISIONS--RULE-MAKING (PDF)

§104.1 Contents of Rule-Making Petitions 

    CHAPTER 108 - FEES (PDF)

§108.1 Charges for Copies of Public Information  

    CHAPTER 109 - WORKERS' COMPENSATION COVERAGE FOR STATE EMPLOYEES (PDF)

§109.1 State Agencies: General Provisions  

    CHAPTER 110 - REQUIRED NOTICES OF COVERAGE (PDF)

SUBCHAPTER A - Carrier Notices

§110.1 Insurance Carrier Requirements for Notifying the Division of Insurance Coverage
§110.7. Self-Insured Political Subdivision Requirements for Notifying the Division of Election to Provide Medical Benefits

SUBCHAPTER B - Employer Notices

§110.101 Covered and Non-Covered Employer Notices to Employees
§110.103 Employer Requirements for Notifying the Division of Non-Coverage
§110.105 Employer Requirements for Notifying the Division of Termination of Coverage
§110.108 Employer Notice Regarding Work-Related Exposure to Communicable Disease/HIV: Posting Requirements; Payment for Tests
§110.110 Reporting Requirements for Building or Construction Projects for Governmental Entities  

    CHAPTER 112 - SCOPE OF LIABILITY FOR COMPENSATION (PDF)

SUBCHAPTER B - Application To General Contractor/Subcontractor And Motor Carrier/Owner Operator

§112.101 Agreement Regarding Workers' Compensation Insurance Coverage Between General Contractors and Subcontractors
§112.102 Agreements between Motor Carriers and Owner Operators

SUBCHAPTER C - Application To Certain Building And Construction Workers

§112.200 Definition of Residential Structures
§112.201 Agreement To Establish Employer-Employee Relationship for Certain Building and Construction Workers
§112.202 Joint Agreement To Affirm Independent Relationship for Certain Building and Construction Workers
§112.203 Exception to Application of Agreement To Affirm Independent Relationship for Certain Building and Construction Workers

SUBCHAPTER D - Application To Farm Or Ranch Employees

§112.301 Labor Agent's Notification of Coverage

SUBCHAPTER E - Professional Athletes Election Of Coverage

§112.401 Election of Coverage by Certain Professional Athletes
§112.402 Determination of Equivalent Benefits for Professional Athletes  

    CHAPTER 114 - SELF-INSURANCE (PDF)

§114.1 Purpose
§114.2 Definitions
§114.3 Application Form and Financial Information Requirements
§114.4 Security Deposit Requirements
§114.5 Excess Insurance Requirements
§114.6 Safety Program Requirements
§114.7 Certification Process
§114.8 Refusal To Certify an Employer
§114.9 Required Safety Program Inspections
§114.10 Claims Contractor Requirements
§114.11 Audit Program
§114.12 Required Reporting
§114.13 Required Notices to the Director
§114.14 Impaired Employer
§114.15 Revocation or Suspension of Certificate of Authority To Self-Insure   

    CHAPTER 116 - GENERAL PROVISIONS--SUBSEQUENT INJURY FUND (PDF)

§116.11 Request for Reimbursement from the Subsequent Injury Fund
§116.12 Subsequent Injury Fund Payment/Reimbursement Schedule  

    CHAPTER 120 - COMPENSATION PROCEDURE--EMPLOYERS (PDF)

§120.1 Employer's Record of Injuries
§120.2 Employer's First Report of Injury and Notice of Injured Employee Rights and Responsibilities
§120.3 Employer's Supplemental Report of Injury
§120.4 Employer's Wage Statement 

    CHAPTER 122 - COMPENSATION PROCEDURE-CLAIMANTS (PDF)

SUBCHAPTER A - Claims Procedure For Injured Employees

§122.1 Notice to Employer of Injury or Occupational Disease
§122.2 Injured Employee's Claim for Compensation
§122.3 Exposure to Communicable Diseases:  Reporting and Testing Requirements for Emergency Responders
§122.4 State Employees Exposed to Human Immunodeficiency Virus (HIV):  Reporting and Testing Requirements
§122.5 Employee's Multiple Employment Wage Statement

SUBCHAPTER B - Claims Procedure For Beneficiaries Of Injured Employees

§122.100 Claim for Death Benefits  

    CHAPTER 124 - CARRIERS: REQUIRED NOTICES AND MODE OF PAYMENT (PDF)

§124.1 Notice of Injury
§124.2 Carrier Reporting and Notification Requirements
§124.3 Investigation of an Injury and Notice of Denial/Dispute
§124.5 Mode of Payment Made by Carriers
§124.7 Initial Payment of Temporary Income Benefits  

    CHAPTER 126 - GENERAL PROVISIONS APPLICABLE TO ALL BENEFITS (PDF)

§126.1 Definitions Applicable to All Benefits
§126.2 Payment of Benefits to Minors
§126.3 Payment of Benefits to Legally Incompetent Persons
§126.4 Advance of Benefits Based on Financial Hardship
§126.5 Entitlement and Procedure for Requesting Required Medical Examinations
§126.6 Required Medical Examination
§126.8 Commission Approved Doctor List
§126.9 Choice of Treating Doctor and Liability for Payment
§126.11 Extension of the Date of Maximum Medical Improvement for Spinal Surgery
§126.12 Payment of Interest on Accrued but Unpaid Income Benefits
§126.13 Employer Initiation of Benefits and Reimbursement
§126.14 Treating Doctor Examination to Define the Compensable Injury
§126.15 Procedures for Resolution of Underpayments of Income Benefits
§126.16 Procedures for Recouping Overpayments of Income Benefits
§126.17 Guidelines for Examination by a Treating Doctor or Referral Doctor After a Designated Doctor Examination to Address Issues Other Than Certification of Maximum Medical Improvement and the Evaluation of Permanent Impairment

    CHAPTER 127 - DESIGNATED DOCTOR PROCEDURES AND REQUIREMENTS (PDF)

Subchapter A - Designated Doctor Scheduling and Examinations

§127.1 Requesting Designated Doctor Examinations
§127.5 Scheduling Designated Doctor Appointments
§127.10 General Procedures for Designated Doctor Examinations
§127.15 Undue Influence on a Designated Doctor
§127.20 Requesting a Letter of Clarification Regarding Designated Doctor Reports
§127.25 Failure to Attend a Designated Doctor Examination

Subchapter B - Designated Doctor Certification, Recertification, and Qualifications

§127.100 Designated Doctor Certification
§127.110 Designated Doctor Recertification
§127.120 Exception to Certification as a Designated Doctor for Out-of-State Doctors
§127.130 Qualification Standards for Designated Doctor Examinations
§127.140 Disqualifying Associations

Subchapter C - Designated Doctor Duties and Responsibilities

§127.200 Duties of a Designated Doctor
§127.210 Designated Doctor Administrative Violations
§127.220 Designated Doctor Reports

    CHAPTER 128 - BENEFITS--CALCULATION OF AVERAGE WEEKLY WAGE (PDF)

§128.1 Average Weekly Wage: General Provisions
§128.2 Carrier Presumption of Employee's Average Weekly Wage
§128.3  Average Weekly Wage Calculation for Full-Time Employees, and for Temporary Income Benefits for All Employees
§128.4 Average Weekly Wage Calculation for Part-Time Employees
§128.5 Average Weekly Wage Calculation for Seasonal Employees
§128.6 Average Weekly Wage Adjustment for Certain Employees Who Are Also Minors, Apprentices, Trainees, or Students
§128.7 Average Weekly Wage for School District Employees  

    CHAPTER 129 - INCOME BENEFITS--TEMPORARY INCOME BENEFITS (PDF)

§129.1 Definitions for Temporary Income Benefits
§129.2 Entitlement to Temporary Income Benefits
§129.3 Amount of Temporary Income Benefits
§129.4 Adjustment of Temporary Income Benefit Amount
§129.5 Work Status Reports
§129.6 Bona Fide Offers of Employment
§129.7 Non-Reimbursable Employer Payments
§129.11 Agreement for Monthly Payment of Temporary Income Benefits  

    CHAPTER 130 - IMPAIRMENT AND SUPPLEMENTAL INCOME BENEFITS (PDF)

SUBCHAPTER A - Impairment Income Benefits

§130.1 Certification of Maximum Medical Improvement and Evaluation of Permanent Impairment
§130.2 Certification of Maximum Medical Improvement and Evaluation of Permanent Impairment by the Treating Doctor
§130.3 Certification of Maximum Medical Improvement and Evaluation of Permanent Impairment by a Doctor other than the Treating Doctor
§130.4 Presumption that Maximum Medical Improvement (MMI) has been Reached and Resolution when MMI has not been Certified
§130.7 Acceleration of Impairment Income Benefits
§130.8 Initiating Payment of Impairment Income Benefits
§130.10 Commission Review of Employment Status during the Impairment Income Benefits Period
§130.11 Agreement for Monthly Payment of Impairment Income Benefits
§130.12 Finality of the First Certification of Maximum Medical Improvement and/or First Assignment of Impairment Rating

SUBCHAPTER B - Supplemental Income Benefits

§130.100 Applicability
§130.101 Definitions
§130.102 Eligibility for Supplemental Income Benefits; Amount
§130.103 Determination of Entitlement or Non-entitlement for the First Quarter
§130.104 Determination of Entitlement or Non-entitlement for Subsequent Quarters
§130.105 Failure to Timely File Application for Supplemental Income Benefits; Subsequent Quarters
§130.106 Loss of Entitlement to Supplemental Income Benefits
§130.107 Payment of Supplemental Income Benefits
§130.108 Contesting Entitlement or Amount of Supplemental Income Benefits; Attorney Fees
§130.109 Reinstatement of Entitlement if Discharged with Intent to Deprive of Supplemental Income

    CHAPTER 131 - BENEFITS--LIFETIME INCOME BENEFITS (PDF)

§131.2 Calculation of Lifetime Income Benefits
§131.3 Carrier's Petition for Payment of Benefits by the Subsequent Injury Fund
§131.4 Change in Payment Period; Purchase of Annuity for Lifetime Income Benefits 

    CHAPTER 132 - DEATH BENEFITS--DEATH AND BURIAL BENEFITS (PDF)

§132.1 Calculation of Death Benefits
§132.2 Determination of Facts of Dependent Status
§132.3 Eligibility of Spouse To Receive Death Benefits
§132.4 Eligibility of a Child To Receive Death Benefits
§132.5 Eligibility of a Grandchild To Receive Death Benefits
§132.6 Eligibility of Other Surviving Dependents and Eligible Parents To Receive Death Benefits
§132.7 Duration of Death Benefits for Eligible Spouse
§132.8 Duration of Death Benefits for an Eligible Child
§132.9 Duration of Death Benefits for an Eligible Grandchild, Eligible Dependent, and Eligible Parent
§132.10 Payment of Death Benefits to the Subsequent Injury Fund
§132.11 Distribution of Death Benefits
§132.12 Redistribution of Death Benefits
§132.13 Burial Benefits
§132.14 Autopsy
§132.15 Definitions
§132.16 Change in Payment Periods; Purchase of Annuity for Death Benefits
§132.17 Denial, Dispute, and Payment of Death Benefits 

    CHAPTER 133 - GENERAL MEDICAL PROVISIONS (PDF)

SUBCHAPTER A - General Rules for Medical Billing and Processing

§133.1 Applicability of Medical Billing and Processing
§133.2 Definitions
§133.3 Communication Between Health Care Providers and Insurance Carriers
§133.4 Written Notification to Health Care Providers of Contractual Agreements for Informal and Voluntary Networks
§133.5 Informal Network and Voluntary Network Reporting Requirements to the Division

SUBCHAPTER B – Health Care Provider Billing Procedures

§133.10 Required Billing Forms/Formats
§133.20 Medical Bill Submission by Health Care Provider

SUBCHAPTER C - Medical Bill Processing/Audit by Insurance Carrier

§133.200 Insurance Carrier Receipt of Medical Bills from Health Care Providers
§133.210 Medical Documentation
§133.230 Insurance Carrier Audit of a Medical Bill
§133.240 Medical Payments and Denials
§133.250 Reconsideration for Payment of Medical Bills
§133.260 Refunds
§133.270  Injured Employee Reimbursement for Health Care Paid
§133.280 Employer Reimbursement for Health Care Paid

SUBCHAPTER D - Dispute of Medical Bills

§133.305 MDR - General
§133.306 Interlocutory Orders for Medical Benefits
§133.307 MDR of Fee Disputes
§133.308 MDR of Medical Necessity Disputes
§133.309 Alternate Medical Necessity Dispute Resolution by Case Review Doctor

SUBCHAPTER G - Electronic Medical Billing, Reimbursement, and Documentation

§133.500 Electronic Formats for Electronic Medical Bill Processing
§133.501 Electronic Medical Bill Processing
§133.502 Electronic Medical Billing Supplemental Data Requirements

    CHAPTER 134 - BENEFITS--GUIDELINES FOR MEDICAL SERVICES, CHARGES, AND PAYMENTS (PDF)

SUBCHAPTER A - Medical Reimbursement Policies

§134.1 Medical Reimbursement
§134.2 Incentive Payments for Workers' Compensation Underserved Areas

SUBCHAPTER B - Miscellaneous Reimbursement

§134.100 Reimbursement of Treating Doctor for Attendance at Required Medical Examination
§134.110 Reimbursement of Injured Employee for Travel Expenses Incurred
§134.120 Reimbursement for Medical Documentation
§134.130 Interest for Late Payment on Medical Bills and Refunds

SUBCHAPTER C - Medical Fee Guidelines

§134.201 Medical Fee Guideline for Medical Treatments and Services Provided under the Texas Workers' Compensation Act
§134.202 Medical Fee Guideline
§134.203 Medical Fee Guideline for Professional Services
§134.204 Medical Fee Guideline for Workers' Compensation Specific Services
§134.302 Dental Fee Guideline
§134.303 2005 Dental Fee Guideline

Subchapter E - Health Facility Fees

§134.402 Ambulatory Surgical Center Fee Guideline
§134.403 Hospital Facility Fee Guideline--Outpatient
§134.404 Hospital Facility Fee Guideline--Inpatient

SUBCHAPTER F - Pharmaceutical Benefits

§134.500 - Definitions
§134.501 - Initial Pharmaceutical Coverage
§134.502 - Pharmaceutical Services
§134.503 - Pharmacy Fee Guideline
§134.504 - Pharmaceutical Expenses Incurred by the Injured Employee
§134.506 - Outpatient Open Formulary for Claims with Dates of Injury Prior to September 1, 2011
§134.510 - Transition to the Use of the Closed Formulary for Claims with Dates of Injury Prior to September 1, 2011
§134.520 - Outpatient Closed Formulary for Dates of Injury On or After September 1, 2011
§134.530 - Requirements for Use of the Closed Formulary for Claims Not Subject to Certified Networks
§134.540 - Requirements for Use of the Closed Formulary for Claims Subject to Certified Networks
§134.550 - Medical Interlocutory Order

SUBCHAPTER G - Prospective And Concurrent Review Of Health Care

§134.600 Preauthorization, Concurrent Utilization Review, and Voluntary Certification of Health Care

SUBCHAPTER I – Medical Bill Reporting

§134.800 - Applicability
§134.801 - Purpose
§134.802 - Definitions
§134.803 - Reporting Standards
§134.804 - Reporting Requirements
§134.805 - Records Required to be Reported
§134.806 - Records Excluded from Reporting
§134.807 - State Specific Requirements
§134.808 - Insurance Carrier EDI Compliance Coordinator and Trading Partners

SUBCHAPTER J - Reviews And Audits

§134.900 Medical Benefit Review and Audit 

    CHAPTER 136 - BENEFITS--VOCATIONAL REHABILITATION (PDF)

§136.1 Review of Employer Report of Injury
§136.2 Registry of Private Providers of Vocational Rehabilitation Services  

    CHAPTER 137 - DISABILITY MANAGEMENT (PDF)

SUBCHAPTER A - General Provisions

§137.1 Disability Management Concept
§137.5 Case Manager Certification

SUBCHAPTER B - Return-to-Work

§137.10 Return to Work Guidelines
§137.41 Purpose 
§137.42 Definitions
§137.43 Return-to-Work Reimbursement Program Administrator
§137.44 Return-to-Work Reimbursement Program for Employers
§137.45 Employer Eligibility for Disbursements from the Return-to-Work Reimbursement Program
§137.46 Application for Funds from the Return-to-Work Reimbursement Program
§137.47 Criteria for Return-to-Work Reimbursement Program Applications
§137.48 Return-to-Work Reimbursement Program Administrator Determinations
§137.49 Optional Preauthorization Plan
§137.50 Optional Advance of Funds Plan
§137.51 Monitoring and Enforcement

SUBCHAPTER C - Treatment Guidelines

§137.100 Treatment Guidelines  

    CHAPTER 140 - DISPUTE RESOLUTION--GENERAL PROVISIONS (PDF)

§140.1 Definitions
§140.2 Special Accommodations
§140.3 Expedited Proceedings
§140.4 Conduct and Decorum
§140.5 Correction of Clerical Error
§140.6 Subclaimant Status: Establishment, Rights, and Procedures
§140.7 Health Care Insurer Reimbursement under Labor Code §409.0091
§140.8 Procedures for Health Care Insurers to Pursue Reimbursement of Medical Benefits under Labor Code §409.0091. 

    CHAPTER 141 - DISPUTE RESOLUTION--BENEFIT REVIEW CONFERENCE (PDF)

§141.1 Requesting and Setting a Benefit Review Conference
§141.2 Canceling or Rescheduling a Benefit Review Conference
§141.3 Failure to Attend a Benefit Review Conference
§141.4 Sending and Exchanging Pertinent Information
§141.5 Description of the Benefit Review Conference
§141.7 Division Actions After a Benefit Review Conference 

    CHAPTER 142 - DISPUTE RESOLUTION--BENEFIT CONTESTED CASE HEARING (PDF)

§142.1 Application of the Administrative Procedure Act
§142.2 Authority of the Hearing Officer
§142.3 Ex Parte Communications
§142.4 Delivery of Copies to All Parties
§142.5 Sequence of Proceedings to Resolve Benefit Disputes
§142.6 Setting a Benefit Contested Case Hearing
§142.7 Statement of Disputes
§142.8 Summary Procedures
§142.9 Stipulations, Agreements, and Settlements
§142.10 Continuance
§142.11 Failure To Attend a Benefit Contested Case Hearing
§142.12 Subpoena
§142.13 Discovery
§142.14 Permission To Use Court Reporter
§142.16 Decision
§142.17 Transcript or Duplicate of the Hearing Audiotape
§142.18 Special Provisions for Cases on Remand from the Appeals Panel
§142.19 Form Interrogatories [ Sample: Claimant's Interrogatories to Carrier, Sample: Carrier's Interrogatories to Claimant (PDF)]
§142.20 Interlocutory Orders  

    CHAPTER 143 - DISPUTE RESOLUTION REVIEW BY THE APPEALS PANEL (PDF)

§143.1 Definitions
§143.2 Description of the Appeal Proceeding
§143.3 Requesting the Appeals Panel to Review the Decision of the Hearing Officer
§143.4 Responding to a Request for Review by the Appeals Panel
§143.5 Decision of the Appeals Panel  

    CHAPTER 144 - DISPUTE RESOLUTION (PDF) 

SUBCHAPTER A - Arbitration

§144.1 Authority and Duties of Arbitrators
§144.2 Ex Parte Communications
§144.3 Delivery of Copies of Documents
§144.4 Election to Engage in Arbitration
§144.5 Statement of Disputes
§144.6 Assignment of Arbitrator
§144.7 Setting the Arbitration Proceeding
§144.8 Expediting Procedures
§144.9 Exchange of Evidence and Proposed Resolution
§144.10 Stipulations, Agreements, and Settlements
§144.11 Continuance
§144.12 Failure to Attend Arbitration
§144.13 Rights of Parties
§144.14 Usual Order of Proceedings
§144.15 Award of the Arbitrator
§144.16 Requesting a Copy of the Record  

   CHAPTER 147 - DISPUTE RESOLUTION--AGREEMENTS, SETTLEMENTS, COMMUTATIONS (PDF)

§147.1 Definitions
§147.2 Form
§147.3 Execution
§147.4 Filing Agreements with the Commission; Effective Dates
§147.5 Filing Settlements with the Commission; Effective Dates
§147.6 Settlement Conference
§147.7 Effect on Previously Entered Decisions and Orders
§147.8 Withdrawal from Settlement
§147.9 Requirements for Agreements and Settlements
§147.10 Commutation of Impairment Income Benefits
§147.11 Notification of Commission of Proposed Judgments and Settlements  

    CHAPTER 148 - HEARINGS CONDUCTED BY THE STATE OFFICE OF ADMINISTRATIVE HEARINGS (PDF)

§148.1 Definitions
§148.2 Scope and Applicability
§148.3 Requesting a Hearing
§148.4 Correction of Clerical Error in Medical Review Division Decisions or Orders Absent a Request for Hearing
§148.5 Notice of Hearing
§148.6 Venue
§148.7 Representation
§148.8 Withdrawal of Hearing Request
§148.9 Informal Disposition
§148.10 Hearings Subpoenas to Compel Attendance and Subpoenas Duces Tecum
§148.11 Commissions to Compel Attendance for Deposition
§148.12 Ex Parte Communications
§148.13 Recording the Hearing
§148.14 Burden of Proof
§148.15 Final Decision by the ALJ
§148.16 Proposal for Decision by the ALJ
§148.17 Special Provisions for Administrative Penalties
§148.18 Record of the Hearing
§148.19 Transcript or Duplicate of the Hearing Audiotape or Videotape
§148.20  Reimbursement, Travel Expenses, and Fees for Witnesses and Deponents
§148.21 Expenses to be Paid by Party Seeking Judicial Review
§148.22  Failure to Appear or Comply with Order or Decision, Administrative Violation
§148.23 Commission Enforcement of Orders  

    CHAPTER 149 - MEMORANDUM OF UNDERSTANDING WITH THE STATE OFFICE OF ADMINISTRATIVE HEARINGS (PDF)

§149.1 Definitions
§149.2 General Statement
§149.3 Referral of Contested Case to SOAH
§149.4 Notice of Hearing
§149.5 Hearings
§149.6 Confidentiality of Records
§149.7 Action Upon Withdrawal of Decision
§149.8 Final Orders in Accordance with the Act, §§411.049, 413.031, 413.055 and 415.034
§149.9 Proposals for Decision in Accordance with the Act,  §§402.072, 407.046, and 408.0231
§149.10 Custody of the Hearing Record  

    CHAPTER 150 - REPRESENTATION OF PARTIES BEFORE THE AGENCY--QUALIFICATIONS FOR REPRESENTATIVES (PDF)

§150.1 Minimum Standards of Practice for an Attorney
§150.2 Qualification and Authorization of Attorney To Practice before the Commission
§150.3 Representatives: Written Authorization Required

    CHAPTER 152 - ATTORNEYS' FEES (PDF)

§152.1 Attorney Fees: General Provisions
§152.2 Attorney Fees: Representation of Claimants
§152.3 Approval or Denial of Fee by the Commission  
§152.4 Guidelines for Legal Services Provided to Claimants and Carriers
§152.5 Allowable Expenses  

    CHAPTER 156 - REPRESENTATION OF PARTIES BEFORE THE AGENCY CARRIER'S AUSTIN REPRESENTATIVE (PDF)

§156.1 Carrier's Austin Representative 

    CHAPTER 160 - REPORTS OF INJURY AND OCCUPATIONAL DISEASE--GENERAL PROVISIONS (PDF)

§160.1 - Applicability
§160.2 - Non-Subscribing Employer's Report of Injury
§160.3 - Subscribing Employer's Report of Injury

    CHAPTER 165 - REJECTED RISK: INJURY PREVENTION SERVICES (PDF)

§165.1 Identification and Notification of Certain Policyholders Insured by the Texas Mutual Insurance Company Acting as the Insurer of Last Resort
§165.2 Safety Consultation
§165.3 Formulation and Components of Accident Prevention Plan
§165.4 Request for Safety Consultation From the Division
§165.5 Reimbursement of Division for Services Provided to Rejected Risk Employers
§165.6 Follow-up Inspection of the Policyholder's Premises by the Division
§165.7 Report of Follow-Up Inspection 

   CHAPTER 166 - ACCIDENT PREVENTION SERVICES (PDF)

§166.1 Definitions of Terms
§166.2 Adequacy of Accident Prevention Services
§166.3  Annual Information Submitted by Insurance Companies
§166.5 Inspections of Adequacy of Accident Prevention Facilities and Services

   CHAPTER 180 - MONITORING AND ENFORCEMENT  (PDF)

Subchapter A -  General Rules for Enforcement

§180.1 Definitions
§180.2 Filing a Complaint
§180.3 Compliance Audits
§180.4 On-Site Visits
§180.5 Access to Workers' Compensation Related Records and Information
§180.8 Notices of Violation; Notices of Hearing; Default Judgments
§180.9 Proposals for Decision
§180.10 Ex Parte Emergency Cease and Desist Orders
§180.19 Incentives

Subchapter B - Medical Benefit Regulation

§180.22 Health Care Provider Roles and Responsibilities
§180.23 Division Required Training for Doctors
§180.24 Financial Disclosure
§180.25 Improper Inducements, Influence and Threats
§180.26 Criteria for Imposing, Recommending and Determining Sanctions; Other Remedies
§180.27 Restoration 
§180.28 Peer Review Requirements, Reporting, and Sanctions
§180.50 Severability

Subchapter C - Medical Quality Review Panel

§180.60 Definitions
§180.62 Medical Quality Review Panel
§180.64 MQRP Application Process
§180.66 Medical Case Review
§180.68 Medical Quality Review Process
§180.70 MQRP Training
§180.72 Conflict of Interest
§180.74 MQRP Notification of Case Status
§180.76 Rights and Responsibilities of Persons Involved in the Medical Quality Review Process
§180.78 Effective Date


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Last updated: 06/12/2014



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