Does the Illinois fee schedule apply if the worker/employer/medical provider is in another state?
The defining factor is where the worker filed the workers’ compensation claim. If the worker filed the claim in Illinois, then Illinois law and the Illinois fee schedule apply. For example, if a worker filed a claim in Illinois and received treatment in another state, Illinois law would apply. Illinois rules (Section 7110.90(g)) provide that out-of-state treatment should be paid at the greater of 76% of the charged amount or that state’s fee schedule (if that state has a schedule). If that state does not have a fee schedule, payment would be 76% of charge. If the worker filed a claim in another state, the law in that state would govern how medical treatment shall be paid. How are the fees adjusted each year? According to Section 8.2(a) of the Act, on January 1 of each year the IWCC adjusts all the fees by the percentage change in the Consumer Price Index-All Urban Consumers, All Items (1982-84=100) for the 12-month period ending August 31 of the previous year. As you can see below, med
