What is the role of the Division of Health Care Finance and Policy (“Division”) regarding workers compensation?
The Division determines rates of payment for hospitals and health care providers. The rates are determined by a regulatory process that promulgates in fee schedules and other formats ensuring a public process through which rate setting is established. The Division does not oversee medical necessity or determine clinical appropriateness of procedures and services rendered.
Related Questions
- When do insurers and third party administrators have to report an injury to the Division of Workers Compensation?
- What is the period of Limitations to a file claim for compensation with the Division of Workers Compensation?
- When does the Division of Workers Compensation lose jurisdiction over a workers compensation case?