If you have any questions or need additional information, please call Carmen Moore at (360) 902-4206.

POLICY AND INTERPRETIVE STATEMENTS

Insurance Services Division

     Contact person for all policies: Suzy Campbell, phone (360) 902-4583.

Permanent Partial Disability Overpayments

     This memo advises staff of management's decision to issue overpayment orders for permanent partial disability (PPD) when a PPD closure is reversed and the claim remains open for further medical or vocational benefits. This new policy was issued September 2, 2005.

Policy 2.10 Paying Time-Loss Compensation Benefits on Occupational Disease Claims

     This new policy applies to state fund and self-insured workers' compensation claims. This policy does not apply to crime victim claims. This policy provides guidelines for adjudicators provisional or interlocutory time-loss compensation benefits are payable on an occupational disease claim. This new policy was issued August 1, 2005.

Policy 2.95 Processing Multiple Employer Occupational Disease Claims

     This policy has been deleted and repealed August 1, 2005. It has been replaced by policy 3.06 which provides guidelines for determining liability for occupational disease claims.

Interim Policy 3.06 Determining Employer Liability for Occupational Disease Claims

     This policy replaces policy 2.95 and applies to allowed state fund occupational disease claims. This policy does not apply to crime victims and self-insured claims. This policy provides guidelines for determining liability for occupational disease claims. This new policy was issued August 1, 2005.

Interim Policy 3.02 Adjudicating the Validity of Occupational Disease Claims

     This policy applies to state fund and self-insured workers' compensation claims and was updated to reflect the current process. This policy does not apply to crime victim claims. This policy provides guidelines for adjudicators when they must determine whether to allow or deny a claim as an occupational disease. This policy was amended August 1, 2005.

Interim Policy 3.04 Establishing Date of Disease Manifestation for Occupational Disease Claims

     This new policy applies to state fund and self-insured workers' compensation claims. This policy does not apply to crime victim claims. This policy applies to all occupational disease claims except for occupational hearing loss claims. This policy provides guidelines for establishing the date of disease manifestation for occupational disease claims. This new policy was issued August 1, 2005.

Policy 7.02 Cruciate Ligament Repair; Gore-Tex Prosthesis

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Protocol 7.03 Trigger Point Injections

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Protocol 7.04 Vertebral Facet Joint Injection

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Protocol 7.05 Epidural Diagnostic Therapeutic Injection

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Policy 7.07 Videotaping of Arthroscopic Surgeries

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Policy 7.08 Grievance Process for Workers Regarding Pain Management Programs

     This policy has been deleted. The information contained in this document does not meet the definition of a policy and is available to claims staff in other reference materials. This policy was repealed August 1, 2005.

Policy 7.09 Rabies Prophylactic Treatment

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Policy 7.10 Isokinetic Back Evaluations

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Policy 7.21 Groin Strains

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

10.101 Requests for Provider Numbers for Nonroutine Services

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Policy 11.40 University of Florida Immobilizer

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Policy 14.20 PPD Awards for Back Injuries

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Policy 16.30 The 7(10) Year Limitation for Reopening Claims

     This policy has been deleted because the content does not meet the definition of a policy and the information is available in other reference materials. This policy was repealed August 1, 2005.

Carmen Moore

Legislative and

Governmental Affairs Office