Who oversees the DWC?
The Administrative Director (AD)
The AD is responsible for appointing QMEs and adopting the Fee Schedule (OMFS) and MTUS.
What does the DWC Medical Unit handle?
This unit reports directly to the Administrative Director.
What is the role of the Workers Compensation Appeals Board (WCAB)?
It consists of 24 district offices with Workers’ Compensation Judges (WCJs) who preside over trials
The WCAB acts as an appellate body for decisions made by WCJs.
How many Commissioners are there in the WCAB?
7 Commissioners
They are appointed by the Governor and act like a ‘Supreme Court’ for appealed decisions.
What is a Petition for Reconsideration?
A process to appeal a judge’s decision in the WCAB
This allows for higher review by the Commissioners.
What does the DWC Audit and Enforcement Unit investigate?
Claims against insurance claims administrators
This unit ensures compliance and addresses misconduct.
Who is considered a physician under Workers Comp?
Physical therapists are NOT included in this definition.