180.25
(a) Pursuant to Labor Code § 415.0036, offering, paying, soliciting, or receiving an improper inducement relating to the delivery of benefits to an injured employee is prohibited. Improper attempts to influence the delivery of benefits to an injured employee, including the making of improper threats. This section applies to all system participants in the workers’ […]
180.28
(a) A peer reviewer’s report, including a report used to deny preauthorization, shall document the objective medical findings and evidence-based medicine that supports the opinion and include: (1) the peer reviewer’s name and professional Texas license number; (2) certification that the peer reviewer holds the appropriate credentials as defined in §180.1 of this title (relating […]
180.50
Where any provisions of this chapter are determined by a court of competent jurisdiction to be inconsistent with any statutes of this state, or to be unconstitutional, the remaining provisions of this chapter shall remain in effect. The provisions of this 180.50 adopted to be effective January 9, 2011, 35 TexReg 11873.
141.4
(a) As used in this chapter “pertinent information” means all information relevant to the resolution of the disputed issue or issues to be addressed at the benefit review conference, including but not limited to: (1) reports regarding the compensable injury; (2) the injured employee’s wage records; and (3) the injured employee’s medical records. (b) Examples […]
141.7
(a) All Issues Resolved. Division actions if all issues are resolved at the benefit review conference. (1) If all issues in dispute are resolved at the benefit review conference by agreement or settlement, the agreement or settlement must be reduced to writing and signed by each party and their designated representative, if any, and the […]
137.41
The purpose of §§ 137.41-137.51 of this title (relating to Disability Management) is to set forth the terms, conditions, and requirements for the return-to-work reimbursement program for employers. The provisions of this 137.41 adopted to be effective February 22, 2006, 31 TexReg 1037; amended to be effective February 7, 2008, 33 TexReg 930; amended to […]
137.42
The following words and terms shall have the following meanings only for the purposes of the return-to-work reimbursement program for employers: (1) Allowable expense–An expenditure of funds, costs incurred, or costs that will be incurred by an eligible employer for workplace modifications or other costs that are necessary to reasonably assist an injured employee’s doctor-identified […]
137.43
The Commissioner of Workers’ Compensation shall appoint a qualified employee of the Texas Department of Insurance, Division of Workers’ Compensation to serve as the return-to-work reimbursement program administrator to implement the provisions of this subchapter. The provisions of this 137.43 adopted to be effective February 22, 2006, 31 TexReg 1037; amended to be effective April […]
137.44
(a) Disbursements of funds for the program are dependent on the availability of funds identified by the division. (b) The disbursement that any single employer may receive from the program may not exceed $5,000 for all workplace modification expenditures made during the state appropriation year for all injured employees. (c) Disbursements from the program to […]
137.45
(a) In order to be eligible to receive a disbursement from the program, an employer must: (1) be an eligible employer that has incurred or will incur an allowable expense; (2) have Texas workers’ compensation insurance coverage in effect on the date the employee is injured and be able to provide proof of coverage; (3) […]