Stakeholder meetings regarding Injured Workers' Services, Return to Work, Medical Costs, Quality and Access, Medical and Benefit Dispute Resolution, Performance-Based Oversight, and Electronic Medical Billing.

Stakeholder meetings regarding Electronic Medical Billing and Reimbursement, Peer Review Doctor Requirements, Treating Doctor Examination to define Compensable Injury, and Designated Doctor/RME changes.

Stakeholder meetings regarding Medical Billing Timeframes, Preauthorization, Return to Work Pilot Program, Preauthorization and Medical Billing rules.

Considered approval of the new workers' compensation health care networks rules §§10.1-10.2, 10.20-10.27, 10.40-10.42, 10.60-10.63, 10.80-10.86, 10.100-10.104, 10.120-10.122. This is necessary to implement Article 4 of House Bill (HB) 7.

The 24 witnesses included in order of appearance:
Part 1 - Mary Forbes, Case Management Solutions; Jay Dhingra, HCA N. Texas & Texas Hospital Association; Bob Kahn, Texas Medical Association; Kym Grant, Doctors Guild of Texas; Ron Cobb, American Insurance Association; Sofia M. Weigel, M.D., Cade Management Solutions; Harry Monroe, Concentra; Sam McMurry, Texans for Workers' Compensation Reform/TSIA;
Part 2 - Rick Levy, Texas AFL-CIO; Rosemary Gammon, Orthofix; Bubba Klostermann ; Joe M. Woods, Property Casualty Insurers Association of America (PCI); Catherine Benavidez, Injury Management Organization, Inc.; Dawn Bergerson, Injury Management Organization, Inc.; Linda Meltzer, Texas Property & Casualty Insurance Guaranty Association; Creg Parks, Physicians Cooperative of Texas; Mary Nichols, Texas Mutual Insurance Company;
Part 3 - Dr. Edward Smith, Ambulatory Surgery Association of Texas, Provider Based Network, and North Texas Innovative Healthcare Networks; Steven W. Nichols, Insurance Council of Texas; Shannon Phillips Meroney, Association of Fire & Casualty Insurors of Texas (AFACT); Kristie Zamrazil, Texas Pharmacy Association; Edward Bernacki, ACOEM; Tim Weitz, Texas Physical Therapy Association; and J.J. Schmidt, Broadspire

Financial Responsibility Verification Program
An informational meeting to discuss the request for information and implementation of SB 1670 will be held at the Texas Department of Insurance. More information is available in the Request for Information (RFI) for the program or the related Word file. All interested parties, including members of the general public, were invited to attend. If you missed all or part of the live broadcast, please check the archive files.

Work Group Membership | Meeting Attendees | Meeting Materials

Stakeholder Meeting on Workers' Comp Networks - The Texas Department of Insurance is currently analyzing HB 7 and drafting language for rules for workers' compensation networks. In order to obtain input from as many stakeholders as possible, a meeting will be held from 1 p.m. to 3 p.m. July 12 in Room 100 at the Texas Department of Insurance. If you are unable to attend or prefer to communicate with the department in writing, you may e-mail your comments to WCNET@tdi.state.tx.us until July 20, 2005. Internet connections to the live Webcast of this hearing will be limited. If you are unable to connect to the live webcast or you see an error message ("file not found"), please try again later or listen to the archived version available in the listing below. The archive files should be ready an hour or two after the hearing ends. Note that the live webcast link works only at the time of the hearing. If you miss all or part of the live broadcast, please check the archive files.

Meeting Handouts

• Agenda for Workers' Compensation Meeting on Network Implementation
  
• Workers' Compensation Network Rule Outline
  
• Workers' Compensation Network Rule Timeline
  
• PowerPoint Presentation on Workers' Compensation Network Implementation
• Stakeholder Meeting Issue Paper
  E-mail Comments to WCNET@tdi.state.tx.us Until July 20, 2005

Proposed amendments and new sections concerning credit life and credit accident and health insurance.