Disability Management from the Texas Department of Insurance

Disability Management

Treatment Guidelines, Return to Work Guidelines and Preauthorization

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Disability management is an integrated approach to optimizing health care and return to work outcomes for injured employees while serving the interests of all workers’ compensation participants. Disability management strategies include Treatment Guidelines, Return to Work Guidelines and Preauthorization. Additional approaches to disability management include treatment planning, treatment protocols, employer return to work programs, case management and benchmarking.

Disability Management Communications

Monthly Updates to Official Disability Guidelines - Memo (PDF); Spreadsheet (Excel, PDF) 9/8/09
Use of Pharmaceuticals in the Texas Workers' Compensation System (PDF) 9/08
Rule Repealed: Prospective Review of Medical Care Not Requiring Preauthorization (PDF) 11/07
Carrier Transition to Disability Management (PDF) 5/07
Treatment Planning
- Report: Voluntary Treatment Planning Pilot Project 11/08
- Treatment Planning Pilot Overview 11/07
- Treatment Planning Pilot Project Launched 11/07
- Treatment Planning Rule Repealed 9/07

Disability Management Rules - 28 Texas Administrative Code §137

General Provisions - §137.1
Return to Work (RTW) Guidelines - §137.10
Medical Disability Advisor (MDA) 866-889-4449; 303-404-6600; 303-407-0697; jnelson@rgl.net; bhuxman@rgl.net
Treatment Guidelines - §137.100
Official Disability Guidelines (ODG) http://www.worklossdata.com/PR_Texas.htm

Preauthorization

Disability Management Resources

Key Messages

FastFacts & FAQs (PDF)

For more information contact:

Last updated: 09/08/2009