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2022 DWC proposed and adopted rules

DISCLAIMER: The following proposed and adopted rules are provided as a courtesy by the Division of Workers' Compensation (DWC). While DWC makes every effort to ensure the accuracy and completeness of this information, the official version of proposed and adopted rules are those filed with the Secretary of State, which is the repository of official DWC rules. Those rules can be accessed directly from the Texas Register, Office of Secretary of State (www.sos.state.tx.us/texreg/index.shtml). DWC and the State of Texas make no warranty regarding the accuracy, completeness, or timeliness of documents available on this website or linked to it.

DWC rules page | Rules main page

Proposed and adopted rules for 2022
Subject Section
number
Proposal filed Proposal published Adoption filed Adoption published Effective date

Chapter 127 Designated Doctor Procedures and Requirements
Subchapter A. Designated Doctor Scheduling and Examinations
Subchapter B. Designated Doctor Certification, Renewal [Recertification], and Qualifications
Subchapter C. Designated Doctor Duties and Responsibilities


Chapter 180 Monitoring and Enforcement
Subchapter b. Medical Benefit Regulation

§§127.1, 127.5, 127.10, 127.15, 127.20, AND 127.25

§§127.100, 127.120, 127.130, AND 127.140

§127.110 (repeal)

§§127.200, 127.210, AND 127.220

§180.23

Draft DWC Form-032 
Draft DWC Form-067 
Draft DWC Form-068

12/8/22

12/23/22

 

 

Chapter 102. Practices and Procedures--General Provisions

§102.11(b)

9/8/22

 9/23/22

 

 

Chapter 180. Monitoring and Enforcement
Subchapter C. Medical Quality Review Panel

§180.62

6/28/22

7/15/22

 9/16/22

 9/30/22

10/6/22

Chapter 132. Death Benefits--Death and Burial Benefits

 §132.17

5/3/22

 5/20/22

 

 

Chapter 102. Practices and Procedures--General Provisions

Chapter 124. Carriers: Required Notices and Mode of Payment
Subchapter A. Insurance Carriers: Required Notices and Modes of Payment 
Subchapter B. Insurance Carrier Claim Electronic Data Interchange Reporting to the Division

§§102.4, 102.5, and 102.8

§124.2, §§124.100-124.108

EDI documents

Texas Claim EDI Release 3.1.4 Edit Matrix, Version 1.0

Texas Claim EDI Release 3.1.4 Element Requirement Table, Version 1.0

Texas Claim EDI Release 3.1.4 Event Table, Version 1.0

Texas Claim Electronic Data Interchange Release 3.1.4 Implementation Guide, Version 1.0

Draft forms

Revised EDI-03, Claim and medical EDI compliance coordinator and medical EDI trading partner notification

NEW PLN-02B, Notice of First Payment of Income Benefits on an Acquired Claim

Revised PLN08, Notice of Change in Amount of Indemnity Benefit Payment

Renumbered PLN10A, Notice of Reinstatement of Indemnity Benefits

NEW PLN10B, Notice of Lump Sum Payment of Income or Death Benefits

Revised PLN11, Notice of Disputed Issues and Refusal to Pay Benefits

Revised PLN14, Notice of Continuing Investigation

12/13/21

12/24/21

 

2/17/22

§§102.4, 102.5, and 102.8

§124.2, §§124.100-124.108

EDI documents

Texas Claim EDI Release 3.1.4 Edit Matrix, Version 1.0

Texas Claim EDI Release 3.1.4 Element Requirement Table, Version 1.0

Texas Claim EDI Release 3.1.4 Event Table, Version 1.0

Texas Claim Electronic Data Interchange Release 3.1.4 Implementation Guide, Version 1.0

Forms

Revised EDI-03, Claim and medical EDI compliance coordinator and medical EDI trading partner notification

NEW PLN-02B, Notice of First Payment of Income Benefits on an Acquired Claim English | Spanish

Revised PLN08, Notice of Change in Amount of Indemnity Benefit Payment English | Spanish

Renumbered PLN10A, Notice of Reinstatement of Indemnity Benefits English | Spanish

NEW PLN10B, Notice of Lump Sum Payment of Income or Death Benefits English | Spanish

Revised PLN11, Notice of Disputed Issues and Refusal to Pay Benefits English | Spanish

Revised PLN14, Notice of Continuing Investigation English | Spanish

 3/4/22

3/9/22 in part and 7/26/23

For more information, contact: RuleComments@tdi.texas.gov

Last updated: 12/9/2022