TITLE 16. LABOR AND EMPLOYMENT
REGISTRAR'S NOTICE: The
Virginia Workers' Compensation Commission is claiming an exemption from Article
2 of the Administrative Process Act in accordance with § 2.2-4006 A 15 of
the Code of Virginia, which exempts regulations adopted pursuant to § 65.2-605
of the Code of Virginia, including regulations that adopt, amend, adjust, or
repeal Virginia fee schedules for medical services, provided the Workers'
Compensation Commission (i) utilizes a regulatory advisory panel constituted as
provided in subdivision F 2 of § 65.2-605 to assist in the development of such
regulations and (ii) provides an opportunity for public comment on the
regulations prior to adoption. The commission will receive, consider, and
respond to petitions by any interested person at any time with respect to
reconsideration or revision.
Title of Regulation: 16VAC30-110. Medical Fee Schedules
Regulations (amending 16VAC30-110-10).
Statutory Authority: § 65.2-605 of the Code of Virginia.
Effective Date: December 25, 2019.
Agency Contact: James Szablewicz, Chief Deputy
Commissioner, Virginia Workers' Compensation Commission, 333 East Franklin
Street, Richmond, VA 23219, telephone (804) 205-3097, FAX (804) 823-6936, or
email james.szablewicz@workcomp.virginia.gov.
Summary:
The amendments define the 2020 medical fee schedules that
will be applicable to medical services rendered in workers' compensation cases
during the period from January 1, 2020, through December 31, 2021
16VAC30-110-10. Definitions.
The following words and terms when used in this chapter shall
have the following meanings unless the context clearly indicates otherwise:
"Commission" means the Virginia Workers'
Compensation Commission.
"Community" means one of the six medical
communities as defined in § 65.2-605 A of the Code of Virginia.
"Ground rules" means:
1. For medical services rendered during the period from
January 1, 2018, through December 31, 2019, the 2018 Medical Fee
Schedule Ground Rules adopted by the Commission commission on
June 13, 2017, and revised on November 14, 2017, incorporated by reference and
available on the commission's website at http://www.workcomp.virginia.gov/content/virginia-medical-fee-schedules-ground-rules.
2. For medical services rendered during the period from
January 1, 2020, through December 31, 2021, the 2020 Medical Fee Schedule
Ground Rules adopted by the commission on July 18, 2019, and revised on October
17, 2019, incorporated by reference and available on the commission's website
at http://www.workcomp.virginia.gov/content/virginia-medical-fee-schedules-ground-rules.
"Medical services" means any medical, surgical, or
hospital service required to be provided to an injured person pursuant to Title
65.2 of the Code of Virginia, exclusive of a medical service provided in the
treatment of a traumatic injury or serious burn as those terms are defined in §
65.2-605 A of the Code of Virginia.
"Virginia fee schedules" means:
1. For medical services rendered during the period from
January 1, 2018, through December 31, 2019, the fee schedules 2018
Medical Fee Schedules adopted by the commission on June 13, 2017, and
revised on November 14, 2017, incorporated by reference and available on the
commission's website at http://www.workcomp.virginia.gov/content/virginia-medical-fee-schedules.
2. For medical services rendered during the period from
January 1, 2020, through December 31, 2021, the 2020 Medical Fee Schedules
adopted by the commission on July 18, 2019, and revised on October 17, 2019,
incorporated by reference and available on the commission's website at http://www.workcomp.virginia.gov/content/virginia-medical-fee-schedules.
VA.R. Doc. No. R20-6210; Filed October 31, 2019, 1:06 p.m.