Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) To qualify to be on the Administrative
Director's list of Independent Medical Reviewers, a physician shall file a
Physician Contract Application pursuant to section
9768.5 that demonstrates to the
satisfaction of the Administrative Director that the physician:
(1) Is board certified. For physicians, the
Administrative Director shall recognize only specialty boards recognized by the
appropriate California licensing board.
(2) Has an unrestricted license as a
physician in California under the appropriate licensing Board;
(3) Is not currently under accusation by any
governmental licensing agency for a quality of care violation, fraud related to
medical practice, or felony conviction or conviction of a crime related to the
conduct of his or her practice of medicine;
(4) Has not been terminated or had discipline
imposed by the Industrial Medical Council or Administrative Director in
relation to the physician's role as a Qualified Medical Evaluator; is not
currently under accusation by the Industrial Medical Council or Administrative
Director; has not been denied renewal of Qualified Medical Evaluator status,
except for non-completion of continuing education or for non-payment of fees;
has neither resigned nor failed to renew Qualified Medical Evaluator status
while under accusation or probation by the Industrial Medical Council or
Administrative Director or after notification that reappointment as a Qualified
Medical Evaluator may or would be denied for reasons other than non-completion
of continuing education or non-payment of fees; and has not filed any
applications or forms with the Industrial Medical Council or Administrative
Director which contained any untrue material statements;
(5) Has not been convicted of a felony crime
or a crime related to the conduct of his or her practice of medicine;
and
(6) Has no history of
disciplinary action or sanction, including but not limited to, loss of staff
privileges or participation restrictions taken or pending by any hospital,
government or regulatory body.
1. New
section filed 12-31-2004 as an emergency; operative 1-1-2005 (Register 2004,
No. 53). A Certificate of Compliance must be transmitted to OAL by 5-2-2005 or
emergency language will be repealed by operation of law on the following
day.
2. Certificate of Compliance as to 12-31-2004 order, including
amendment of subsections (a) and (a)(3), transmitted to OAL 4-29-2005 and filed
6-10-2005 (Register 2005, No. 23).
Note: Authority cited: Sections
133 and 4616, Labor Code.
Reference: Section 4616.4, Labor
Code.
