California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1 - Administrative Director-Administrative Rules
Article 5 - Predesignation of Personal Physician; Request for Change of Physician; Reporting Duties of the Primary Treating Physician; Petition for Change of Primary Treating Physician
Section 9780 - Definitions
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
As used in this Article:
(a) "Claims Administrator" means a self-administered insurer providing security for the payment of compensation required by Divisions 4 and 4.5 of the Labor Code, a self-administered self-insured employer, a self-administered joint powers authority, a self-administered legally uninsured, or a third-party claims administrator for a self-insured employer, insurer, legally uninsured employer, or joint powers authority.
(b) "Emergency health care services" means health care services for a medical condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonably be expected to place the patient's health in serious jeopardy.
(c) "Facility" means a hospital, clinic or other institution capable of providing the medical, surgical, chiropractic or hospital treatment which is reasonably required to cure or relieve the employee from the effects of the injury.
(d) "First aid" is any one-time treatment, and a follow-up visit for the purpose of observation of minor scratches, cuts, burns, splinters, etc., which do not ordinarily require medical care. Such one-time treatment, and follow-up visit for the purpose of observation, is considered first aid, even though provided by a physician or registered professional personnel.
(e) "Personal Physician" means
(f) "Primary Care Physician" means a physician who has the responsibility for providing initial and primary care to patients, for maintaining the continuity of patient care, and for initiating referral for specialist care. A primary care physician shall be either a physician who has limited his or her practice of medicine to general practice or who is a board-certified or board-eligible internist, pediatrician, obstetrician-gynecologist, or family practitioner.
(g) "Reasonable geographic area" within the context of Labor Code section 4600 shall be determined by giving consideration to:
1.
Repealer of Article 5 (Sections 9783-9785,
9787 and 9788) and new Article 5
(Sections 9780-9787) filed 1-28-76 as an emergency; effective upon filing
(Register 76, No. 5). For prior history, see Register 70, No. 49, and Register
72, No. 51.
2. Certificate of Compliance filed 1-29-76 (Register 76,
No. 5).
3. New subsections (f)-(i) filed 11-7-78; effective
thirtieth day thereafter (Register 78, No. 45).
4. Repealer and new
article 5 heading and amendment of section and NOTE filed 3-14-2006; operative
3-14-2006 pursuant to Government Code section
11343.4
(Register 2006, No. 11).
5. Editorial correction of subsection (f)
(Register 2007, No. 7).
6. Change without regulatory effect amending
subsection (f) filed 2-21-2007 pursuant to section
100, title 1, California Code of
Regulations (Register 2007, No. 8).
7. Repealer of subsection (e)
and subsection relettering filed 2-12-2014; operative 7-1-2014 pursuant to
Government Code section
11343.4
(Register 2014, No. 7).
Note: Authority cited: Sections 59, 133 and 4603.5, Labor Code. Reference: Section 4600, Labor Code.
