Hawaii Administrative Rules
Title 12 - DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
Chapter 15 - WORKERS COMPENSATION MEDICAL FEE SCHEDULE & EXHIBIT A
Subchapter 2 - HEALTH CARE PROVIDERS
Section 12-15-15 - Filing complaints
Current through February, 2024
(a) Whenever a health care provider has allegedly violated any provision of sections 386-26 or 386-27, HRS, or any related rules, a written complaint, identifying the health care provider and indicating the date and nature of the infraction with related documentation, shall be filed with the director, provided that it is submitted within two years of the date of the alleged infraction by a party of interest.
(b) The director shall mail a copy of the complaint to the health care provider against whom the complaint has been filed. The health care provider shall have the right to file with the complainant and the director a written statement in response to the complaint within thirty calendar days from the date the director mails the complaint to the health care provider.
(c) The director or a duly appointed representative shall investigate the statements of the complainant and the health care provider against whom the complaint has been filed and shall, upon not less than twenty calendar days notice to the parties involved, hold a hearing pursuant to section 386-86, HRS, to take testimony or hear arguments.
(d) In cases where the complaint pertains to services provided to an injured employee, such as method of treatment, frequency of treatment, prognosis, and diagnosis, the director may establish an advisory panel of health care providers pursuant to section 12-15-20.
