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Announcements & Reminders
Stay Tuned for Upcoming Rule Changes
- Rule 18 hearing on August 15, 2023, at 10:00 a.m. - Register here
Surcharge Rates | July 1, 2023 - June 30, 2024
- Workers’ Compensation Cash Fund: 1.40%
- Premium Cost Containment Program: 0.03%
- Subsequent Injury Fund/Major Medical Fund: 0.00%
- Calculate, File, and Pay surcharge online
2023 Workers' Compensation Act (WC Act)
- The 2023 WC Act in print is expected to be available on August 1, 2023.
- The 2023 WC Act linked version is now available.
- Preorder your copy today by completing this form and email it to cdle_dowc_rfs@state.co.us.
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Statutory Changes
This year the General Assembly adopted two bills that impact workers’ compensation in Colorado. This summary highlights some of the key substantive and procedural changes.
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Bill HB23-1076 - Workers’ Compensation Compromise Bill
- Signed: June 5, 2023
- Effective: August 7, 2023
- Key Changes:
- The duration for receiving compensation that is only for mental impairment, has been extended from 12 weeks to 36 weeks.
- Reasonably necessary replacement prosthetic devices must be provided.
- Parties may request an expedited hearing on TTD termination due to being placed at full duty by any of their treating providers.
- Post-MMI medical benefits may not be limited to any specific treatment.
- DIME packet medical records may only include relevant documents.
- DOWC Director shall determine the amount and allocation of the DIME cost.
- A prehearing ALJ may make DIME indigency determinations.
- Prehearing ALJs can resolve issues about the DIME packet and its expenses before the hearing.
- The claimant's attorney contingent fee of 25% will be presumed reasonable.
Bill HB23-1196 - Remedies at Law for Violating Colorado Youth Act
- Signed: June 7, 2023
- Effective: July 1, 2023
- Key Changes:
- If a minor was injured while engaging in work that is prohibited by Article 12, they have the right to seek economic damages through a tort claim.
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Rule Changes
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Rule 3 - Insurance Coverage
- The Colorado Division of Workers’ Compensation adopted rule language, effective August 10, 2022, that updated the injury notice poster.
- Key Changes:
- Employers need to use the new Notice to Employer of Injury poster (WC 50).
Rule 5 - Claims Adjusting Requirements
- The Colorado Division of Workers’ Compensation adopted rule language, effective March 30, 2023, that updated claim reporting, payment of PPD, and fatal lump sum processes.
- Key Changes:
- Medical-only claims with 180 days of treatment must be reported to the Division.
- PPD must be paid at the scheduled amount if higher than the nonscheduled (whole person) amount.
- The Director shall determine the maximum allowed per dependent for fatal lump sums if not previously determined by an ALJ.
Rule 11 - Division Independent Medical Examination
- The Colorado Division of Workers’ Compensation adopted rule language, effective March 2, 2023, that updated DIME provider fees, indexing, panel replacement, and added indigent standards.
Key Changes:- Additional fees are available for the number of pages in the medical packet.
- The new medical record index process involving bates stamping.
- There is a new physician panel replacement process.
- Indigent standards are now listed in Rule 11.
Rule 16 - Utilization Standards
- The Colorado Division of Workers’ Compensation adopted rule language, effective January 1, 2023, that updated provider reporting and insurance administration compliance.
- Key Changes:
- New requirement for claim resubmission codes.
- Allowance of payers to limit treatment in accordance with the Division’s Medical Treatment Guidelines (Rule 17) without a medical review.
Rule 18 - Medical Fee Schedule
- The Colorado Division of Workers’ Compensation adopted rule language, effective January 1, 2023, that updated payment policies.
- Key Changes:
- New comprehensive payment policies for status indicators.
- Reimbursement reductions for services performed by massage therapists and therapy assistants.
- New Exhibit #4 allows and prices certain surgeries designated as inpatient only to be performed in an outpatient setting.
- Limits on high-cost prescription drugs when a lesser-cost therapeutic equivalent is available.
- Addition of reimbursement rates for Spanish interpreters.
- Inflationary increases across most services.
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Updated Forms
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- WC15 - Worker's Claim for Compensation (Revised August 2022)
- WC18 - Dependent's Notice and Claim for Compensation (Revised August 2022)
- WC44 - Exclusion of Uncompensated Public Officials (Revised March 2023)
- WC63 - Request for Offset of Liability to Subsequent Injury Fund (Removed on November 8, 2022)
- WC70 - Application for Admission to the Colorado Major Medical Insurance Fund (Removed on November 8, 2022)
- WC112 - Payroll Statement Form (Revised June 2023)
- WC113 - Surcharge Form (Revised June 2023)
- WC178 - Request/Notification for Follow-up IME (Revised April 2023)
- WC181 - Medical Billing Dispute Resolution Intake Form (Revised August 2022)
- WC189 - Authorization for Release of Information (Revised March 2023)
- WC190 - Authorization for Release of Limited Information to Third Parties (Revised March 2023)
- WC203 - Interpreter Invoice Form (Revised January 2023)
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Updated Publications
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Previous Legislative Updates
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