9. Apportionment and reapportionment 1 Flashcards
What is the role of the administrative director in the appointment of qualified medical evaluators?
The administrative director shall appoint qualified medical evaluators in each respective specialty required for the evaluation of medical-legal issues with appointments being for two-year terms.
What are the qualifications required for a physician to be appointed as a qualified medical evaluator?
The physician must be licensed to practice in the state and must demonstrate compliance with requirements in paragraphs 1 2 6 and 7. Additionally if the physician is a medical doctor doctor of osteopathy doctor of chiropractic or psychologist they must also meet applicable requirements in paragraphs 3 4 or 5.
What is the examination requirement for a physician before appointment as a qualified medical evaluator?
Prior to appointment the physician must pass an examination written and administered by the administrative director which is designed to demonstrate competence in evaluating medical-legal issues.
For how long are qualified medical evaluators appointed?
Qualified medical evaluators are appointed for two-year terms.
Who can be appointed as a qualified medical evaluator?
A qualified medical evaluator can be a physician which includes medical doctors doctors of osteopathy doctors of chiropractic or psychologists provided they meet specific qualifications.
What sections of the law define what a ‘physician’ is in the context of qualified medical evaluators?
A physician is defined in Section 3209.3 of the law.
What paragraphs must a physician meet to be appointed as a qualified medical evaluator?
The physician must meet the requirements in paragraphs 1 2 6 and 7 and if applicable those in paragraphs 3 4 or 5.
Why is it important for a qualified medical evaluator to demonstrate competence in evaluating medical-legal issues?
Demonstrating competence is crucial to ensure that the evaluations conducted are accurate reliable and meet the necessary legal and medical standards required for medical-legal issues.
What is the requirement for physicians regarding additional examinations for reappointment in the workers’ compensation system?
Physicians shall not be required to pass an additional examination as a condition of reappointment.
What must a physician complete before being appointed as a qualified medical evaluator as of January 1 2001?
A physician must complete a course on disability evaluation report writing approved by the administrative director prior to appointment.
What are the curriculum requirements for the disability evaluation report writing course?
The curriculum shall include but is not limited to 12 or more hours of instruction.
What are the service requirements for a physician applying to be a qualified medical evaluator?
A physician must devote at least one-third of total practice time to providing direct medical treatment or have served as an agreed medical evaluator on eight or more occasions in the 12 months prior to applying.
What qualifications must a physician have to be a qualified medical evaluator?
The physician must be a medical doctor or doctor of osteopathy and meet one of the requirements: A) Be board certified in a specialty by a board recognized by the administrative director.
What is the role of the Medical Board of California and the Osteopathic Medical Board of California in credentialing medical evaluators?
They are responsible for deeming qualifications as equivalent to board certification in a medical specialty and overseeing the credentialing of qualified medical evaluators.
What residency training programs are recognized by the Medical Board of California and the Osteopathic Medical Board of California?
Programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the osteopathic equivalent.
What was the significance of being an active qualified medical evaluator on June 30 2000?
It is one of the criteria that establishes eligibility for certain qualifications under the regulations of the Medical Board of California.
What qualifications can the administrative director and the Medical or Osteopathic Medical Board deem as equivalent to board certification in a specialty?
Qualifications deemed equivalent by the administrative director and either the Medical Board of California or the Osteopathic Medical Board.
What criteria must a doctor of chiropractic meet to be recognized for California workers’ compensation evaluation?
The doctor must be certified in California workers’ compensation evaluation by a provider recognized by the administrative director.
What does the certification program for doctors of chiropractic include regarding California workers’ compensation evaluation?
Instruction on disability evaluation report writing that meets the standards set forth by the regulatory guidelines.
What are the requirements for a psychologist to be recognized under the Medical Board of California regulation?
A psychologist must be board certified in clinical psychology by a board recognized by the administrative director or hold a related qualification.
What is the importance of certification programs for medical evaluators in California?
They ensure that medical evaluators are trained and knowledgeable in disability evaluation report writing essential for accurate assessment in workers’ compensation cases.
What are the implications for a medical evaluator who does not meet the outlined qualifications by the Medical or Osteopathic Medical Board of California?
They may not be eligible to conduct evaluations for California workers’ compensation limiting their professional practice in this area.
How does board certification of psychologists relate to the Medical and Osteopathic Medical Board of California’s regulations?
Board certification is an essential criterion that validates a psychologist’s qualifications to participate in assessments related to workers’ compensation cases.
What is required for licensure as a psychologist according to Section 2914 of the Business and Professions Code?
A doctoral degree in psychology or a doctoral degree deemed equivalent for licensure by the Board of Psychology.