From Texas Department of Insurance <[email protected]>
Subject DWC Digest: Plan-based audit adoption, medical fee conversion factors, death benefits rules
Date November 22, 2023 5:10 PM
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DWC Approves Gabapentin or Pregabalin with Opioids Plan-Based Audit

On October 18, 2023, DWC solicited and received constructive input from workers? compensation system participants on the proposed "Gabapentin or Pregabalin with Opioids Plan-Based Audit" (Plan-Based Audit).

DWC appreciates the input provided by system participants. All comments were carefully considered and discussed. The Plan-Based Audit was approved.?

More on the TDI website [ [link removed] ].

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Annual Change to Medical Fee Guideline Conversion Factors

DWC has released its annual change notice to the Medical Fee Guideline conversion factors based on the Medicare Economic Index (MEI).?The MEI for 2024 reflects an increase of 4.6 percent.

Call CompConnection for Health Care Providers at 800-252-7031, option 3 for any questions.

Updated conversion factors are on the TDI website [ [link removed] ].

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DWC Adopts Death Benefits Rules

DWC adopted amendments to Texas Administrative Code (28 TAC), Section 122.100 [ [link removed] ] and new 28 TAC Section 124.8, concerning claims for death benefits. The rules implement Texas Labor Code Sections 408.182 [ [link removed] ] and 409.007 [ [link removed] ], which were amended by House Bill 2314, 88th Legislature, Regular Session (2023).

More on the TDI website [ [link removed] ].

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