LABOR AND INDUSTRY
24.29 - workers' compensation and occupational disease
24.29.101
division organizational rule
24.29.201
introduction
24.29.202
public participation
24.29.203
adopttng, amending, and repealing division rules
24.29.204
issuing declaratory rulings
24.29.205
issuing orders
24.29.206
administrative review
24.29.207
contested cases
24.29.208
subpoenas
24.29.209
representation
24.29.210
service
24.29.213
procedure for issuing workers' compensation determinations regarding employment status, including that of independent contractor
24.29.215
time limits
24.29.221
use of signatures when documents are being electronically transmitted
24.29.601
definitions
24.29.604
montana self-insurers guaranty fund--acceptance required for private employers or private groups
24.29.607
public employers other than state agencies
24.29.608
election to be bound by compensation plan no. 1-eligibility
24.29.609
ability to pay--evidence required
24.29.610
when security required
24.29.611
security deposit--criteria
24.29.616
excess insurance--when required
24.29.617
initial election---individual employers
24.29.618
initial election--employer groups
24.29.621
new members of employer groups
24.29.622
permission to self-insure
24.29.623
renewal required
24.29.624
revocation, suspension, termination and withdrawal of permission
24.29.627
right to review
24.29.628
notification of changes in self-insurer status required
24.29.631
self-insured employers and groups -- transfer of claim liabilities
24.29.701
introduction
24.29.702
election to be bound by compensation plan no. 1 --eligibility
24.29.702A
solvency and ability to pay
24.29.702B
when security required
24.29.702C
surety bond security deposit--amounts required
24.29.702D
surety bonds--criteria
24.29.702E
excess insurance
24.29.702F
initial election--individual employers
24.29.702G
initial election--groups of employers and new members of existing groups
24.29.702H
permission
24.29.702I
renewal required
24.29.702J
renewal--individual employers
24.29.702K
renewal--group of employers
24.29.702L
suspension and revocation of permission
24.29.702M
termination by self-insurer
24.29.702N
review process
24.29.702O
notification of changes
24.29.703
election to be bound by compensation plan no. 2 or 3
24.29.704
who must be bound
24.29.705
corporate officer exemption
24.29.706
election not to be bound--independent contractor
24.29.706A
application for independent contractor exemption
24.29.706B
renewal of independent contractor exemption
24.29.706C
application fee for independent contractor exemptton
24.29.706D
suspension or revocation of independent contractor exemption
24.29.706E
guidelines for determining whether an independent contractor exemption is needed
24.29.707
ineffective election to be bound, resulting division action
24.29.708
posting insurance status in workplace
24.29.709
security deposits for plan number two insurers -- reports
24.29.711
status of certain personal assistants for the purpose of workers' compensation laws
24.29.713
evidence of insurance coverage
24.29.720
payments that are not wages--employee expenses
24.29.721
value of employer-furnished housing
24.29.801
accident reporting
24.29.802
support documents for reporting
24.29.803
compensation to be paid
24.29.804
examiners and third-party administrators in montana
24.29.805
continuity of compensation payment
24.29.806
medical evaluations
24.29.807
protection of persons
24.29.808
general rules
24.29.811
purpose of rules
24.29.813
definitions
24.29.816
decisions which must be made by a certified claims examiner
24.29.817
applicability of rules
24.29.818
new hires and claims examiner trainees – designation of certified claims examiner to be accountable for decisions
24.29.821
certification of claims examiners
24.29.824
examination for claims examiners
24.29.826
reporting of employment status or change of address to the department
24.29.827
waiver of examination
24.29.831
lapse in certification
24.29.834
continuing education requirements for renewal
24.29.837
review and approval of continuing education courses by department
24.29.841
course submissions
24.29.844
qualifications for instructors
24.29.847
fees for certification, examination, renewal, and course approval submission
24.29.851
maintenance of certification documentation
24.29.901
definitions
24.29.902
definitions
24.29.904
administrative assessment methodology in general
24.29.905
administrative assessment methodology in general
24.29.907
billing and payment of the administration fund assessment
24.29.908
penalties, administrative fines and interest
24.29.909
recalculation of administrative assessments made in fiscal years 1992 - 1995
24.29.912
administrative assessment methodology for fiscal year 1992
24.29.913
administrative assessment methodology for fiscal year 1993
24.29.914
administrative assessment methodology for fiscal year 1994
24.29.915
administrative assessment methodology for fiscal year 1995
24.29.916
administrative assessment methodology for fiscal year 1996
24.29.917
administrative assessment methodology for fiscal year 1997
24.29.918
assessment methodology for fiscal years 1998 and 1999
24.29.921
recalculation of administration fund assessments made in fiscal years 1992 - 1995
24.29.922
administration fund assessment methodology for fiscal year 1992
24.29.923
administration fund assessment methodology for fiscal year 1993
24.29.924
administration fund assessment methodology for fiscal year 1994
24.29.925
administration fund assessment methodology for fiscal year 1995
24.29.926
administration fund assessment methodology for fiscal year 1996
24.29.927
administration fund assessment methodology for fiscal year 1997
24.29.928
assessment methodology for fiscal years 1998 and 1999
24.29.929
assessments other than the administration fund assessment
24.29.941
assessments other than administrative assessment
24.29.951
definitions
24.29.954
calculation of amount of administration fund assessment
24.29.955
billing for and payment of the administrative assessment
24.29.956
computation and collection of the administration fund and safety fund assessment premium surcharge rate for plan no. 2 and no. 3
24.29.961
the subsequent injury fund assessments for years beginning on or after (is hereby repealed)
24.29.962
computation of the subsequent injury fund assessment surcharge
24.29.963
calculating sif paid previous year through current year
24.29.966
industrial accident rehabilitation account assessment
24.29.971
failure of insurer to timely report paid losses--department estimate of paid losses--recalculation of assessment and premium surcharge--penalty
24.29.1201
introduction
24.29.1202
documentation requirements
24.29.1203
methods the department will apply to evaluate information provided
24.29.1204
further studies may be required
24.29.1401
initial liability
24.29.1401A
definitions
24.29.1401A
definitions
24.29.1402
payment of medical claims
24.29.1403
selection of physician
24.29.1404
disputed medical claims
24.29.1405
physicians' reports
24.29.1406
facility bills
24.29.1407
prosthetic appliances
24.29.1408
suspension allowed
24.29.1409
travel expense reimbursement
24.29.1415
impairment rating dispute procedure
24.29.1416
applicability of date of injury, date of service
24.29.1420
relative value fee schedule
24.29.1425
rates for hospital services provided prior to july 1, 1997
24.29.1426
hospital service rules for services provided from april 1, 1998, through december 31, 2007
24.29.1427
hospital service rules for services provided from january 1, 2008, through november 30, 2008
24.29.1428
hospital rates for july 1, 1997, through june 30, 1998
24.29.1430
hospital rates from july 1, 1998, through june 30, 2001
24.29.1431
hospital rates from july 1, 2001, through november 30, 2008
24.29.1432
facility service rules and rates for services provided from december 1, 2008 through june 30, 2013
24.29.1433
facility service rules and rates for services provided on or after july 1, 2013
24.29.1501
purpose
24.29.1504
definitions
24.29.1510
selection of physician for claims arising from july 1, 1993 through june 30, 2013
24.29.1511
selection of physician for claims arising before july 1, 1993
24.29.1512
selection of physician for claims arising on or after july 1, 2013
24.29.1513
documentation requirements
24.29.1515
functional improvement status
24.29.1517
prior authorization for certain services
24.29.1519
second opinions for services provided on or before june 30, 2011
24.29.1521
medical equipment and supplies for dates of service before january 1, 2008
24.29.1522
medical equipment and supplies provided by a nonfacility for dates of service from january 1, 2008 through june 30, 2013
24.29.1523
medical equipment and supplies for dates of service on or after july 1, 2013
24.29.1526
disallowed procedures
24.29.1529
prescription drugs fee schedule
24.29.1531
use of fee schedules for services provided from april 1, 1993 through june 30, 2002
24.29.1532
use of fee schedules for services provided from july 1, 2002, through december 31, 2007
24.29.1533
nonfacility fee schedule for services provided from january 1, 2008 through june 30, 2013
24.29.1534
professional fee schedule for services provided on or after july 1, 2013
24.29.1536
conversion factors--methodology for services provided from april 1, 1993, through december 31, 2007
24.29.1537
special monitoring and adjustment of physical medicine fees during the period july 1, 2002 through december 31, 2003
24.29.1538
conversion factors for services provided on or after january 1, 2008
24.29.1541
acupuncture fees for services provided from april 1, 1993, through december 31, 2007
24.29.1551
dental specialty area fees for services provided from april 1, 1993, through december 31, 2007
24.29.1561
physician fees -- medicine for services provided from april 1, 1993, through december 31, 2007
24.29.1566
physician fees -- anesthesia specialty area for services provided from april 1, 1993, through december 31, 2007
24.29.1571
chiropractic fees for services provided from april 1, 1993 through june 30, 2002
24.29.1572
chiropractic fees for services provided from july 1, 2002, through december 31, 2007
24.29.1573
prior authorization and billing limitations for chiropractic services provided from july 1, 2002, through december 31, 2007
24.29.1574
chiropractic fee schedule for services provided from january 1, 2008, through june 30, 2011
24.29.1575
chiropractic--prior authorization and billing limitations for services provided from january 1, 2008, through june 30, 2011
24.29.1581
provider fees--occupational and physical therapy specialty area for services provided from april 1, 1993 through june 30, 2002
24.29.1582
provider fees--occupational and physical therapy specialty area for services provided from july 1, 2002 through september 30, 2003
24.29.1583
prior authorization and billing limitations for services provided by occupational therapists and physical therapists from july 1, 2002, through december 31, 2007
24.29.1584
provider fees--occupational and physical therapy specialty area for services provided from october 1, 2003, through december 31, 2007
24.29.1585
occupational and physical therapy fee schedule for services provided from january 1, 2008, through june 30, 2011
24.29.1586
occupational and physical therapists--prior authorization and billing limitations for services provided from january 1, 2008, through june 30, 2011
24.29.1591
utilization and treatment guidelines
24.29.1593
prior authorization
24.29.1595
independent medical review process
24.29.1596
applicability of utilization and treatment rules
24.29.1599
applicability of utilization and treatment guidelines for managed care organizations or preferred provider organizations
24.29.1601
definitions
24.29.1604
applicability of utilization and treatment rules
24.29.1607
applicability of formulary rules to out-patient services
24.29.1609
applicability of utilization and treatment guidelines for managed care organizations or preferred provider organizations
24.29.1611
utilization and treatment guidelines
24.29.1616
incorporation by reference and updates to the formulary
24.29.1621
prior authorization
24.29.1624
integration of formulary with montana utilization and treatment guidelines – when prior authorization is required
24.29.1631
special provisions for transition of legacy claims – when applicable
24.29.1641
independent medical review process
24.29.1645
expedited case review for prescription medications by dli medical director
24.29.1648
dispute resolution for formulary
24.29.1701
rehabilitation provider designation
24.29.1702
rehabilitation panels for claims between july 1, 1987 and june 30, 1991
24.29.1705
local job pool area definition
24.29.1710
auxiliary rehabilitation benefits
24.29.1721
payment of rehabilitation expenses from the industrial accident rehabilitation account for claims arising before july 1, 1991
24.29.1722
payment of rehabilitation expenses from the industrial accident rehabilitation account for claims arising on or after july 1, 1991 and before july 1, 1997
24.29.1725
information to be included in the rehabilitation plan
24.29.1727
department's notice of authorization or denial of use of trust funds
24.29.1731
allowable rehabilitation expenses
24.29.1733
disallowed rehabilitation expenses
24.29.1735
documentation required
24.29.1737
insurer responsibility to provide information to the department
24.29.1741
payment of rehabilitation expenses for claims arising on or after july 1, 1997
24.29.1761
disputes over rehabilitation expenses
24.29.1801
definitions
24.29.1803
applicability
24.29.1807
responsibilities of the insurer
24.29.1811
duties of the department
24.29.1815
payment schedule for department-provided saw/rtw assistance
24.29.1821
vocational rehabilitation counselor for department-provided saw/rtw assistance
24.29.2001
treatment and reporting
24.29.2002
standards for diagnosis for services provided on or before june 30, 2011
24.29.2003
workers' compensation does pay for certain services provided on or before june 30, 2011
24.29.2004
workers' compensation does not pay
24.29.2301
purpose
24.29.2303
definitions
24.29.2311
selection of managed care organization and treating physician within a managed care organization
24.29.2321
preliminary application
24.29.2323
time, place and manner of providing services
24.29.2326
areas served by the managed care organization
24.29.2329
structure of organization
24.29.2331
contents of the managed care plan
24.29.2336
financial ability of organization
24.29.2339
approval of preliminary application
24.29.2341
final application
24.29.2346
original certification
24.29.2351
reporting requirements
24.29.2356
department may inspect or audit
24.29.2361
application to renew certification, notice of intent not to renew certification
24.29.2366
renewal certification
24.29.2371
application to modify plan
24.29.2373
addition and termination of members
24.29.2376
revocation or suspension of certification
24.29.2379
dispute resolution
24.29.2601
notification when compensation to be continued beyond 104 weeks
24.29.2602
introduction
24.29.2605
definitions
24.29.2607
certification process
24.29.2610
certification requirements
24.29.2614
reimbursement process
24.29.2701
payment of silicosis benefits
24.29.2801
uninsured employers fund distribution
24.29.2803
definitions
24.29.2811
monthly payments--uef
24.29.2814
determining the amount of the administrative costs balance--uef
24.29.2817
determining whether there is a positive fund balance--uef
24.29.2821
monthly calculations of fund balances and transfers--uief
24.29.2824
determining the amount of the administrative costs balance--uief
24.29.2827
determining whether there is a positive fund balance--uief
24.29.2829
no benefits paid from the uief to claimants
24.29.2831
collection of penalties and other payments from uninsured employers
24.29.2834
collection of penalties and other payments from underinsured employers
24.29.2837
calculation of penalty on underinsured employers
24.29.2839
compromise of penalties assessed
24.29.2841
claims for benefits
24.29.2843
payment of accrued benefits
24.29.2846
priority of payment of current benefits
24.29.2849
payment of claims where liability is disputed
24.29.2851
limitation on expenditures for medical benefits payable by the uef -- applicability
24.29.2853
rights of third-party providers after the uef reaches $100,000 medical benefit expenditure limitation -- applicability
24.29.2855
rights of third-party providers upon the uef's proportionate reduction in benefit payments -- applicability
24.29.3101
introduction - applicability - voluntary payments
24.29.3103
definitions
24.29.3107
timelines and explanation of status classifications of a petition
24.29.3111
petition for reopening
24.29.3114
submission of medical records and additional information - effect of failure to submit medical records or additional information
24.29.3117
joint petition for reopening
24.29.3121
review by medical director - consent of both parties
24.29.3124
review by medical review panel - report and recommendations
24.29.3127
periodic review of certain reopened medical benefits
24.29.3201
election not to be bound - corporate officer
24.29.3501
electing coverage under plan three
24.29.3502
election of optional coverages
24.29.3503
election of corporate officers not to be bound
24.29.3504
policy and declarations
24.29.3505
termination of coverage
24.29.3701
purpose
24.29.3703
definitions
24.29.3704
plan of operation
24.29.3707
organizational structure
24.29.3711
certification of a group
24.29.3721
annual report
24.29.3726
decertification of a group
24.29.3731
individual applicants
24.29.3741
disputes
24.29.3801
attorney fee regulation
24.29.3802
attorney fee regulation
24.29.4001
security deposits for plan number two insurers
24.29.4301
purpose
24.29.4303
definitions
24.29.4307
claim file records maintenance and retention
24.29.4311
forms used for reporting
24.29.4314
electronic reporting
24.29.4315
insurer and employer reporting requirements - coverage and cancellation notification
24.29.4317
reports produced by the department
24.29.4321
insurer reporting requirements--injuries and occupational diseases
24.29.4322
transitional rule for injury and occupational disease information reporting requirements
24.29.4329
verification and additional information
24.29.4332
claimant legal fees and costs reporting requirements
24.29.4335
insurer legal fees reporting requirements
24.29.4336
in-house counsel cost allocation
24.29.4339
verification of consultant and legal fee reporting