Purpose and Applicability of These Rules
(1)Purpose. The purpose of these rules is to establish uniform standards for administering the delivery of and payment for medical services to workers within the workers’ compensation system.
(2)Applicability of Rules.
(a)These rules apply on or after the effective date to carry out the provisions of ORS 656.245 (Medical services to be provided), 656.247 (Payment for medical services prior to claim acceptance or denial), 656.248 (Medical service fee schedules), 656.250 (Limitation on compensability of physical therapist services), 656.252 (Medical report regulation), 656.254 (Medical report forms), 656.256 (Considerations for rules regarding certain rural hospitals), 656.260 (Certification procedure for managed health care provider), 656.268 (Claim closure), 656.313 (Stay of compensation pending request for hearing or review), 656.325 (Required medical examination), 656.327 (Review of medical treatment of worker), 656.331 (Contact, medical examination of worker represented by attorney prohibited without written notice), 656.704 (Actions and orders regarding matters concerning claim and matters other than matters concerning claim), and 656.794 (Advisory committee on medical care), and govern all providers of medical services licensed or authorized to provide a product or service under ORS chapter 656.
(b)The director may waive procedural rules as justice requires, unless otherwise obligated by statute.
(c)Any orders issued by the division in carrying out the director’s authority to enforce Oregon Revised Statute (ORS) chapter 656 and Oregon Administrative Rule (OAR) chapter 436, are considered orders of the director of the Department of Consumer and Business Services.
Rule 436-010-0001 — Purpose and Applicability of These Rules,