Rule Chapter: 24.29
	Chapter Title: WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE

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	24.29 : WORKERS' COMPENSATION AND OCCUPATIONAL DISEASE

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Rule No. Rule Title Latest Version Effective Date Subchapter 1 Organizational Rule 24.29.101 DIVISION ORGANIZATIONAL RULE REP 8/12/1994 Subchapter 2 Procedural Rules 24.29.201 INTRODUCTION REP 6/11/2022 24.29.202 PUBLIC PARTICIPATION REP 7/1/1996 24.29.203 ADOPTING, AMENDING, AND REPEALING DIVISION RULES REP 7/1/1996 24.29.204 ISSUING DECLARATORY RULINGS REP 7/1/1996 24.29.205 ISSUING ORDERS 10/6/2000 24.29.206 ADMINISTRATIVE REVIEW 10/6/2000 24.29.207 CONTESTED CASES 10/26/2007 24.29.208 SUBPOENAS REP 7/1/1996 24.29.209 REPRESENTATION REP 7/1/1996 24.29.210 SERVICE REP 7/1/1996 Rules 24.29.211 and 24.29.212 reserved 24.29.213 PROCEDURE FOR ISSUING WORKERS' COMPENSATION DETERMINATIONS REGARDING EMPLOYMENT STATUS, INCLUDING THAT OF INDEPENDENT CONTRACTOR 7/1/1996 Rule 24.29.214 reserved 24.29.215 TIME LIMITS 7/1/1996 24.29.221 USE OF SIGNATURES WHEN DOCUMENTS ARE BEING ELECTRONICALLY TRANSMITTED 3/13/2021 Subchapter 3 reserved Subchapter 4 reserved Subchapter 5 reserved Subchapter 6 Plan 1 Self-Insurance 24.29.601 DEFINITIONS 8/24/2012 Rules 24.29.602 and 24.29.603 reserved 24.29.604 MONTANA SELF-INSURERS GUARANTY FUND--ACCEPTANCE REQUIRED FOR PRIVATE EMPLOYERS OR PRIVATE GROUPS 8/24/2012 Rules 24.29.605 and 24.29.606 reserved 24.29.607 PUBLIC EMPLOYERS OTHER THAN STATE AGENCIES 8/24/2012 24.29.608 ELECTION TO BE BOUND BY COMPENSATION PLAN NO. 1-ELIGIBILITY 8/24/2012 24.29.609 ABILITY TO PAY--EVIDENCE REQUIRED 1/1/2019 24.29.610 WHEN SECURITY REQUIRED 8/24/2012 24.29.611 SECURITY DEPOSIT--CRITERIA 8/24/2012 Rules 24.29.612 through 24.29.615 reserved 24.29.616 EXCESS INSURANCE--WHEN REQUIRED 1/1/2019 24.29.617 INITIAL ELECTION---INDIVIDUAL EMPLOYERS 8/24/2012 24.29.618 INITIAL ELECTION--EMPLOYER GROUPS 8/24/2012 Rules 24.29.619 and 24.29.620 reserved 24.29.621 NEW MEMBERS OF EMPLOYER GROUPS 5/1/1996 24.29.622 PERMISSION TO SELF-INSURE 5/1/1996 24.29.623 RENEWAL REQUIRED 8/24/2012 24.29.624 REVOCATION, SUSPENSION, TERMINATION AND WITHDRAWAL OF PERMISSION 5/1/1996 Rules 24.29.625 and 24.29.626 reserved 24.29.627 RIGHT TO REVIEW 10/6/2000 24.29.628 NOTIFICATION OF CHANGES IN SELF-INSURER STATUS REQUIRED 5/1/1996 24.29.631 SELF-INSURED EMPLOYERS AND GROUPS -- TRANSFER OF CLAIM LIABILITIES 8/24/2012 Subchapter 7 Employers Insurance Requirements 24.29.701 Introduction REP 5/1/1996 24.29.702 ELECTION TO BE BOUND BY COMPENSATION PLAN NO. 1 --ELIGIBILITY REP 5/1/1996 24.29.702A SOLVENCY AND ABILITY TO PAY REP 5/1/1996 24.29.702B WHEN SECURITY REQUIRED REP 5/1/1996 24.29.702C SURETY BOND SECURITY DEPOSIT--AMOUNTS REQUIRED REP 5/1/1996 24.29.702D SURETY BONDS--CRITERIA REP 5/1/1996 24.29.702E EXCESS INSURANCE REP 5/1/1996 24.29.702F INITIAL ELECTION--INDIVIDUAL EMPLOYERS REP 5/1/1996 24.29.702G INITIAL ELECTION--GROUPS OF EMPLOYERS AND NEW MEMBERS OF EXISTING GROUPS REP 5/1/1996 24.29.702H PERMISSION REP 5/1/1996 24.29.702I RENEWAL REQUIRED REP 5/1/1996 24.29.702J RENEWAL--INDIVIDUAL EMPLOYERS REP 5/1/1996 24.29.702K RENEWAL--GROUP OF EMPLOYERS REP 5/1/1996 24.29.702L SUSPENSION AND REVOCATION OF PERMISSION REP 5/1/1996 24.29.702M TERMINATION BY SELF-INSURER REP 5/1/1996 24.29.702N REVIEW PROCESS REP 5/1/1996 24.29.702O NOTIFICATION OF CHANGES REP 5/1/1996 24.29.703 ELECTION TO BE BOUND BY COMPENSATION PLAN NO. 2 OR 3 1/1/2019 24.29.704 WHO MUST BE BOUND 10/1/1995 24.29.705 CORPORATE OFFICER EXEMPTION REP 10/6/2000 24.29.706 ELECTION NOT TO BE BOUND--INDEPENDENT CONTRACTOR REP 5/10/1996 24.29.706A APPLICATION FOR INDEPENDENT CONTRACTOR EXEMPTION 7/1/1996 24.29.706B RENEWAL OF INDEPENDENT CONTRACTOR EXEMPTION 7/1/1996 24.29.706C APPLICATION FEE FOR INDEPENDENT CONTRACTOR EXEMPTTON 7/1/1996 24.29.706D SUSPENSION OR REVOCATION OF INDEPENDENT CONTRACTOR EXEMPTION 7/1/1996 24.29.706E GUIDELINES FOR DETERMINING WHETHER AN INDEPENDENT CONTRACTOR EXEMPTION IS NEEDED 7/1/1996 24.29.707 INEFFECTIVE ELECTION TO BE BOUND, RESULTING DIVISION ACTION REP 11/1/1998 24.29.708 POSTING INSURANCE STATUS IN WORKPLACE REP 11/1/1998 24.29.709 SECURITY DEPOSITS FOR PLAN NUMBER TWO INSURERS -- REPORTS 8/24/2012 Rule 24.29.710 reserved 24.29.711 STATUS OF CERTAIN PERSONAL ASSISTANTS FOR THE PURPOSE OF WORKERS' COMPENSATION LAWS 10/13/1995 Rule 24.29.712 reserved 24.29.713 EVIDENCE OF INSURANCE COVERAGE 11/1/1998 Rules 24.29.714 through 24.29.719 reserved 24.29.720 PAYMENTS THAT ARE NOT WAGES--EMPLOYEE EXPENSES 1/1/1996 24.29.721 VALUE OF EMPLOYER-FURNISHED HOUSING 4/1/2018 Subchapter 8 Rules of Practice 24.29.801 ACCIDENT REPORTING 5/24/2013 24.29.802 SUPPORT DOCUMENTS FOR REPORTING REP 11/1/1998 24.29.803 COMPENSATION TO BE PAID REP 11/1/1998 24.29.804 EXAMINERS AND THIRD-PARTY ADMINISTRATORS IN MONTANA 12/1/2019 24.29.805 CONTINUITY OF COMPENSATION PAYMENT REP 11/1/1998 24.29.806 MEDICAL EVALUATIONS REP 12/14/1990 24.29.807 PROTECTION OF PERSONS REP 11/1/1998 24.29.808 GENERAL RULES REP 11/1/1998 24.29.811 PURPOSE OF RULES REP 12/1/2019 24.29.813 DEFINITIONS 12/1/2019 24.29.816 DECISIONS WHICH MUST BE MADE BY A CERTIFIED CLAIMS EXAMINER 12/1/2019 24.29.817 APPLICABILITY OF RULES REP 12/1/2019 24.29.818 NEW HIRES AND CLAIMS EXAMINER TRAINEES – DESIGNATION OF CERTIFIED CLAIMS EXAMINER TO BE ACCOUNTABLE FOR DECISIONS 12/1/2019 24.29.821 CERTIFICATION OF CLAIMS EXAMINERS 12/1/2019 24.29.824 EXAMINATION FOR CLAIMS EXAMINERS 12/1/2019 24.29.826 REPORTING OF EMPLOYMENT STATUS OR CHANGE OF ADDRESS TO THE DEPARTMENT 12/1/2019 24.29.827 WAIVER OF EXAMINATION REP 12/1/2019 24.29.831 LAPSE IN CERTIFICATION 12/1/2019 24.29.834 CONTINUING EDUCATION REQUIREMENTS FOR RENEWAL 12/1/2019 24.29.837 REVIEW AND APPROVAL OF CONTINUING EDUCATION COURSES BY DEPARTMENT 12/1/2019 24.29.841 COURSE SUBMISSIONS 10/30/2009 24.29.844 QUALIFICATIONS FOR INSTRUCTORS 10/30/2009 24.29.847 FEES FOR CERTIFICATION, EXAMINATION, RENEWAL, AND COURSE APPROVAL SUBMISSION 12/1/2019 24.29.851 MAINTENANCE OF CERTIFICATION DOCUMENTATION 10/30/2009 Subchapter 9 Administrative Assessment 24.29.901 DEFINITIONS REP 12/17/1999 24.29.902 DEFINITIONS 1/1/2019 Rule 24.29.903 reserved 24.29.904 ADMINISTRATIVE ASSESSMENT METHODOLOGY IN GENERAL REP 12/17/1999 24.29.905 ADMINISTRATIVE ASSESSMENT METHODOLOGY IN GENERAL REP 3/26/2004 Rule 24.29.906 reserved 24.29.907 BILLING AND PAYMENT OF THE ADMINISTRATION FUND ASSESSMENT 3/26/2004 24.29.908 PENALTIES, ADMINISTRATIVE FINES AND INTEREST 8/24/2012 24.29.909 RECALCULATION OF ADMINISTRATIVE ASSESSMENTS MADE IN FISCAL YEARS 1992 - 1995 REP 12/17/1999 Rules 24.29.910 and 24.29.911 reserved 24.29.912 ADMINISTRATIVE ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1992 REP 12/17/1999 24.29.913 ADMINISTRATIVE ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1993 REP 12/17/1999 24.29.914 ADMINISTRATIVE ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1994 REP 12/17/1999 24.29.915 ADMINISTRATIVE ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1995 REP 12/17/1999 24.29.916 ADMINISTRATIVE ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1996 REP 12/17/1999 24.29.917 ADMINISTRATIVE ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1997 REP 12/17/1999 24.29.918 ASSESSMENT METHODOLOGY FOR FISCAL YEARS 1998 AND 1999 REP 12/17/1999 Rules 24.29.919 and 24.29.920 reserved 24.29.921 RECALCULATION OF ADMINISTRATION FUND ASSESSMENTS MADE IN FISCAL YEARS 1992 - 1995 REP 3/26/2004 24.29.922 ADMINISTRATION FUND ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1992 REP 3/26/2004 24.29.923 ADMINISTRATION FUND ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1993 REP 3/26/2004 24.29.924 ADMINISTRATION FUND ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1994 REP 3/26/2004 24.29.925 ADMINISTRATION FUND ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1995 REP 3/26/2004 24.29.926 ADMINISTRATION FUND ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1996 REP 3/26/2004 24.29.927 ADMINISTRATION FUND ASSESSMENT METHODOLOGY FOR FISCAL YEAR 1997 REP 3/26/2004 24.29.928 ASSESSMENT METHODOLOGY FOR FISCAL YEARS 1998 AND 1999 REP 3/26/2004 24.29.929 ASSESSMENTS OTHER THAN THE ADMINISTRATION FUND ASSESSMENT 1/1/2019 Rules 24.29.930 through 24.29.940 reserved 24.29.941 ASSESSMENTS OTHER THAN ADMINISTRATIVE ASSESSMENT REP 12/17/1999 Rules 24.29.942 through 24.29.950 reserved 24.29.951 DEFINITIONS REP 3/26/2004 Rules 24.29.952 and 24.29.953 reserved 24.29.954 CALCULATION OF AMOUNT OF ADMINISTRATION FUND ASSESSMENT 8/24/2012 24.29.955 BILLING FOR AND PAYMENT OF THE ADMINISTRATIVE ASSESSMENT REP 3/26/2004 24.29.956 COMPUTATION AND COLLECTION OF THE ADMINISTRATION FUND AND SAFETY FUND ASSESSMENT PREMIUM SURCHARGE RATE FOR PLAN NO. 2 AND NO. 3 1/1/2019 Rules 24.29.957 through 24.29.960 reserved 24.29.961 THE SUBSEQUENT INJURY FUND ASSESSMENTS FOR YEARS BEGINNING ON OR AFTER (IS HEREBY REPEALED) REP 3/26/2004 24.29.962 COMPUTATION OF THE SUBSEQUENT INJURY FUND ASSESSMENT SURCHARGE 3/26/2004 24.29.963 CALCULATING SIF PAID PREVIOUS YEAR THROUGH CURRENT YEAR 1/1/2019 Rules 24.29.964 and 24.29.965 reserved 24.29.966 INDUSTRIAL ACCIDENT REHABILITATION ACCOUNT ASSESSMENT REP 1/1/2019 Rules 24.29.967 through 24.29.970 reserved 24.29.971 FAILURE OF INSURER TO TIMELY REPORT PAID LOSSES--DEPARTMENT ESTIMATE OF PAID LOSSES--RECALCULATION OF ASSESSMENT AND PREMIUM SURCHARGE--PENALTY 1/1/2019 Subchapter 10 reserved Subchapter 11 reserved Subchapter 12 Rules on Lump-Sum Conversions of Benefits 24.29.1201 INTRODUCTION 5/24/2013 24.29.1202 DOCUMENTATION REQUIREMENTS 5/24/2013 24.29.1203 METHODS THE DEPARTMENT WILL APPLY TO EVALUATE INFORMATION PROVIDED 5/24/2013 24.29.1204 FURTHER STUDIES MAY BE REQUIRED REP 5/24/2013 Subchapter 13 reserved Subchapter 14 General Medical Rules and Facility Service Rules 24.29.1401 INITIAL LIABILITY 2/23/2007 24.29.1401A DEFINITIONS 1/1/2019 24.29.1402 PAYMENT OF MEDICAL CLAIMS 6/25/2022 24.29.1403 SELECTION OF PHYSICIAN REP 4/1/1993 24.29.1404 DISPUTED MEDICAL CLAIMS 12/1/2008 24.29.1405 PHYSICIANS' REPORTS REP 4/1/1993 24.29.1406 FACILITY BILLS 7/12/2013 24.29.1407 PROSTHETIC APPLIANCES 6/24/2011 24.29.1408 SUSPENSION ALLOWED 1/3/1976 24.29.1409 TRAVEL EXPENSE REIMBURSEMENT 1/27/2006 Rules 24.29.1410 through 24.29.1414 reserved 24.29.1415 IMPAIRMENT RATING DISPUTE PROCEDURE 2/23/2007 24.29.1416 APPLICABILITY OF DATE OF INJURY, DATE OF SERVICE 12/1/2008 Rules 24.29.1417 through 24.29.1419 reserved 24.29.1420 RELATIVE VALUE FEE SCHEDULE REP 4/1/1993 Rules 24.29.1421 through 24.29.1424 reserved 24.29.1425 RATES FOR HOSPITAL SERVICES PROVIDED PRIOR TO JULY 1, 1997 REP 1/1/2019 24.29.1426 HOSPITAL SERVICE RULES FOR SERVICES PROVIDED FROM APRIL 1, 1998, THROUGH DECEMBER 31, 2007 REP 1/1/2019 24.29.1427 HOSPITAL SERVICE RULES FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH NOVEMBER 30, 2008 REP 1/1/2019 24.29.1428 HOSPITAL RATES FOR JULY 1, 1997, THROUGH JUNE 30, 1998 REP 1/1/2019 Rule 24.29.1429 reserved 24.29.1430 HOSPITAL RATES FROM JULY 1, 1998, THROUGH JUNE 30, 2001 REP 1/1/2019 24.29.1431 HOSPITAL RATES FROM JULY 1, 2001, THROUGH NOVEMBER 30, 2008 REP 1/1/2019 24.29.1432 FACILITY SERVICE RULES AND RATES FOR SERVICES PROVIDED FROM DECEMBER 1, 2008 THROUGH JUNE 30, 2013 7/12/2013 24.29.1433 FACILITY SERVICE RULES AND RATES FOR SERVICES PROVIDED ON OR AFTER JULY 1, 2013 6/10/2023 Subchapter 15 Nonfacility Service Rules 24.29.1501 PURPOSE 6/24/2011 Rules 24.29.1502 and 24.29.1503 reserved 24.29.1504 DEFINITIONS TRANS 10/26/2007 Rules 24.29.1505 through 24.29.1509 reserved 24.29.1510 SELECTION OF PHYSICIAN FOR CLAIMS ARISING FROM JULY 1, 1993 THROUGH JUNE 30, 2013 7/12/2013 24.29.1511 SELECTION OF PHYSICIAN FOR CLAIMS ARISING BEFORE JULY 1, 1993 REP 1/1/2019 24.29.1512 SELECTION OF PHYSICIAN FOR CLAIMS ARISING ON OR AFTER JULY 1, 2013 7/12/2013 24.29.1513 DOCUMENTATION REQUIREMENTS 7/12/2013 Rule 24.29.1514 reserved 24.29.1515 FUNCTIONAL IMPROVEMENT STATUS 7/12/2013 Rule 24.29.1516 reserved 24.29.1517 PRIOR AUTHORIZATION FOR CERTAIN SERVICES 6/24/2011 Rule 24.29.1518 reserved 24.29.1519 SECOND OPINIONS FOR SERVICES PROVIDED ON OR BEFORE JUNE 30, 2011 REP 1/1/2019 Rule 24.29.1520 reserved 24.29.1521 MEDICAL EQUIPMENT AND SUPPLIES FOR DATES OF SERVICE BEFORE JANUARY 1, 2008 REP 1/1/2019 24.29.1522 MEDICAL EQUIPMENT AND SUPPLIES PROVIDED BY A NONFACILITY FOR DATES OF SERVICE FROM JANUARY 1, 2008 THROUGH JUNE 30, 2013 7/12/2013 24.29.1523 MEDICAL EQUIPMENT AND SUPPLIES FOR DATES OF SERVICE ON OR AFTER JULY 1, 2013 7/12/2013 Rules 24.29.1524 and 24.29.1525 reserved 24.29.1526 DISALLOWED PROCEDURES 6/24/2011 Rules 24.29.1527 and 24.29.1528 reserved 24.29.1529 PRESCRIPTION DRUGS FEE SCHEDULE 12/7/2007 Rule 24.29.1530 reserved 24.29.1531 USE OF FEE SCHEDULES FOR SERVICES PROVIDED FROM APRIL 1, 1993 THROUGH JUNE 30, 2002 REP 1/1/2019 24.29.1532 USE OF FEE SCHEDULES FOR SERVICES PROVIDED FROM JULY 1, 2002, THROUGH DECEMBER 31, 2007 REP 1/1/2019 24.29.1533 NONFACILITY FEE SCHEDULE FOR SERVICES PROVIDED FROM JANUARY 1, 2008 THROUGH JUNE 30, 2013 7/12/2013 24.29.1534 PROFESSIONAL FEE SCHEDULE 5/11/2024 Rule 24.29.1535 reserved 24.29.1536 CONVERSION FACTORS--METHODOLOGY FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019 24.29.1537 SPECIAL MONITORING AND ADJUSTMENT OF PHYSICAL MEDICINE FEES DURING THE PERIOD JULY 1, 2002 THROUGH DECEMBER 31, 2003 REP 1/1/2019 24.29.1538 CONVERSION FACTORS 5/11/2024 Rules 24.29.1539 and 24.29.1540 reserved 24.29.1541 ACUPUNCTURE FEES FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019 Rules 24.29.1542 through 24.29.1550 reserved 24.29.1551 DENTAL SPECIALTY AREA FEES FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019 Rules 24.29.1552 through 24.29.1560 reserved 24.29.1561 PHYSICIAN FEES -- MEDICINE FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019 Rules 24.29.1562 through 24.29.1565 reserved 24.29.1566 PHYSICIAN FEES -- ANESTHESIA SPECIALTY AREA FOR SERVICES PROVIDED FROM APRIL 1, 1993, THROUGH DECEMBER 31, 2007 REP 1/1/2019 Rules 24.29.1567 through 24.29.1570 reserved 24.29.1571 CHIROPRACTIC FEES FOR SERVICES PROVIDED FROM APRIL 1, 1993 THROUGH JUNE 30, 2002 REP 1/1/2019 24.29.1572 CHIROPRACTIC FEES FOR SERVICES PROVIDED FROM JULY 1, 2002, THROUGH DECEMBER 31, 2007 REP 1/1/2019 24.29.1573 PRIOR AUTHORIZATION AND BILLING LIMITATIONS FOR CHIROPRACTIC SERVICES PROVIDED FROM JULY 1, 2002, THROUGH DECEMBER 31, 2007 REP 1/1/2019 24.29.1574 CHIROPRACTIC FEE SCHEDULE FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019 24.29.1575 CHIROPRACTIC--PRIOR AUTHORIZATION AND BILLING LIMITATIONS FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019 Rules 24.29.1576 through 24.29.1580 reserved 24.29.1581 PROVIDER FEES--OCCUPATIONAL AND PHYSICAL THERAPY SPECIALTY AREA FOR SERVICES PROVIDED FROM APRIL 1, 1993 THROUGH JUNE 30, 2002 REP 1/1/2019 24.29.1582 PROVIDER FEES--OCCUPATIONAL AND PHYSICAL THERAPY SPECIALTY AREA FOR SERVICES PROVIDED FROM JULY 1, 2002 THROUGH SEPTEMBER 30, 2003 REP 1/1/2019 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 REP 1/1/2019 24.29.1584 PROVIDER FEES--OCCUPATIONAL AND PHYSICAL THERAPY SPECIALTY AREA FOR SERVICES PROVIDED FROM OCTOBER 1, 2003, THROUGH DECEMBER 31, 2007 REP 1/1/2019 24.29.1585 OCCUPATIONAL AND PHYSICAL THERAPY FEE SCHEDULE FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019 24.29.1586 OCCUPATIONAL AND PHYSICAL THERAPISTS--PRIOR AUTHORIZATION AND BILLING LIMITATIONS FOR SERVICES PROVIDED FROM JANUARY 1, 2008, THROUGH JUNE 30, 2011 REP 1/1/2019 Rules 24.29.1587 through 24.29.1590 reserved 24.29.1591 UTILIZATION AND TREATMENT GUIDELINES TRANS 1/1/2019 Rule 24.29.1592 reserved 24.29.1593 PRIOR AUTHORIZATION TRANS 1/1/2019 Rule 24.29.1594 reserved 24.29.1595 INDEPENDENT MEDICAL REVIEW PROCESS TRANS 1/1/2019 24.29.1596 APPLICABILITY OF UTILIZATION AND TREATMENT RULES TRANS 1/1/2019 Rules 24.29.1597 and 24.29.1598 reserved 24.29.1599 APPLICABILITY OF UTILIZATION AND TREATMENT GUIDELINES FOR MANAGED CARE ORGANIZATIONS OR PREFERRED PROVIDER ORGANIZATIONS TRANS 1/1/2019 Subchapter 16 Utilization and Treatment Guidelines 24.29.1601 DEFINITIONS 1/1/2019 24.29.1604 APPLICABILITY OF UTILIZATION AND TREATMENT RULES 1/1/2019 24.29.1607 APPLICABILITY OF FORMULARY RULES TO OUT-PATIENT SERVICES 1/1/2019 24.29.1609 APPLICABILITY OF UTILIZATION AND TREATMENT GUIDELINES FOR MANAGED CARE ORGANIZATIONS OR PREFERRED PROVIDER ORGANIZATIONS 1/1/2019 24.29.1611 UTILIZATION AND TREATMENT GUIDELINES 6/10/2023 24.29.1616 INCORPORATION BY REFERENCE AND UPDATES TO THE FORMULARY 5/11/2024 24.29.1621 PRIOR AUTHORIZATION 1/1/2019 24.29.1624 INTEGRATION OF FORMULARY WITH MONTANA UTILIZATION AND TREATMENT GUIDELINES – WHEN PRIOR AUTHORIZATION IS REQUIRED 1/1/2019 24.29.1631 SPECIAL PROVISIONS FOR TRANSITION OF LEGACY CLAIMS – WHEN APPLICABLE 1/1/2019 24.29.1641 INDEPENDENT MEDICAL REVIEW PROCESS 1/1/2019 24.29.1645 EXPEDITED CASE REVIEW FOR PRESCRIPTION MEDICATIONS BY DLI MEDICAL DIRECTOR 1/1/2019 24.29.1648 DISPUTE RESOLUTION FOR FORMULARY 1/1/2019 Subchapter 17 Rehabilitation 24.29.1701 REHABILITATION PROVIDER DESIGNATION 10/30/1987 24.29.1702 REHABILITATION PANELS FOR CLAIMS BETWEEN JULY 1, 1987 AND JUNE 30, 1991 REP 1/1/2019 Rules 24.29.1703 and 24.29.1704 reserved 24.29.1705 LOCAL JOB POOL AREA DEFINITION 10/30/1987 Rules 24.29.1706 through 24.29.1709 reserved 24.29.1710 AUXILIARY REHABILITATION BENEFITS 10/30/1987 Rules 24.29.1711 through 24.29.1720 reserved 24.29.1721 PAYMENT OF REHABILITATION EXPENSES FROM THE INDUSTRIAL ACCIDENT REHABILITATION ACCOUNT FOR CLAIMS ARISING BEFORE JULY 1, 1991 REP 1/1/2019 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 REP 1/1/2019 Rules 24.29.1723 and 24.29.1724 reserved 24.29.1725 INFORMATION TO BE INCLUDED IN THE REHABILITATION PLAN 11/1/1998 Rule 24.29.1726 reserved 24.29.1727 DEPARTMENT'S NOTICE OF AUTHORIZATION OR DENIAL OF USE OF TRUST FUNDS REP 1/1/2019 Rules 24.29.1728 through 24.29.1730 reserved 24.29.1731 ALLOWABLE REHABILITATION EXPENSES REP 1/1/2019 Rule 24.29.1732 reserved 24.29.1733 DISALLOWED REHABILITATION EXPENSES REP 1/1/2019 Rule 24.29.1734 reserved 24.29.1735 DOCUMENTATION REQUIRED REP 1/1/2019 Rule 24.29.1736 reserved 24.29.1737 INSURER RESPONSIBILITY TO PROVIDE INFORMATION TO THE DEPARTMENT REP 1/1/2019 Rules 24.29.1738 through 24.29.1740 reserved 24.29.1741 PAYMENT OF REHABILITATION EXPENSES FOR CLAIMS ARISING ON OR AFTER JULY 1, 1997 11/1/1998 Rules 24.29.1742 through 24.29.1760 reserved 24.29.1761 DISPUTES OVER REHABILITATION EXPENSES 11/1/1998 Subchapter 18 Stay at Work/Return to Work 24.29.1801 DEFINITIONS 1/1/2019 Rule 24.29.1802 reserved 24.29.1803 APPLICABILITY 7/13/2012 Rules 24.29.1804 through 24.29.1806 reserved 24.29.1807 RESPONSIBILITIES OF THE INSURER 7/13/2012 Rules 24.29.1808 through 24.29.1810 reserved 24.29.1811 DUTIES OF THE DEPARTMENT 7/13/2012 Rules 24.29.1812 through 24.29.1814 reserved 24.29.1815 PAYMENT SCHEDULE FOR DEPARTMENT-PROVIDED SAW/RTW ASSISTANCE 7/13/2012 Rules 24.29.1816 through 24.29.1820 reserved 24.29.1821 VOCATIONAL REHABILITATION COUNSELOR FOR DEPARTMENT-PROVIDED SAW/RTW ASSISTANCE 1/1/2019 Subchapter 19 reserved Subchapter 20 Chiropractic Service Rules 24.29.2001 TREATMENT AND REPORTING REP 4/1/1993 24.29.2002 STANDARDS FOR DIAGNOSIS FOR SERVICES PROVIDED ON OR BEFORE JUNE 30, 2011 6/24/2011 24.29.2003 WORKERS' COMPENSATION DOES PAY FOR CERTAIN SERVICES PROVIDED ON OR BEFORE JUNE 30, 2011 6/24/2011 24.29.2004 WORKERS' COMPENSATION DOES NOT PAY REP 7/1/2002 Subchapter 21 reserved Subchapter 22 reserved Subchapter 23 Managed Care Organizations 24.29.2301 PURPOSE 3/1/1994 Rule 24.29.2302 reserved 24.29.2303 DEFINITIONS 3/1/1994 Rules 24.29.2304 through 24.29.2310 reserved 24.29.2311 SELECTION OF MANAGED CARE ORGANIZATION AND TREATING PHYSICIAN WITHIN A MANAGED CARE ORGANIZATION 3/1/1994 Rules 24.29.2312 through 24.29.2320 reserved 24.29.2321 PRELIMINARY APPLICATION 3/1/1994 Rule 24.29.2322 reserved 24.29.2323 TIME, PLACE AND MANNER OF PROVIDING SERVICES 3/1/1994 Rules 24.29.2324 and 24.29.2325 reserved 24.29.2326 AREAS SERVED BY THE MANAGED CARE ORGANIZATION 3/1/1994 Rules 24.29.2327 and 24.29.2328 reserved 24.29.2329 STRUCTURE OF ORGANIZATION 11/1/1998 Rule 24.29.2330 reserved 24.29.2331 CONTENTS OF THE MANAGED CARE PLAN 3/1/1994 Rules 24.29.2332 through 24.29.2335 reserved 24.29.2336 FINANCIAL ABILITY OF ORGANIZATION 3/1/1994 Rules 24.29.2337 and 24.29.2338 reserved 24.29.2339 APPROVAL OF PRELIMINARY APPLICATION 3/1/1994 Rule 24.29.2340 reserved 24.29.2341 FINAL APPLICATION 3/1/1994 Rules 24.29.2342 through 24.29.2345 reserved 24.29.2346 ORIGINAL CERTIFICATION 3/1/1994 Rules 24.29.2347 through 24.29.2350 reserved 24.29.2351 REPORTING REQUIREMENTS 3/1/1994 Rules 24.29.2352 through 24.29.2355 reserved 24.29.2356 DEPARTMENT MAY INSPECT OR AUDIT 3/1/1994 Rules 24.29.2357 through 24.29.2360 reserved 24.29.2361 APPLICATION TO RENEW CERTIFICATION, NOTICE OF INTENT NOT TO RENEW CERTIFICATION 3/1/1994 Rules 24.29.2362 through 24.29.2365 reserved 24.29.2366 RENEWAL CERTIFICATION 3/1/1994 Rules 24.29.2367 through 24.29.2370 reserved 24.29.2371 APPLICATION TO MODIFY PLAN 3/1/1994 Rule 24.29.2372 reserved 24.29.2373 ADDITION AND TERMINATION OF MEMBERS 3/1/1994 Rules 24.29.2374 and 24.29.2375 reserved 24.29.2376 REVOCATION OR SUSPENSION OF CERTIFICATION 3/1/1994 Rules 24.29.2377 and 24.29.2378 reserved 24.29.2379 DISPUTE RESOLUTION 3/1/1994 Subchapter 24 reserved Subchapter 25 reserved Subchapter 26 Subsequent Injury Fund Rules 24.29.2601 NOTIFICATION WHEN COMPENSATION TO BE CONTINUED BEYOND 104 WEEKS REP 12/24/2010 24.29.2602 INTRODUCTION 12/24/2010 24.29.2605 DEFINITIONS 12/24/2010 24.29.2607 CERTIFICATION PROCESS 12/24/2010 24.29.2610 CERTIFICATION REQUIREMENTS 12/24/2010 24.29.2614 REIMBURSEMENT PROCESS 1/1/2019 Subchapter 27 Silicosis Benefits 24.29.2701 PAYMENT OF SILICOSIS BENEFITS 12/24/2010 Subchapter 28 Uninsured Employers' Fund 24.29.2801 UNINSURED EMPLOYERS FUND DISTRIBUTION REP 7/1/1995 Rule 24.29.2802 reserved 24.29.2803 DEFINITIONS REP 6/28/2002 Rules 24.29.2804 through 24.29.2810 reserved 24.29.2811 MONTHLY PAYMENTS--UEF 6/28/2002 Rules 24.29.2812 and 24.29.2813 reserved 24.29.2814 DETERMINING THE AMOUNT OF THE ADMINISTRATIVE COSTS BALANCE--UEF REP 6/28/2002 Rules 24.29.2815 and 24.29.2816 reserved 24.29.2817 DETERMINING WHETHER THERE IS A POSITIVE FUND BALANCE--UEF REP 6/28/2002 Rules 24.29.2818 through 24.29.2820 reserved 24.29.2821 MONTHLY CALCULATIONS OF FUND BALANCES AND TRANSFERS--UIEF REP 11/1/1998 Rules 24.29.2822 and 24.29.2823 reserved 24.29.2824 DETERMINING THE AMOUNT OF THE ADMINISTRATIVE COSTS BALANCE--UIEF REP 11/1/1998 Rules 24.29.2825 and 24.29.2826 reserved 24.29.2827 DETERMINING WHETHER THERE IS A POSITIVE FUND BALANCE--UIEF REP 11/1/1998 Rule 24.29.2828 reserved 24.29.2829 NO BENEFITS PAID FROM THE UIEF TO CLAIMANTS REP 11/1/1998 Rule 24.29.2830 reserved 24.29.2831 COLLECTION OF PENALTIES AND OTHER PAYMENTS FROM UNINSURED EMPLOYERS 8/25/2006 Rules 24.29.2832 and 24.29.2833 reserved 24.29.2834 COLLECTION OF PENALTIES AND OTHER PAYMENTS FROM UNDERINSURED EMPLOYERS REP 11/1/1998 Rules 24.29.2835 and 24.29.2836 reserved 24.29.2837 CALCULATION OF PENALTY ON UNDERINSURED EMPLOYERS REP 11/1/1998 Rule 24.29.2838 reserved 24.29.2839 COMPROMISE OF PENALTIES ASSESSED 11/1/1998 Rule 24.29.2840 reserved 24.29.2841 CLAIMS FOR BENEFITS 7/1/1995 Rule 24.29.2842 reserved 24.29.2843 PAYMENT OF ACCRUED BENEFITS 7/1/1995 Rules 24.29.2844 and 24.29.2845 reserved 24.29.2846 PRIORITY OF PAYMENT OF CURRENT BENEFITS 7/1/1995 Rules 24.29.2847 and 24.29.2848 reserved 24.29.2849 PAYMENT OF CLAIMS WHERE LIABILITY IS DISPUTED 7/1/1995 24.29.2851 LIMITATION ON EXPENDITURES FOR MEDICAL BENEFITS PAYABLE BY THE UEF -- APPLICABILITY 9/21/2007 24.29.2853 RIGHTS OF THIRD-PARTY PROVIDERS AFTER THE UEF REACHES $100,000 MEDICAL BENEFIT EXPENDITURE LIMITATION -- APPLICABILITY 9/21/2007 24.29.2855 RIGHTS OF THIRD-PARTY PROVIDERS UPON THE UEF'S PROPORTIONATE REDUCTION IN BENEFIT PAYMENTS -- APPLICABILITY 9/21/2007 Subchapter 29 reserved Subchapter 30 reserved Subchapter 31 Reopening of Closed Medical Benefits 24.29.3101 INTRODUCTION - APPLICABILITY - VOLUNTARY PAYMENTS 2/6/2016 24.29.3103 DEFINITIONS 1/1/2019 24.29.3107 TIMELINES AND EXPLANATION OF STATUS CLASSIFICATIONS OF A PETITION 1/1/2019 24.29.3111 PETITION FOR REOPENING 2/6/2016 24.29.3114 SUBMISSION OF MEDICAL RECORDS AND ADDITIONAL INFORMATION - EFFECT OF FAILURE TO SUBMIT MEDICAL RECORDS OR ADDITIONAL INFORMATION 9/25/2021 24.29.3117 JOINT PETITION FOR REOPENING 9/25/2021 24.29.3121 REVIEW BY MEDICAL DIRECTOR - CONSENT OF BOTH PARTIES 2/6/2016 24.29.3124 REVIEW BY MEDICAL REVIEW PANEL - REPORT AND RECOMMENDATIONS 1/1/2019 24.29.3127 PERIODIC REVIEW OF CERTAIN REOPENED MEDICAL BENEFITS 9/25/2021 Subchapter 32 Officers of Private Corporations Election 24.29.3201 ELECTION NOT TO BE BOUND - CORPORATE OFFICER TRANS 7/2/1984 Subchapter 33 reserved Subchapter 34 reserved Subchapter 35 Coverage Under State Compensation Insurance Fund 24.29.3501 ELECTING COVERAGE UNDER PLAN THREE REP 10/1/1995 24.29.3502 ELECTION OF OPTIONAL COVERAGES REP 10/1/1995 24.29.3503 ELECTION OF CORPORATE OFFICERS NOT TO BE BOUND REP 10/1/1995 24.29.3504 POLICY AND DECLARATIONS REP 10/1/1995 24.29.3505 TERMINATION OF COVERAGE REP 10/1/1995 Subchapter 36 reserved Subchapter 37 Trade Group Discounts 24.29.3701 PURPOSE REP 11/1/1998 Rule 24.29.3702 reserved 24.29.3703 DEFINITIONS REP 11/1/1998 24.29.3704 PLAN OF OPERATION REP 11/1/1998 Rules 24.29.3705 and 24.29.3706 reserved 24.29.3707 ORGANIZATIONAL STRUCTURE REP 11/1/1998 Rules 24.29.3708 through 24.29.3710 reserved 24.29.3711 CERTIFICATION OF A GROUP REP 11/1/1998 Rules 24.29.3712 through 24.29.3720 reserved 24.29.3721 ANNUAL REPORT REP 11/1/1998 Rules 24.29.3722 through 24.29.3725 reserved 24.29.3726 DECERTIFICATION OF A GROUP REP 11/1/1998 Rules 24.29.3727 through 24.29.3730 reserved 24.29.3731 INDIVIDUAL APPLICANTS REP 11/1/1998 Rules 24.29.3732 through 24.29.3740 reserved 24.29.3741 DISPUTES REP 11/1/1998 Subchapter 38 Attorney Fees 24.29.3801 ATTORNEY FEE REGULATION REP 11/11/1988 24.29.3802 ATTORNEY FEE REGULATION 5/24/2013 Subchapter 39 reserved Subchapter 40 Plan Number Two Insurers Rules 24.29.4001 SECURITY DEPOSITS FOR PLAN NUMBER TWO INSURERS REP 10/6/2000 Subchapter 41 reserved Subchapter 42 reserved Subchapter 43 Workers' Compensation Data Base System 24.29.4301 PURPOSE 2/24/2006 Rule 24.29.4302 reserved 24.29.4303 DEFINITIONS 2/24/2006 Rules 24.29.4304 through 24.29.4306 reserved 24.29.4307 CLAIM FILE RECORDS MAINTENANCE AND RETENTION 10/17/2003 Rules 24.29.4308 through 24.29.4310 reserved 24.29.4311 FORMS USED FOR REPORTING 10/17/2003 Rules 24.29.4312 and 24.29.4313 reserved 24.29.4314 ELECTRONIC REPORTING 2/24/2006 24.29.4315 INSURER REPORTING REQUIREMENTS - COVERAGE AND CANCELLATION NOTIFICATION 7/27/2007 Rule 24.29.4316 reserved 24.29.4317 REPORTS PRODUCED BY THE DEPARTMENT 10/17/2003 Rules 24.29.4318 through 24.29.4320 reserved 24.29.4321 INSURER REPORTING REQUIREMENTS--INJURIES AND OCCUPATIONAL DISEASES 2/24/2006 24.29.4322 TRANSITIONAL RULE FOR INJURY AND OCCUPATIONAL DISEASE INFORMATION REPORTING REQUIREMENTS 10/1/1994 Rules 24.29.4323 through 24.29.4328 reserved 24.29.4329 VERIFICATION AND ADDITIONAL INFORMATION 10/17/2003 Rules 24.29.4330 and 24.29.4331 reserved 24.29.4332 CLAIMANT LEGAL FEES AND COSTS REPORTING REQUIREMENTS 2/24/2006 Rules 24.29.4333 and 24.29.4334 reserved 24.29.4335 INSURER LEGAL FEES REPORTING REQUIREMENTS 2/24/2006 24.29.4336 IN-HOUSE COUNSEL COST ALLOCATION 5/1/1995 Rules 24.29.4337 and 24.29.4338 reserved 24.29.4339 VERIFICATION OF CONSULTANT AND LEGAL FEE REPORTING 5/1/1995