Subpart 2 - Medical Guidelines

  1. Chapter 20 - Spine Medical Treatment Guidelines (Subchapter A to B)
  2. Chapter 21 - Pain Medical Treatment Guidelines (Subchapter A to B)
  3. Chapter 22 - Neurological and Neuromuscular Disorder Medical Treatment Guidelines (Subchapter A to B)
  4. Chapter 23 - Upper and Lower Extremities Medical Treatment Guidelines (Subchapter A to B)
  5. Chapter 25 - Hospital Reimbursement Schedule, Billing Instruction and Maintenance Procedures (§ I-2501-2503 to I-2599)
  6. Chapter 27 - Utilization Review Procedures (§ I-2701 to I-2719)
  7. Chapter 29 - Pharmacy Reimbursement Schedule, Billing Instruction and Maintenance Procedures (§ I-2901 to I-2917-2927)
  8. Chapter 31 - Vision Care Services, Reimbursement Schedule, Billing Instruction and Maintenance Procedures (§ I-3101-3113 to I-3121-3139)
  9. Chapter 33 - Hearing Aid Equipment and Services Reimbursement Schedule, Billing Instructions and Maintenance Procedures (§ I-3301-3323 to I-3331-3341)
  10. Chapter 35 - Nursing/Attendant Care and Home Health Services Reimbursement Schedule, Billing Instruction and Maintenance Procedures (§ I-3501-3505 to I-3513-3535)
  11. Chapter 37 - Home and Vehicle Modification Reimbursement Schedule, Billing Instructions and Maintenance Procedures (§ I-3701-3705 to I-3717-3735)
  12. Chapter 39 - Medical Transportation Reimbursement Schedule, Billing Instructions, and Maintenance Procedures (§ I-3901-3907 to I-3913-3933)
  13. Chapter 41 - Durable Medical Equipment and Supplies Reimbursement Schedule, Billing Instructions, and Maintenance Procedures (§ I-4101-4109 to I-4121- 4137)
  14. Chapter 43 - Prosthetic and Orthopedic Equipment (§ I-4301-4309 to I-4339)
  15. Chapter 45 - Respiratory Services Reimbursement Schedule, Billing Instructions, and Maintenance Procedures (§ I-4501-4505 to I-4537)
  16. Chapter 47 - Miscellaneous Claimant Expenses Reimbursement Schedule, Billing Instruction and Maintenance Procedures (§ I-4701-4731 to I-4735-4743)
  17. Chapter 49 - Vocational Rehabilitation Consultant Reimbursement Schedule, Billing Instruction and Maintenance Procedures (§ I-4901-4909 to I-4919-4939)
  18. Chapter 51 - Medical Reimbursement Schedule (§ I-5101 to I-5157)
  19. Chapter 53 - Dental Care Services, Reimbursement Schedule and Billing Instructions (§ I-5313 to I-5399)

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.