Administrative Code

Virginia Administrative Code
Title 16. Labor and Employment
12/11/2019

Agency 30. Virginia Workers' Compensation Commission

Preface
Agency Summary
Chapter 10
Rules of the Industrial Commission of Virginia [Repealed]Read all
Section 10
[Repealed]
Chapter 11
Public Participation Guidelines [Repealed]Read all
Section 10
[Repealed]
Section 20
[Repealed]
Section 30
[Repealed]
Chapter 12
Public Participation GuidelinesRead all
Section 10
Purpose
Section 20
Definitions
Section 30
Notification List
Section 40
Information to Be Sent to Persons on the Notification List
Section 50
Public Comment
Section 60
Petition for Rulemaking
Section 70
Appointment of Regulatory Advisory Panel
Section 80
Appointment of Negotiated Rulemaking Panel
Section 90
Meetings
Section 100
Public Hearings on Regulations
Section 110
Periodic Review of Regulations
Chapter 16
Electronic Medical BillingRead all
Section 10
Effective Date
Section 20
Definitions
Section 30
Formats for Electronic Medical Bill Processing
Section 40
Billing Code Sets
Section 50
Electronic Medical Billing, Reimbursement, and Documentation
Section 60
Employer, Insurance Carrier, Managed Care Organization, or Agent's Receipt of Medical Bills from Health Care Providers
Section 70
Communication Between Health Care Providers and Payers
Section 80
Medical Documentation Necessary for Billing Adjudication
DIBR
Documents Incorporated by Reference (16VAC30-16)
Chapter 20
Regulations for Administering Compensation Benefits for Death and Total Disability Due to Coal Workers' Pneumoconiosis [Repealed]Read all
Section 10
[Repealed]
Chapter 30
Designated Representatives: Virginia Workers' CompensationRead all
Section 10
Order
Section 20
Designated Representatives
Chapter 40
Pneumoconioses Guide [Repealed]Read all
Section 10
[Repealed]
Chapter 50
Rules of the Virginia Workers' Compensation CommissionRead all
Section 10
Definitions
Section 20
Rule 1. Prehearing Procedures
Section 30
Rule 2. Hearing Procedures
Section 40
Rule 3. Posthearing Procedures
Section 50
Rule 3. Filing Documents
Section 60
Rule 5. Cost of Medical Services
Section 70
Rule 6. Award of Attorneys Fees under §65.2-714 of the Code of Virginia
Section 80
Rule 7. Employer Responsibilities
Section 90
Rule 8. Self-Insurance
Section 100
Rule 9. Payment of Compensation
Section 110
Rule 10. X-Ray Evidence for Coal Workers' Pneumoconiosis Claims
Section 120
Rule 11. Pneumoconiosis Table
Section 130
Rule 12. Hearing Loss Table
Section 140
Rule 13. Table of Percentage of Loss of Visual Acuity
Section 150
Rule 14. Definition of Community
Chapter 60
Procedural Regulations Governing the Administration of Medical Costs Peer Review by the Regional Peer Review Committees under the Virginia Workers'...Read all
Section 10
Authority for Regulations
Section 20
Definitions
Section 30
Purpose of Regulations
Section 40
Implementation and Administration of Regulations
Section 50
[Reserved]
Section 70
Severability
Section 80
Requests for Peer Review
Section 90
Defending Party
Section 100
Assignment for Initial Review
Section 110
Initial Evaluation
Section 120
Informal Fact Finding
Section 130
Decision
Section 140
Appeals
Chapter 70
Plan of Operation for the Medical Costs Peer Review Statewide Coordinating Committee under the Virginia Workers' Compensation ActRead all
Section 10
Authority for Plan of Operation
Section 20
Definitions
Section 30
Purpose of Plan of Operation
Section 40
[Reserved]
Section 50
Scheduled Meetings
Section 60
Compensation
Section 70
Appointment of Peer Review Committees
Section 80
Rules and Regulations
Section 90
Administration
Section 100
Staff
Section 110
Forms
Section 120
Reports
Chapter 80
Regulations Governing Individual Self-Insurance under the Virginia Workers' Compensation ActRead all
Section 10
Definitions
Section 20
Requirements for Individual Self-Insurance
Section 30
Applications for Self-Insurance
Section 40
Review of Applications
Section 50
Notice of Approval or Denial
Section 60
Surety Bonds
Section 70
Reporting Requirements
Section 80
Termination and Withdrawal
Section 90
Public Self-Insurers
Section 100
Assessments
Chapter 90
Procedural Regulations for Filing First Reports under the Virginia Workers' Compensation Act [Repealed]Read all
Section 10
[Repealed]
Section 20
[Repealed]
Section 30
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Chapter 91
Claims ReportingRead all
Section 10
Definitions
Section 20
Procedures for Filing Claims Reports
FORMS
Forms (16VAC30-91)
DIBR
Documents Incorporated by Reference (16VAC30-91)
Chapter 100
Regulations for Professional Employer OrganizationsRead all
Section 10
Definitions
Section 20
Initial Registration
Section 30
Annual Reporting
Section 40
Notification of Changes in Client Company Status and Insurance Coverage
Section 50
Notification of Change in Identifying Information
Section 60
Requirements for Filing with the Commission
Section 70
Annual Assessment
Section 80
Revocation, Suspension, and Voluntary Termination of Registration
Chapter 110
Medical Fee Schedules RegulationsRead all
Section 10
Definitions
Section 20
Applicability of Fee Schedules and Ground Rules; Determination of Communities
Section 30
Disputes
Section 40
Periodic Review of Fee Schedules
DIBR
Documents Incorporated by Reference (16VAC30-110)


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