Section 418.10111. Advisory committee.

The director of the workers' compensation agency shall appoint an advisory committee from names solicited from provider, carrier, and employee organizations. The advisory committee shall include five advocates for the concerns of providers, five advocates for the concerns of employees, and five advocates for the concerns   of  carriers.   The  director of the workers' compensation agency shall appoint a sixteenth member to act as chair without a vote. The advisory committee shall meet not less than  twice  a year.Additional  meetings  shall be scheduled if   requested  by  the   workers' compensation agency, the chair, or a majority of the committee. Members may be removed by the director of the workers' compensation agency for cause or for missing more than one-half of the meetings in a year. The  advisory committee shall perform general program oversight and assist the workers' compensation agency with the following:

(a)  Annual review of the rules and the fee schedule.

(b)  Development of proposed amendments to the rules and fee schedule, including payment methodologies.

(c)   Review of data reports and data analyses.

(d)     Review  health   care  service  disputes,   resulting   from   a carrier's professional health care review program pursuant to these rules, that are considered by mediation, arbitration, small claims, or magistrate decisions, based on annual summary data regarding such  disputes.  This summary  data shall  be  developed   by  the  agency    and   shall include information regarding carriers and  providers   which  accounts  for  a significant number of disputes.

(e)       Review  annual  summary   data  of  complaints  made  to   the workers' compensation agency.

History: 1998-2000 AACS; 2005 AACS.