UR Review Policies and Procedures shall be filed with the:

UR Review Policies and Procedures shall be filed with the:

• A. Administrative Director
• B. Medical Director
• C. WCAB
• D. Director of Industrial Relations

Answer: (A)

Utilization review policies and procedures are part of how medical care is reviewed for workers’ compensation claims, and they must be filed with the Administrative Director of the Division of Workers’ Compensation. This position oversees the administration of the workers’ compensation program, including regulatory oversight of utilization review processes. Filing with the Administrative Director ensures the UR procedures are available for review and compliance checks under state rules. The Medical Director focuses on clinical matters, not regulatory filings; the WCAB handles appeals and doesn’t maintain these policy filings; the Director of Industrial Relations handles broader labor relations and isn’t the correct filing point for UR policies.

Utilization review policies and procedures are part of how medical care is reviewed for workers’ compensation claims, and they must be filed with the Administrative Director of the Division of Workers’ Compensation. This position oversees the administration of the workers’ compensation program, including regulatory oversight of utilization review processes. Filing with the Administrative Director ensures the UR procedures are available for review and compliance checks under state rules. The Medical Director focuses on clinical matters, not regulatory filings; the WCAB handles appeals and doesn’t maintain these policy filings; the Director of Industrial Relations handles broader labor relations and isn’t the correct filing point for UR policies.