Delaware

January 28, 2012: Delaware News: REVISED
PETITIONS & FORMS – PROGRAM
GLITCHES AND REPLICATIONS

January 06, 2012 Delaware News: WHICH
NEW & REVISED FORMS & PETITIONS
APPLY TO HEALTH CARE PROVIDERS?

January 02, 2012: Delaware News: Don't
Forget to use the NEW & REVISED
PETITIONS & FORMS - GRACE PERIOD
ENDS Tuesday, January 3, 2012!

December 14, 2011: Delaware News: Revised
Industrial Accident Board (IAB) Rules,
Petitions, and Forms – Effective December
12, 2011

December 06, 2011:Delaware News: NEW
INDUSTRIAL ACCIDENT BOARD (IAB)
RULES, PETITIONS, and FORMS –
Effective 12/12/11

October 01, 2011: fee schedule
WORKERS' COMPENSATION FEE
SCHEDULES
Fee Schedules for Doctors, Hospitals,
Physicians’ Fee Schedule Codes, In Office
Surgery, etc.

13th Annual Report on the Status of
Workers' Compensation Case
Management

Medical Control

The injured employee has the right to choose the treating physician from the list of
state certified healthcare providers. There is a "state certified healthcare provider list"
from which he/she may choose. However, there is no requirement that the injured
employee choose from that list. The employee may select his/her own pharmacy or
select a pharmacy from the Express Scripts pharmacy network. Emergency medical
care does not require preapproval and should be secured at the nearest location.

4.9 Hospital

4.9.1Hospital fees billed for inpatient and outpatient services provided to injured
workers pursuant to the Act shall be reimbursed at a rate equal to eighty-five percent
(85%) of each hospital's actual charges for such services as of October 31, 2006,
subject to adjustment as provided below. Verification that such billing is performed
in compliance with the above and 19 Del.C. §2322B(8) shall be provided by each
hospital to the Office of Workers' Compensation within sixty (60) days of the
completion and issuance of audited financial statements to the hospital by its
independent financial auditors. Such verification shall be subject to further review or
audit by the Department of Insurance. Reasonable costs of such review or audit for
purposes of this section shall be reimbursed to the Department of Insurance by the
hospital whose billing is audited.
4.9 Hospital
4.9.2The payment system will be adjusted yearly pursuant to 19 Del.C. §2322B(8)
(b) for hospital reimbursement rates, as derived pursuant to 19 Del.C. §2322B(8), for
procedures, treatments or services in effect in January of that year. The adjustment
factor referenced in to Title 19 Del.C. §2322B(8)(b) above shall be reviewed by the
Health Care Advisory Panel three (3) years after the effective date of the regulation
implementing the fee schedule, and the Panel shall make a recommendation
concerning the continued use of the Consumer Price Index for medical care, or the
adoption of a different index for cost adjustments in fees for hospital services..

If the employer denies the claim, the employee has two years from the date

of accident to

file a petition for compensation due with the Office of

Workers' Compensation. An

employee may file a petition with or without

an attorney. There is no fee for filing a

petition. The decision on whether an

employee should have an attorney is an individual

one that depends on the

complexity of the case. The Office of Workers' Compensation

will not

provide an attorney for the employee. However, a workers' compensation