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MEMORANDUM NO. 2023-03

Changes Regarding the Exception for Psychiatrists, Psychologists, Neuropsychologists and Neuropsychologists

 


TO: WCC Administrative Law Judges, District Administrators, Advisory Board Members, Legal Advisory Panel, Medical Advisory Panel, Medical Practitioners, Insurance Carriers, Self-Insureds, Medical Care Plans, Claimants, Attorneys and Unions. 
FROM: Stephen M. Morelli, Chairperson
DATE: June 6, 2023
RE: Changes Regarding the Exception for Psychiatrists, Psychologists, Neuropsychologists, and Neuropsychologists

 

Effective June 10, 2023, the Workers' Compensation Commission has made a change to its Professional Guide regarding the exception for psychiatrists, psychologists, neuropsychologists and neuropsychologists. Subsection F of Section VII of the Professional Guide for Attorneys, Physicians and Other Health Care Practitioners Guidelines for Cooperation now reads as follows:

Exception for Psychiatrists, Psychologists, Neuropsychologist, and Neuropsychiatrists

Due to the particular nature of these fields, there are some exceptions to Commission rules, regulations and guidelines granted to providers in these disciplines.  Please note the following:

  1. Most Commission rules and regulations, including deposition fees and formal hearing testimony fees, do apply
  2. Fees as listed in the Official Connecticut Practitioner Fee Schedule, which encompasses most office visit/treatment fees, do apply unless there is a contract indicating otherwise
  3. Fees for Commission Medical Exams and Employer/Respondent Exams DO NOT apply.  The provider may charge a maximum of $2500 for these types of exams without prior approval.  Any fee above $2500 for a CME must be approved by the ALJ prior to the exam taking place.  In the case of an RME, the provider may request the higher fee from the respondent.  If the provider and respondent cannot agree on a fee, the respondent may choose another provider or request a hearing with an ALJ to determine a reasonable fee. 

 

The Professional Guide for Attorneys, Physicians and Other Health Care Practitioners Guidelines for Cooperation can be found here