| TO: | Administrative Law Judges, WCC Staff, Advisory Board, Legal Advisory Panel, Medical Advisory Panel, Medical Practitioners, Self-Insureds, Insurance Carriers, Claimants, Attorneys, and Unions |
| FROM: | Stephen M. Morelli, Chairperson |
| DATE: | February 20, 2026 |
| RE: | Additional charges for untimely payment of commission medical examinations (CMEs) |
All payments for Commission Medical Examinations (CMEs) and/or CME no-show fees are due within 45 days of receipt of a properly submitted bill. Failure to make such a timely payment will result in an additional $450 charge.
Bills for CMEs are not required to be submitted on HCFA (CMS-1500) forms and have no specific CPT code requirement. “Properly submitted” means that the bill, accompanied by the report, is submitted to the responsible party indicated on the ALJ’s original order.
CMEs are not subject to discounts, including PPO discounts. The rate for a CME is $900 unless a higher amount is approved by the ordering ALJ. Timely payment of a discounted amount will not negate the additional charge.
Respondents should timely pay any CME no show fee that has been billed pursuant to Commission guidelines. They may then request a hearing to determine whether reimbursement and/or a credit is warranted.