The providers must then, within 90 days, either provide reimbursement or answer with a detailed written detailed explanation of why reimbursement will not be made. Finally, the proposed amendment establishes the manner in which reimbursement disputes will be resolved by the Commission. Regarding that part of the rule dealing with medical expense reimbursements, the proposed amendment may result in a small number of reimbursement disputes being presented to Commission for resolution. These disputes can be handled with existing resources. Consequently, there will be no cost to the state budget.
Local governments are subject to the proposed amendment in their capacity as employers.
The proposed amendment will simplify processes for obtaining medical expense reimbursements. This may result in some minor savings to local government. The proposed amendment will simplify processes for obtaining medical expense reimbursements. This may result in some minor savings to insurance carriers and self-insured employers. Disputes regarding medical expense reimbursements already exist and require staff time and attention to resolve.