Department of Labor and Industry

Workers Comp Study Project

Workers' Comp Study Project

Workers' Compensation Study Project

 

Workers’ compensation systems are a complex balance of benefits, premiums and costs which vary from state to state.  The purpose of the Workers’ Compensation Study Project is to define and conduct a study that establishes accurate means of comparison across other state systems and report the results in an objective manner.

The study will

  • Identify specific and well-defined metrics, as well as sources for data, for the basis of the study.
  •  Solicit support for the study by engaging the input of stakeholders and interested parties, such as insurers, medical providers, injured workers, and legislators.
  • Provide Montana workers’ compensation policy makers with baseline information on the current status of the Montana system, as compared empirically and accurately with other states in the region.
  • Determine primary cost drivers in the Montana workers’ compensation system.

For more information email or call Anne Wolfinger at 406-444-9012.

Status Meeting Information

Workers' Compensation Study Project Status Meeting Information

Workers' Compensation Study Project Status Meeting - December 4, 2006
Agenda
Minutes
Handouts
Montana Workers' Compensation Loss Study
PowerPoint presentation
Audio recording
Injury Prevention I - The Impact of Drug Use on Workplace Safety
PowerPoint presentation
Audio recording
Return to Work
PowerPoint presentation

Workers' Compensation Study Project Status Meeting - September 18, 2006
Agenda
Minutes
Handouts
Oregon's Workers' Compensation Premium Rate Ranking: An In-depth Look
Economic Metrics

Workers' Compensation Study Project Status Meeting - July 24, 2006
Agenda
Minutes
Handouts
WCRI Administrative Inventory Briefing
Medical Fee Schedules Comparison
Return to Work Study

Workers' Compensation Study Project Status Meeting - May 15, 2006
Agenda
Minutes
Handouts
Medical Definitions
MT Fee Schedule Comparisons
Treatment Guidelines and Cost Drivers

Workers' Compensation Study Project Status Meeting - April 17, 2006
Agenda
Minutes
Handouts
Medical Metrics Update and Proposed Survey Questions
Workers' Compensation Policy Review Template for Comparing States' Workers' Compensation Benefits and Costs-presentation- narrative

Workers' Compensation Study Project Status Meeting - March 20, 2006
Agenda
Minutes
Handouts
Possible Metrics For Use In Our Study - Comparisons With Other States
States Selected to Include in Study
Workers' Compensation Medical Costs
"Other Factors" To Consider In Comparing Workers' Compensation Insurance Systems: A System Funding Look at Oregon

Workers' Compensation Study Project Status Meeting - February 28, 2006
Agenda
Minutes
Handouts
Montana System Overview (presentation by Mike Taylor, NCCI)
Making Rates or How Do They Do That Actuarial Thing (Presentation by Mike Taylor,NCCI)

Workers' Compensation Educational Conference

Workers' Compensation Educational Conference:

Understanding National and State Issues in Workers' Compensation 2007

On January 10-11, 2007, the Employment Relations Division held an educational conference on workers’ compensation in Helena at the Best Western Helena Great Northern. The conference, an outgrowth of the ongoing Workers’ Compensation Study Project, featured speakers discussing the current status and projected trends in workers’ compensation, both Montana-specific and nationally.

Montana Facility Fee Schedule: NOTICE

UPDATE (April 24, 2014)

Effective today, the Montana Employment Relations Division has published proposed updates to the Montana medical fee schedules, including both the Professional Fee Schedule and the Facility Fee Schedule, and the Montana Utilization and Treatment Guidelines.

A formal administrative rules process allows for public input and comment prior to adoption of the proposed fee schedules.  On May 19, 2014, at 1:00 p.m., the Department will hold a public hearing in the Sanders Auditorium of the Department of Public Health and Human Services (DPHHS) Building, 111 North Sanders Street, Helena, Montana, to consider the proposed amendments to the rules. The public comment period is open until June 6, 2014.

To view the proposed fee schedules, please visit the related fee schedule page (see column at right).

To view the proposed administrative rules, please click the link below:

Proposed Changes to Montana Medical Fee Schedule Administrative Rules

Montana Facility Fee Schedule: Overview

The Montana Facility Fee Schedule applies to all services and procedures provided on or after January 1, 2008 covered under Chapter 71 of the Montana Workers’ Compensation Act. Workers’ compensation payers shall use the appropriate fee schedule determined by the date of service and the instruction set when paying charges submitted by medical providers, unless otherwise specified in the Act.

If you have any questions about the fee schedule, please contact Maralyn Lytle in the Medical Regulation Unit by email at mlytle@mt.gov or by telephone at (406) 444-6604.

Click here to continue to the Montana Facility Fee Schedule

Administrative Rules of Montana

Facility Fee Schedule Administrative Rules of Montana

Montana Facility Fee Schedule Agreement

 

The fee schedule was developed by the Montana Employment Relations Division. Because the fee schedule includes data that is proprietary to the American Medical Association, certain restrictions apply. These restrictions are set out below.

CPT codes and two-digit modifiers maintained in the Data are Copyright 2006 (or other such date of publication of CPT as defined by US copyright laws) the American Medical Association.

The five-character codes included in the Montana Workers’ Compensation Fee Schedule are obtained from Current Procedural Terminology (CPT®), copyright 2006 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians.

The responsibility for the content of the Montana Workers’ Compensation Fee Schedule is with the Employment Relations Division and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse, or interpretation of information contained in the Montana Workers’ Compensation Fee Schedule. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Any use of CPT outside of the Montana Workers’ Compensation Fee Schedule should refer to the most recent Current Procedural Terminology which contains the complete and most currrent listing of CPT codes abd descriptive terms.

READ THIS AGREEMENT CAREFULLY. CLICKING “I ACCEPT” AND ACCESSING THE DATA ACKNOWLEDGES YOUR ACCEPTANCE OF THE TERMS BELOW, WHICH APPLY TO ALL OF THE MATERIALS CONTAINED HEREIN.

U.S. GOVERNMENT RIGHTS. The Data includes CPT which is commercial technical data and/or computer databases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 N. State Street Chicago IL 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or commercial computer software and/or commercial computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(3) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

CPT only are copyright 2007 American Medical Association. All Rights Reserved. CPT is a trademark of the American Medical Association (AMA).

Relative Value Guide (c) 2007 American Society of Anesthesiologists. All Rights Reserved. Relative Value Guide is a trademark of the American Society of Anesthesiologists.

RVG is a relative value study and not a fee schedule. It is intended only as a guide. ASA does not directly or indirectly practice medicine or dispense medical services. ASA assumes no liability for data contained or not contained herein.

You, your employees and agents are authorized to use CPT only as contained in the Official Montana Employment Relations Division Facility Fee Schedule Web Site solely for your own personal use in directly participating in healthcare programs administered by the Montana Employment Relations Division. You acknowledge that AMA holds all copyright, trademark and other rights in CPT.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA Website, http://www.ama-assn.org/go/cpt.

Disclaimer of Warranties and Liabilities.

CPT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative values, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with the Montana Employment Relations Division, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “I ACCEPT”.

I Accept                      I Do Not Accept