Maximus Federal Services
Legal basis: LC §4610.5
Definition
The independent medical review organization contracted by the DWC to conduct Independent Medical Reviews of disputed utilization review decisions. Maximus assigns physician reviewers who evaluate whether denied or modified treatment is medically necessary according to the MTUS guidelines, issuing binding determinations.
Related Terms
Frequently Asked Questions
What is a Maximus Federal Services?
The independent medical review organization contracted by the DWC to conduct Independent Medical Reviews of disputed utilization review decisions. Maximus assigns physician reviewers who evaluate whether denied or modified treatment is medically necessary according to the MTUS guidelines, issuing binding determinations.
What is the legal basis for Maximus Federal Services in California workers' compensation?
Maximus Federal Services is governed by LC §4610.5 under California workers' compensation law. This statute defines the requirements, procedures, and standards for maximus federal services in the workers' compensation system as of 2026.
What role does maximus federal services play in workers' compensation administration?
Maximus Federal Services is part of the administrative framework of California's workers' compensation system. It helps ensure that claims are processed efficiently and that all parties meet their obligations under the law.