Request for Authorization (RFA)
Legal basis: 8 CCR §9792.6.1
Definition
The standardized DWC Form RFA used by treating physicians to request prior authorization for medical treatment from the claims administrator. The RFA triggers the utilization review process, and the claims administrator must respond within specified timeframes based on whether the request is prospective, concurrent, or expedited.
Key Facts About RFA in 2026
QME Physicians in CA
~2,500
Evaluation Fee Range
$2,500-$4,000
Report Deadline
30 days
Avg AI-Assisted Turnaround
14 days
Related Terms
Frequently Asked Questions
What is a Request for Authorization (RFA)?
The standardized DWC Form RFA used by treating physicians to request prior authorization for medical treatment from the claims administrator. The RFA triggers the utilization review process, and the claims administrator must respond within specified timeframes based on whether the request is prospective, concurrent, or expedited.
What is the legal basis for RFA in California workers' compensation?
Request for Authorization is governed by 8 CCR §9792.6.1 under California workers' compensation law. This statute defines the requirements, procedures, and standards for request for authorization in the workers' compensation system as of 2026.
Where can I find the Request for Authorization form?
The Request for Authorization form is available through the California Division of Workers' Compensation (DWC) website. IMEPro can help physicians complete and manage these forms efficiently with AI-assisted documentation tools.