Medical Providers
Medical providers who treat patients injured at work need to know the following information about their responsibilities on Workers' Compensation cases.
Medical Fees & Hospital Rates
The Director of the Department of Labor and Training establishes a medical fee schedule of rules and rates of reimbursement for workers' compensation medical services.
Hospital services are subject to the Hospital Rates instead of the medical fee schedule.
View or order a copy (printed or electronic) of the RI Medical Fee schedule online at Rising Medical Solutions, Inc. ®
The Medical Advisory Board (MAB) adopts and reviews protocols of treatment for work-related injuries and provides notice of impartial medical exams required at 26 and 39 weeks of incapacity. The MAB also records complaints against and is authorized to disqualify medical care providers. You can reach the Medical Advisory Board at One Dorrance Plaza Providence, RI 02903. Phone: (401) 458-3460 | Email: John F. McBurney, Administrator
For more information abut the medical fee schedules, please contact:
Matt Carey
(401) 462-8127
Matt.Carey@dlt.ri.gov
Medical Forms
1. Notification of Claim of Compensable Injury DWC-29
This form needs to be submitted to the insurer within 3 days of initial visit with a copy for the employee and the attorney.
2. Physician's Notice of Release to Work DWC-27/28
This form needs to be submitted to the insurer within 3 days of release to work with a copy for the employee and the attorney.
3. Request for Additional Palliative Care DWC-40
For additional workers' compensation medical forms, visit the Medical Advisory Board..
If you have questions or comments about medical forms, please contact the Education Unit at:
(401) 462-8100
DLT.WCEdcUnit@dlt.ri.gov