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Personnel warns QME delays will frustrate new 75‑day decision window for presumptive sworn claims
Summary
Personnel Department staff told the council committee that the state reduction from 90 to 75 days to decide presumptive sworn workers' compensation claims is impractical given long waits for Qualified Medical Evaluator appointments; staff said medical treatment continues but wage replacement often remains delayed until claims are accepted.
The Personnel Department told the Personnel and Hiring Committee that recent state changes and statewide doctor scheduling delays are creating practical barriers to meeting a shortened decision timeline for presumptive sworn workers' compensation claims.
Tyrone Spears, chief of workers' compensation at the Personnel Department, said the state reduced the statutory decision window for presumptive claims from 90 to 75 days. Personnel staff told the committee that the change is difficult to meet because Qualified Medical Evaluator (QME) appointments can be delayed for months and…
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