# IME State Program Matrix (2026) | Content Hub > State-by-state IME/QME/DD/DIME/IRE program matrix: program name, agency, AMA Guides edition, MMI rules, and fee schedule status — verified 2026-08-15. Canonical page: https://medrecords.ai/content-hub/reports/ime-state-matrix-2026/ --- [Content Hub](https://medrecords.ai/content-hub/) › Reports ## IME State Matrix v1 (2026-08-15) The v1 state matrix compares IME program type, AMA Guides edition, MMI rules, and fee-schedule status across 10 states, from the 2026-08-15 research pass. 1 section·2 sources·Verified 2026-08-15 ✓ ### State matrix (v1) Rating basis by jurisdiction — 10 states profiled [California — QME — Labor Code § 4660(b)(1) — **AMA Guides 5th** ](https://medrecords.ai/content-hub/states/ca/) [Pennsylvania — IRE — 34 Pa. Code § 123.105; Act 142 — **AMA Guides 6th** ](https://medrecords.ai/content-hub/states/pa/) [Tennessee — IR training — State-approved training list — **AMA Guides 6th** ](https://medrecords.ai/content-hub/states/tn/) [Colorado — DIME — Rule 11 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/co/) [Ohio — IME / DME — BWC policy — **Edition set by agency** ](https://medrecords.ai/content-hub/states/oh/) [Texas — Designated Doctor — 28 TAC 130.1 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/tx/) [Washington — IME — L&I Medical Examiners' Handbook — **Edition set by agency** ](https://medrecords.ai/content-hub/states/wa/) [Florida — IRE / Schedule — 1996 Florida Impairment Rating Schedule — **State schedule, not AMA** ](https://medrecords.ai/content-hub/states/fl/) [New York — IME / SLU — 2018 SLU guidelines — **State schedule, not AMA** ](https://medrecords.ai/content-hub/states/ny/) [Arizona — DME — No canonical state source verified — **Not confirmed** ](https://medrecords.ai/content-hub/states/az/) The matrix below carries only fields verified against a cited source on 2026-08-15. Arizona is partial because no canonical state source was found; Ohio’s edition is agency-set and pending a live check; Florida and New York rate on their own schedules rather than the AMA Guides. ### How to read this Each row uses only fields verified against a cited source on 2026-08-15. Cells marked Unknown/Not published were not confirmed and are never guessed. Program names: QME (California), Designated Doctor (Texas), SLU/IME (New York), IME (Washington), DIME (Colorado), IRE (Pennsylvania), IRE/Schedule (Florida), IME/DME (Ohio), Training (Tennessee), DME (Arizona). ### Caveats Arizona lacks a canonical state PDF yet and is partial. Ohio's AMA edition is 'BWC-approved edition' pending a live check. Florida uses its own 1996 schedule, not the AMA Guides. New York uses its own SLU guidelines, not the AMA Guides. ### State matrix (v1) | State | Program | AMA Guides edition | MMI rules | Fee schedule | | --- | --- | --- | --- | --- | | CA | QME | 5th Edition | Permanent disability rated at MMI per the 2005 PDRS | 8 CCR 17; Medical-Legal Fee Schedule 2021 (ML201 comprehensive evaluation fee) | | TX | Designated Doctor | Edition adopted by the commissioner (verify per rule) | MMI date and impairment rating must be certified on the Report of Medical Evaluation to be valid | Designated doctor fee schedule per TDI rules (verify current) | | NY | IME / SLU | Not AMA-based (New York SLU guidelines) | MMI defined at 12 NYCRR 324.1; no MMI before 6 months for non-surgical/non-fracture cases | WCB medical fee schedule (verify current) | | WA | IME | AMA Guides (edition per L&I — verify current) | Detailed in the Medical Examiners' Handbook; report content per WAC 296-23-382 | L&I fee schedule; MARFS Chapter 24 covers telehealth IME policy | | CO | DIME | Edition per Rule 11 (verify current) | DIME resolves disputes over MMI and impairment determinations | Rule 11 fee schedule (based primarily on designated body part) | | PA | IRE | 6th Edition (2nd printing, April 2009) | IRE assigns an impairment rating that can cap or terminate wage-loss benefits depending on the percentage | IRE fee schedule (verify current) | | FL | IRE / Schedule | Not AMA-based (Florida schedule) | Impairment rated after MMI certification per Chapter 440 | Per Division rules (verify current) | | OH | IME / DME | BWC-approved edition (verify current) | IME opinions cover maximal medical improvement, impairment percentage, and mental/limitation questions | IC fee schedule (verify current) | | TN | Impairment-rating training | 6th Edition | Per state rules (verify current) | Not confirmed | | AZ | DME | Not confirmed | Not confirmed | Not confirmed | ### Sources - [State sources on each program guide](https://medrecords.ai/content-hub/states/) - [Full state matrix table (this page)](https://medrecords.ai/content-hub/reports/ime-state-matrix-2026/) ### How Medrecords AI does this work Medrecords AI does this category of work as software. 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