# CA QME Program Guide

> California QME program guide: panel process, AMA Guides 5th, PDRS 2005, forms, and fees. Verified 2026-08-15.

Canonical page: https://medrecords.ai/content-hub/states/ca/

---
[Content Hub](https://medrecords.ai/content-hub/) › States

## CA QME Program Guide

California's Qualified Medical Evaluator (QME) program appoints state-approved physicians who resolve medical-legal disputes, using the AMA Guides 5th Edition and the 2005 Permanent Disability Rating Schedule.

3 sections·4 sources·Verified 2026-08-15 ✓
01

### Program overview

When the parties cannot agree on an evaluator, the DWC Medical Unit issues a 3-physician QME panel; each side strikes one name (8 CCR § 108). QMEs must complete DWC-approved training, including the online QME course updated with UC Berkeley COEH.

02

### Rating framework

Labor Code § 4660(b)(1) incorporates the AMA Guides 5th Edition. The 2005 PDRS (8 CCR § 9805) applies impairment plus the Four Adjustments (age, occupation, diminished future earning capacity, apportionment) to reach the permanent disability rating.

03

### Partial items

Telehealth status for QME evaluations was not confirmed; check current DWC guidance before relying on it.

Rating basis by jurisdiction — 10 states profiled
California — QME — Labor Code § 4660(b)(1) — **AMA Guides 5th**
[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/)
California runs a **QME** programme and rates on **ama guides 5th** (Labor Code § 4660(b)(1)). The rating standard is set by the jurisdiction, not by the examiner, so the same clinical findings can produce different numbers across the 10 states profiled here.

### Key facts

| Program | QME |
| --- | --- |
| Agency | California Division of Workers' Compensation, Medical Unit |
| Statute / rules | Labor Code 4060–4062.9; 8 CCR 31.3–31.7; 8 CCR 9805 |
| AMA Guides edition | 5th Edition |
| Edition basis | Labor Code § 4660(b)(1) |
| MMI rules | Permanent disability rated at MMI per the 2005 PDRS |
| Key forms | QME Form 100 (application); QME Form 105 (panel selection instructions) |
| Fee schedule | 8 CCR 17; Medical-Legal Fee Schedule 2021 (ML201 comprehensive evaluation fee) |
| Telehealth | Not confirmed |

### Sources

- [CA DWC Medical Unit](https://dir.ca.gov/dwc/MedicalUnit/imchp.html)
- [8 CCR § 9805 (PDRS)](https://www.law.cornell.edu/regulations/california/8-CCR-9805)
- [Labor Code § 4660](https://law.justia.com/codes/california/2020/code-lab/division-4/part-2/chapter-2/article-3/section-4660/)
- [8 CCR § 108 (panel selection)](https://www.dir.ca.gov/t8/108.html)

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Last verified: 2026-08-15
