# IME & QME Programs by State — Index | Content Hub > State-by-state IME program guides: QME, designated doctor, DIME, IRE and more, with AMA Guides editions, MMI rules and the key forms for each state. Canonical page: https://medrecords.ai/content-hub/states/ --- [Content Hub](https://medrecords.ai/content-hub/) › States ## IME & QME Programs by State — Index Every state runs its own independent medical evaluation program — California QME, Texas designated doctor, Colorado DIME, Pennsylvania IRE, and more. This index links each program guide with its AMA Guides edition, MMI rules, and key forms. Browse 10 items 2 sections·1 source·Verified 2026-08-15 ✓ 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 rating standard is set by the jurisdiction, not by the examiner, so identical clinical findings can produce different numbers state to state. Below is the basis each of the 10 jurisdictions profiled here works to, and the programme that runs the evaluation. [ #### CA — QME 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. CA](https://medrecords.ai/content-hub/states/ca/) [ #### TX — Designated Doctor Texas' designated doctor program uses state-selected, state-trained physicians to resolve MMI, impairment-rating, and extent-of-injury disputes, with findings carrying presumptive weight. TX](https://medrecords.ai/content-hub/states/tx/) [ #### NY — IME / SLU New York evaluates permanent impairment through its own Schedule Loss of Use guidelines (2018) rather than the AMA Guides, certified on Form C-4.3 at maximum medical improvement. NY](https://medrecords.ai/content-hub/states/ny/) [ #### WA — IME Washington's IME program is governed by the L&I Medical Examiners' Handbook, which specifies required report content, work-relatedness analysis, and physical-capacity estimates. WA](https://medrecords.ai/content-hub/states/wa/) [ #### CO — DIME Colorado's DIME (Division Independent Medical Examination) is the state-selected examination that resolves MMI and impairment disputes, applied within 30 days of a dispute. CO](https://medrecords.ai/content-hub/states/co/) [ #### PA — IRE Pennsylvania's impairment rating evaluation (IRE) assigns an impairment rating under the AMA Guides 6th Edition (2nd printing 2009) after Act 142 restored the IRE remedy. PA](https://medrecords.ai/content-hub/states/pa/) [ #### FL — IRE / Schedule Florida rates permanent impairment under its own 1996 Uniform Permanent Impairment Rating Schedule rather than the AMA Guides. FL](https://medrecords.ai/content-hub/states/fl/) [ #### OH — IME / DME Ohio runs IMEs through the BWC (claims-side) and the Industrial Commission (adjudication-side), including mandatory defense medical exams at 90-day and 200-week milestones. OH](https://medrecords.ai/content-hub/states/oh/) [ #### TN — Impairment-rating training Tennessee maintains a state-approved list of impairment-rating training providers — including AMA Guides 6th Edition training, ABIME CIME, and AADEP — that physicians must use to rate under the Guides. TN](https://medrecords.ai/content-hub/states/tn/) [ #### AZ — DME Arizona's carriers commonly use defense medical examinations (DMEs) to evaluate compensability, MMI, and benefit termination; a canonical state PDF was not found in the 2026-08-15 pass. AZ](https://medrecords.ai/content-hub/states/az/) 01 ### State program guides - [California QME](https://medrecords.ai/content-hub/states/ca/) - [Texas Designated Doctor](https://medrecords.ai/content-hub/states/tx/) - [New York IME & SLU](https://medrecords.ai/content-hub/states/ny/) - [Washington IME](https://medrecords.ai/content-hub/states/wa/) - [Colorado DIME](https://medrecords.ai/content-hub/states/co/) - [Pennsylvania IRE](https://medrecords.ai/content-hub/states/pa/) - [Florida IRE & impairment schedule](https://medrecords.ai/content-hub/states/fl/) - [Ohio IME/DME](https://medrecords.ai/content-hub/states/oh/) - [Tennessee impairment-rating training](https://medrecords.ai/content-hub/states/tn/) - [Arizona defense medical exams](https://medrecords.ai/content-hub/states/az/) 02 ### Cross-state view See the [state matrix report (v1)](https://medrecords.ai/content-hub/reports/ime-state-matrix-2026/) for a table comparing programs, AMA Guides editions, MMI rules, and fee schedules. ### Sources - [State program sources are listed per page](https://medrecords.ai/content-hub/states/) Medrecords AI Every line cited back to its page. Send one real record set. We return a cited chronology you can check line by line, and a human decides what it means. [Test on a file](https://medrecords.ai/test-a-file/?src=content-hub-states) [Book a demo](https://medrecords.ai/demo/?src=content-hub-states) ### Meeting these requirements with Medrecords AI Medrecords AI assembles the record against the standard this jurisdiction applies — sorted, deduplicated and cited, so the reviewer checks the read instead of rebuilding it. [Solution — **Workers' compensation** — QME, SOAF, impairment rating and federal program record work. Read more →](https://medrecords.ai/solutions/workers-comp/?src=content-hub-states) [Solution — **Utilization review packets** — The clinical record assembled against the criteria the reviewer applies. Read more →](https://medrecords.ai/solutions/utilization-review-record-packet/?src=content-hub-states) [Product — **Medical chronology** — A dated, deduplicated timeline with a citation on every entry. Read more →](https://medrecords.ai/product/chronology/?src=content-hub-states) Test it on a file you already have. Send one real record set. You get back a cited chronology and decide for yourself whether the read holds up — no obligation either way. [Test a file](https://medrecords.ai/test-a-file/?src=content-hub-states) [Book a demo](https://medrecords.ai/demo/?src=content-hub-states) ### Explore the Content Hub [ #### Software & platforms AI and case-management platforms across medical-record review. ](https://medrecords.ai/content-hub/software/) [ #### Service providers & BPOs IME, peer review, retrieval, and BPO providers. ](https://medrecords.ai/content-hub/services/) [ #### Comparisons Head-to-head vendor and program comparisons. ](https://medrecords.ai/content-hub/compare/) [ #### Guides Editorial reference on report writing, MMI, and validity testing. ](https://medrecords.ai/content-hub/guides/) [ #### Conferences & events Workers' comp, claims, and IME conferences with editorial takes. ](https://medrecords.ai/content-hub/events/) [ #### Directories Link-out rosters of examiners, LNCs, and expert witnesses. ](https://medrecords.ai/content-hub/directory/) [ #### State matrix report All 10 verified state programs, side by side. ](https://medrecords.ai/content-hub/reports/ime-state-matrix-2026/) [ #### Content Hub home The full index of everything in the hub. ](https://medrecords.ai/content-hub/) Medrecords AI ### Minutes per file. Every line cited. 10¢ a page. Bring the hardest file from this page. Get a cited chronology and a report draft in minutes — every line traced to its source page, ready for your review and signature. - Minutes per file, not days - Every line cited to its source page - Flat 10¢/page, duplicates free — no license, no minimums - HIPAA-eligible · SOC 2 audit-ready [Test on a file](https://medrecords.ai/test-a-file/?src=content-hub-states) [Book a demo](https://medrecords.ai/demo/) See how Medrecords AI compares with anything on this page — over a 30-minute call, side by side. Last verified: 2026-08-15