# TX Designated Doctor Program Guide > Texas designated doctor program guide: 28 TAC 130.1 MMI rules, Report of Medical Evaluation, telemedicine limits. Verified 2026-08-15. Canonical page: https://medrecords.ai/content-hub/states/tx/ --- [Content Hub](https://medrecords.ai/content-hub/) › States ## TX Designated Doctor Program Guide 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. 3 sections·3 sources·Verified 2026-08-15 ✓ 01 ### Program overview Either party may request a designated doctor when there is a dispute about MMI, impairment rating, or extent of injury. The DD certifies the MMI date and impairment rating on the Report of Medical Evaluation; the rating is invalid without a valid MMI date. 02 ### 2023 rule updates Rule changes effective June 5 2023 revised DD requirements and forms; TDI publishes the DD overview notes and Quick Reference Guide for Designated Doctors. 03 ### Telemedicine From June 1 2025, a treating doctor may certify MMI by telemedicine only for minor injuries with no additional treatment and no impairment; an examination to assign an impairment rating is excluded (28 TAC 133.30). 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** [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/) Texas runs a **Designated Doctor** programme and rates on **edition set by agency** (28 TAC 130.1). 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 | Designated Doctor | | --- | --- | | Agency | Texas Department of Insurance, Division of Workers' Compensation | | Statute / rules | 28 TAC 126.7; 28 TAC 130.1–130.2 | | AMA Guides edition | Edition adopted by the commissioner (verify per rule) | | Edition basis | 28 TAC 130.1 | | MMI rules | MMI date and impairment rating must be certified on the Report of Medical Evaluation to be valid | | Key forms | DWC-32 (Request for Designated Doctor); Report of Medical Evaluation | | Fee schedule | Designated doctor fee schedule per TDI rules (verify current) | | Telehealth | MMI certification by telemedicine allowed for minor injuries with no impairment (28 TAC 133.30, from June 1 2025); impairment-rating exams remain in person | ### Sources - [TDI DWC Designated Doctor program](https://agate.tdi.state.tx.us/wc/dd/index.html) - [28 TAC § 130.1](https://regulations.justia.com/states/texas/title-28/part-2/chapter-130/subchapter-a/section-130-1/) - [28 TAC § 133.30 (telemedicine)](https://regulations.justia.com/states/texas/title-28/part-2/chapter-133/subchapter-b/section-133-30-d-1/) 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-tx) [Book a demo](https://medrecords.ai/demo/?src=content-hub-tx) ### 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-tx) [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-tx) [Product — **Medical chronology** — A dated, deduplicated timeline with a citation on every entry. 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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-tx) [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