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Program A: Injured Workers' Benefit Protection

Program Authorization: R. S. 23:1021

PROGRAM DESCRIPTION

The mission of the Injured Workers' Benefit Protection Program is to establish standards of payment as well as utilization and review procedures of injured worker claims; receive, process, hear and resolve legal actions on compliance to state statutes. It is also the mission of this program to educate and influence employers and employees to adopt comprehensive safety and health policies, practices and procedures; and collect fees.

The goals of the Injured Workers' Benefit Protection Program are:

1. Administer a financially sound program to meet current and future claim obligations.

2. Control medical costs.

3. Maximize the quality of care received by workers injured on the job.

4. Administer the resolution of workersí compensation disputes in an efficient, timely, and impartial manner.

The Injured Workers' Benefit Protection Program includes the following activities: mediation and adjudication of all workers' compensation disputes; collection of statistical data on compensable occupational injuries and illnesses; determination of minimum and maximum allowable levels of compensation; development and implementation of medical utilization review procedures; development, implementation and administration of loss prevention safety and health programs; assistance to Louisiana employers with programs pursuant to code of federal regulations (OSHA Consultation); and administration of the Louisiana Cost Containment Program.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

 

 

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

This program is funded with Statutory Dedications and Federal Funds. The Statutory Dedications are derived from the Worker Compensation Fund. (Per R.S. 39:32B. (8), see table below for a listing of expenditures out of each statutory dedicated fund). The Worker Compensation Fund receives revenues from an assessment on all insurance companies and self-insurer's writing worker's compensation insurance in Louisiana. Such assessments are a percentage of the amount reported in the annual reports. The Federal Funds are derived from an Occupational Safety Health Administration (OSHA) statistical grant. This grant requires a 10% match from the Worker's Compensation Fund.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$0

$9,936,376

162

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$96,059

3

 

Funding provided in the Occupational Safety and Health Administration Consultation Section to fund three (3) positions to assist this section in becoming compliant with a cooperative agreement between the USDOL and DOL to provide resources to implement the approved grant agreement between the two parties

 

 

 

 

 

$0

$10,032,435

165

 

EXISTING OPERATING BUDGET Ė November 20, 1999

 

 

 

 

 

$0

($39,454)

0

Risk Management Adjustment

$0

$3,124

0

Rent in State-owned Buildings

$0

$352,348

0

Salary Base Adjustment

$0

($117,854)

0

Attrition

$0

 $2,196

0

 

Civil Service Fees 

$0

$354,273

0

 

Funding provided for leasing of equipment to complete the thin client expansion throughout the department

         

$0

$10,587,068

165

 

TOTAL RECOMMENDED

 

 

 

 

 

$0

$554,633

0

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 106.0% of the existing operating budget. It represents 95.0% of the total request ($11,170,653) for this program. The 6% increase is due to providing funding for leasing of equipment to complete the thin client expansion throughout the department. This program did not have any vacant positions for 1 year or more.

PROFESSIONAL SERVICES

$50,000

 

Legal Medical-Review of claims for health care rates to insure accuracy and appropriateness

$285,000

 

Court Reporters to work with administrative law judges to provide on-site technical assistance in establishing rehabilitation review and monitoring system

$512,000

 

Bailiffs (off duty sheriff deputies to maintain security in courtroom for Administrative Law Judges in Alexandria, Baton Rouge, Franklinton, Houma, Harvey, Lafayette, Lake Charles, Monroe, New Orleans, and Shreveport districts)

$10,000

 

This provides assistance to citizens throughout Louisiana on information which may lead to an arrest and indictment; to receive information relating to workers' comp fraud from anonymous citizens/callers; and to provide cash rewards for information relating to Office of Workers' Compensation Fraud.

$8,000

 

This provides for an Occupational Safety Health Administration to install Microsoft Office that includes Word, Access and Excel that interfaces together Establishes a standard conversion method for importing National Council of Compensation Insurance data into Microsoft Access. Customize Access database software for retrieval and reporting purposes as stated in this contract.

 

 

 

$865,000

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$38,103

 

Legislative Auditor

$48,073

 

Rent in State-owned Buildings

 

 

 

$86,176

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$234,790

 

Department of Justice-Legal Services

$16,803

 

Department of Civil Service-Document Processing Fee

$11,905

 

Division of Administration-Comprehensive Public Training Program (CPTP)

$90,107

 

Office of Employment Security-Fraud investigation of Worker's Compensation Claims

 

 

 

$353,605

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$68,000

 

Replacement of 20 Laptop P.Cís, and 20 Portable printers

$96,350

 

Funding provided for 20 desktop P.Cís and 10 laser printers

 

 

 

$164,350

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS

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