Tex. Labor Code Section 413.021
Return-to-work Coordination Services


(a)

An insurance carrier shall, with the agreement of a participating employer, provide the employer with return-to-work coordination services on an ongoing basis as necessary to facilitate an employee’s return to employment, including on receipt of a notice that an injured employee is eligible to receive temporary income benefits. The insurance carrier shall notify the employer of the availability of the return-to-work reimbursement program under Section 413.022 (Return-to-work Reimbursement Program for Employers; Fund). The insurance carrier shall evaluate a compensable injury in which the injured employee sustains an injury that could potentially result in lost time from employment as early as practicable to determine if skilled case management is necessary for the injured employee’s case. As necessary, case managers who are appropriately certified shall be used to perform these evaluations. A claims adjuster may not be used as a case manager. These services may be offered by insurance carriers in conjunction with the accident prevention services provided under Section 411.061 (Accident Prevention Services; Prerequisite for License). Nothing in this section supersedes the provisions of a collective bargaining agreement between an employer and the employer’s employees, and nothing in this section authorizes or requires an employer to engage in conduct that would otherwise be a violation of the employer’s obligations under the National Labor Relations Act (29 U.S.C. Section 151 et seq.).

(b)

Return-to-work coordination services under this section may include:

(1)

job analysis to identify the physical demands of a job;

(2)

job modification and restructuring assessments as necessary to match job requirements with the functional capacity of an employee; and

(3)

medical or vocational case management to coordinate the efforts of the employer, the treating doctor, and the injured employee to achieve timely return to work.

(c)

An insurance carrier is not required to provide physical workplace modifications under this section and is not liable for the cost of modifications made under this section to facilitate an employee’s return to employment.

(d)

The division shall use certified rehabilitation counselors or other appropriately trained or credentialed specialists to provide training to division staff regarding the coordination of return-to-work services under this section.

(e)

The commissioner shall adopt rules necessary to collect data on return-to-work outcomes to allow full evaluations of successes and of barriers to achieving timely return to work after an injury.

(f)

Repealed by Acts 2003, 78th Leg., 3rd C.S., ch. 10, Sec. 1.02(a).
Added by Acts 2001, 77th Leg., ch. 1456, Sec. 3.02, eff. June 17, 2001. Amended by Acts 2003, 78th Leg., 3rd C.S., ch. 10, Sec. 1.02(a), eff. Oct. 20, 2003.
Amended by:
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.243, eff. September 1, 2005.
Acts 2009, 81st Leg., R.S., Ch. 1388 (S.B. 1814), Sec. 1, eff. June 19, 2009.

Source: Section 413.021 — Return-to-work Coordination Services, https://statutes.­capitol.­texas.­gov/Docs/LA/htm/LA.­413.­htm#413.­021 (accessed Jun. 5, 2024).

413.002
Medical Review
413.003
Authority to Contract
413.004
Coordination with Providers
413.006
Advisory Committees
413.007
Information Maintained by Division
413.008
Information from Insurance Carriers
413.011
Reimbursement Policies and Guidelines
413.012
Medical Policy and Guideline Updates Required
413.013
Programs
413.014
Preauthorization Requirements
413.015
Payment by Insurance Carriers
413.016
Payments in Violation of Medical Policies and Fee Guidelines
413.017
Presumption of Reasonableness
413.018
Review of Medical Care if Guidelines Exceeded
413.019
Interest Earned for Delayed Payment, Refund, or Overpayment
413.020
Division Charges
413.021
Return-to-work Coordination Services
413.022
Return-to-work Reimbursement Program for Employers
413.023
Information to Employers
413.024
Information to Employees
413.025
Return-to-work Goals and Assistance
413.031
Medical Dispute Resolution
413.032
Independent Review Organization Decision
413.041
Disclosure
413.042
Private Claims
413.043
Overcharging Prohibited
413.044
Sanctions on Designated Doctor
413.051
Contracts with Review Organizations and Health Care Providers
413.052
Production of Documents
413.053
Standards of Reporting and Billing
413.054
Immunity from Liability
413.055
Interlocutory Orders
413.0111
Processing Agents
413.0112
Reimbursement of Federal Military Treatment Facility
413.0115
Requirements for Certain Voluntary or Informal Networks
413.0141
Initial Pharmaceutical Coverage
413.0311
Review of Medical Necessity Disputes
413.0312
Review of Medical Fee Disputes
413.0511
Medical Advisor
413.0512
Medical Quality Review Panel
413.0513
Confidentiality Requirements
413.0514
Information Sharing with Occupational Licensing Boards
413.0515
Reports of Chiropractor Violations
413.05115
Medical Quality Review Process
413.05121
Quality Assurance Panel
413.05122
Medical Quality Review Panel: Rules

Accessed:
Jun. 5, 2024

§ 413.021’s source at texas​.gov