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State program guides
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Cross-state view
See the state matrix report (v1) for a table comparing programs, AMA Guides editions, MMI rules, and fee schedules.
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
CaliforniaQMELabor Code § 4660(b)(1)AMA Guides 5thPennsylvaniaIRE34 Pa. Code § 123.105; Act 142AMA Guides 6thTennesseeIR trainingState-approved training listAMA Guides 6thColoradoDIMERule 11Edition set by agencyOhioIME / DMEBWC policyEdition set by agencyTexasDesignated Doctor28 TAC 130.1Edition set by agencyWashingtonIMEL&I Medical Examiners' HandbookEdition set by agencyFloridaIRE / Schedule1996 Florida Impairment Rating ScheduleState schedule, not AMANew YorkIME / SLU2018 SLU guidelinesState schedule, not AMAArizonaDMENo canonical state source verifiedNot confirmed
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.
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.
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.
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.
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.
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.
FL — IRE / Schedule
Florida rates permanent impairment under its own 1996 Uniform Permanent Impairment Rating Schedule rather than the AMA Guides.
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.
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.
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.
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SolutionWorkers' compensationQME, SOAF, impairment rating and federal program record work.Read more →SolutionUtilization review packetsThe clinical record assembled against the criteria the reviewer applies.Read more →ProductMedical chronologyA dated, deduplicated timeline with a citation on every entry.Read more →
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