During a Periodic Roll Review, the medical evidence is reviewed. The file should contain a physician's rationalized opinion with regard to whether continued disability is causally related to the employee's accepted injury or illness. The following guidelines are used when determining the adequacy of medical evidence in the file:
- For cases in which temporary total disability payments are being paid (Case Status PR), medical evidence is required at least once a year.
- For cases in which payments are being made for a loss of wage-earning capacity (Case Status PW), medical evidence is required every two years.
- For more serious injuries in which the CE has determined and the Supervisory Claims Examiner has verified that no wage-earning capacity exists (Case Status PN), medical evidence is required every three years.
- For cases on the periodic roll for payment of a schedule award, no medical reports need to be requested. These cases require annual submittal of Form CA-1032 to determine the status of dependents for which augmented compensation is being paid. If the dependent's status is at issue, the case may be reviewed more frequently.