Can carriers determine the number of chiropractors in a WC network?
Insurance carriers do not determine the number of chiropractors in a certified workers compensation network. The networks make this decision but must contract with sufficient numbers and types of health care providers to ensure choice, access and quality of care to injured employees. The access standards differ based on whether chiropractors are allowed by the network to serve as treating doctors or whether they participate as specialists. The statute requires that the distance from any point in the service area to a treating doctor not exceed 30 miles in non-rural areas and 60 miles in rural areas while the distance from any point in the service area to a specialist cannot exceed 75 miles in both rural and non-rural areas. Except for emergencies, networks must arrange for services and specialty referrals on a timely basis upon request but not later than the last day of the third week following the request. If a network meets these standards in the service area, the network is consider
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- Can carriers determine the number of chiropractors in a WC network?
