Do the Medical Treatment Guidelines have any effect on the requirements in the Preferred Provider Organization (PPO)?
No. The Medical Treatment Guidelines have no effect on the insurance carrier’s right to require an injured worker to obtain initial treatment from a medical provider participating in the PPO. Medical providers who are participating in a PPO program must also adhere to the Medical Treatment Guidelines.
Related Questions
- What recourse does a medical provider have if treatment is rendered in accordance with the Guidelines and does not receive payment or a response from the insurance carrier?
- Can an injured worker voluntarily pay a medical provider for medical treatment that is not recommended in the Medical Treatment Guidelines?
- Does a medical provider have an option if he or she believes an injured worker needs treatment that is not consistent with the Guidelines?
