What if an employee pre-designates a personal treating physician? Is he or she still required to treat within the MPN?
An employee who notifies the employer in writing prior to an injury that he or she pre-designates a specific provider to furnish medical treatment for an industrial injury, is allowed to treat outside the MPN. This pre-designation must include the consent of the pre-designated treating physician, and is not allowed if your firm does not offer a group health plan or insurance. Despite the fact that the pre-designated treating physician may not be within the MPN, that provider must still comply with medical reporting requirements and follow ACOEM treatment guidelines in accordance with state law.
Related Questions
- What if my employee has not pre-designated a treating physician and refuses to obtain medical treatment within the MPN?
- What if an employee pre-designates a personal treating physician? Is he or she still required to treat within the MPN?
- May a URO deny a request for authorization because the treating physician is not the MPN physician?