There is new information regarding medical provider networks,
worker's compensation forms and other notices. Please review the following
information carefully and let us know if you have any questions:
Medical provider networks, employee information, and workers'
compensation claim form (DWC 1) and notice of potential eligibility:
The DWC (Division of Workers' Compensation) amended
regulations on MPN (Medical Provider Networks) and employee information.
Employers must revise their employee notices and workers' compensation posters
to comply with the new regulations.
Some of the amendments to the regulations are as follows:
· Allows employers to distribute MPN notices electronically
to all covered workers.
· Eliminates the 14-day MPN implementation and change of MPN
notice period.
· Reduces distribution of both the Change of MPN notices and
the Termination/Cessation of Use
of MPN only to covered injured workers.
Use of MPN notices only to covered injured workers:
· Requires employers to include an MPN contact e-mail address
within notices.
· Requires access to the MPN contact through the toll-free
number.
· Updates the Employee Poster and Notice of Potential
Eligibility and DWC Claim Form 1.
If you
offer an MPN, you must provide the following notices:
Workers'
Compensation pamphlet (aka "Written Notice to New Employees"): Please provide to
every new employee, either at the time of hire or by the end of the first pay
period, the Written Notice to New Employees concerning the rights, benefits and
obligations under the worker's compensation law. The notice must include a
description about MPNs, which includes that the employer may be using a MPN,
what a MPN is, the pre-designation exemption from the MPN, when an employee must
begin to use a physician from the MPN and how to request information about
using a MPN.
Workers'
compensation posting (aka "Notice to Employees Poster"): Please post and keep posted
in a conspicuous location frequented by employees during the hours of the
workday a Notice to Employees. This notice must include a description about
MPNs along with the MPN contact telephone number, address, and if available,
the MPN website/URL. You also must include the effective date of the MPN
coverage, if you are using a MPN.
The
complete written MPN employee notification must be posted in both English and
Spanish.
Implementation
Notice: Notify every covered employee, in writing, about the use of
the MPN prior to the implementation of an approved MPN. New employees must
receive the notice at the time of hire.
Termination,
Cessation, or Change of MPN:
a. Employers must make sure that each injured covered
employee is informed in writing of the MPN policies that cover him or her and
you must notify the injured employee when he or she is no longer covered by
your MPN. You must supply written notice of the date of termination or
cessation of use of your MPN to injured covered employees prior to the
effective date of termination or cessation.
b. If you're changing MPN coverage to a different MPN, you must
provide a written notice to every injured covered employee prior to the
effective date of coverage.
Independent Medical Review: At the time of selection of a physician for a third opinion,
you must notify the covered employee about the Independent Medical Review
process.
Separate from the MPN implementation notice, you must send a
complete written MPN employee notification about coverage under the MPN to
covered employees at the time of injury or when an employee with an existing
injury begins treatment under the MPN. The insurer or the employer must notify
an injured employee of his or her right to be treated by a
physician of his or her choice within the MPN after the first
visit with the MPN physician and the method by which the list of participating
providers may be accessed by the employee.
A complete list of revisions is online at the DWC website
but some of the revisions include:
· Added information on MPNs that
includes information about an employee's right to pre-designate a personal
physician.
· Minor changes in language to
promote clarity (such as reversing sentence order under "Get Medical Care" to
emphasize the priority of addressing emergency care first).
Are there changes to the workers' compensation pamphlet?
Yes, such as language relating to pre-designating a personal
physician or medical group and information on MPNs in the Written Notice to New
Employees.
Do I have to give the
notices or provide the poster in languages other than English? Yes, but with the following caveats:
· Implementation Notices, Termination,
Cessation, or Change of MPN notices, Written Notice to New Employees, Independent
Medical Review Process, MPN Employee Notification: Shall
be provided in English and also in Spanish, but it only needs to be provided in
Spanish to Spanish-speaking
individuals.
· Posting of Notice to
Employees: Shall be posted in both English
and Spanish where there are Spanish-speaking employees.
You may send these notices by mail to the employee or include
them on or with an employee's paystub or paycheck. You may also distribute the
notices through electronic means, including email, if the employee has regular
electronic access to email at work to receive the notice prior to the
implementation, end or beginning of the MPN.
Combining Notices:
The notice of termination or cessation of use of a MPN may be
combined with the notice of a change to new MPN coverage of the combined notice
meets all the MPN regulatory requirements for both termination or cessation of
use of a MPN and for change of a MPN.
The posting/notification has to include the following
information:
· How to contact the person
designated by the employer or insurer to be the MPN Contact for covered
employees to answer questions about MPNs and to address MPN problems. The employer
or insurer shall provide a toll-free telephone number with access to the MPN Contact if the
MPN geographical service area includes more than one area code.
· A description of MPN services
· How to review, receive or access the MPN provider directory.