August 8, 2022

Healty

Slick Healthy

DWC Clarifies Provider Directory Requirements for Medical

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Logo for Dept of industrial relations
California state seal.

NEWSLINE



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The Division of Workers’ Compensation (DWC) has received queries relating to the varieties of entities or businesses that can be included in a Health-related Company Network (MPN) provider directory. The company directory lists licensed doctors and ancillary providers of clinical expert services (these kinds of as bodily therapists) from which an hurt worker lined by the MPN can freely pick as their service provider of professional medical therapy.  DWC would like to ensure that MPNs distributing provider listings to the Division for acceptance do not include things like non-compliant supplier names.

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Underneath current law, if an MPN submits a provider listing that contains the names of non-qualified companies, administration companies companies, scheduling and coordinating organizations, price tag containment companies, or other non-company entities, the DWC will disapprove the MPN submission. For illustration, if an MPN submission features an ancillary provider supplier, this sort of as a non-skilled corporation that both schedules or provides physical remedy, the submission will be denied considering that the entity are not able to lawfully render qualified expert services. See Organization and Professions Code § 2406.

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DWC will approve MPN submissions that incorporate the names of accredited providers (Labor Codes §§ 3209.3 and 3209.5), the names of experienced corporations that can legally render health-related services underneath the corporate title (Company Code § 13400 et seq.), or the names of licensed wellness treatment services (Health and fitness and Security Code § 1250).

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On submission of an MPN System to the DWC for evaluation, MPNs are required to affirm under penalty of perjury that all of the medical professionals stated have a legitimate and current license variety to observe in the condition of California (California Code of Laws, title 8, § 9767.3(c)(2)), and that all of the ancillary services companies detailed have a existing valid license variety or certification to exercise by the State of California and can offer the asked for clinical products and services or merchandise (California Code of Laws, title 8, § 9767.3(c)(3)). These rules make it crystal clear that MPNs are responsible for credentialing ALL of the vendors in their MPN service provider listing.

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At last, if an MPN is uncertain about the lawful standing of an entity that they are wondering of listing, an readily available choice is to checklist the names of every single individually accredited company alternatively than the questionable entity identify. This guarantees statutory and regulatory compliance and a strong MPN supplier listing from which injured personnel can freely pick out their companies.

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The California Department of Industrial Relations, proven in 1927, protects and enhances the wellness,&#13
protection, and financial properly-staying of in excess of 18 million wage earners, and assists their businesses comply with&#13
state labor laws. DIR is housed within just the Labor & Workforce Improvement Company

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