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MPN & Doctor shopping (California)

PostPosted: Wed Nov 14, 2018 4:18 pm
by lacompfun
SCENARIO:

1. Orthopedic PTP. PQME orthopedic.

2. AA dislikes the above so says ok given me pain management list or outside MPN.

QUESTION:

1. What are the legal arguments to keep treatment with MPN Orthopedist?

Any regs or law on the subject much appreciated.

Re: MPN & Doctor shopping (California) (California) (California)

PostPosted: Thu Nov 15, 2018 7:38 am
by Barney5
The IW has the right to choose what doctor and specialty within the MPN.

Re: MPN & Doctor shopping (California)

PostPosted: Thu Nov 15, 2018 9:44 am
by LawAdvocate
The injured worker may in fact choose any physician within the MPN as long as the specialty relates to any one of the injured body parts. There are no regs against it. So authorize the new MPN PTP, if you don't authorize it in 5 business days, the injured worker gets to step outside of the MPN as that is a constructive denial of care.