A Medical Provider Network (MPN) Is a Network of Providers, Including Physicians, Created to Provide Medical Treatment for Work Injuries of Employees in California
Self-insured employers or workers' compensation insurers may have an MPN. Under SB 863, an entity providing physician network services can also have an MPN. An MPN must be approved by the California Division of Workers' Compensation (DWC) before it can be used. Unless exempted by law or the employer, all medical care for workers injured on the job whose employer has an approved MPN will be handled and provided through the MPN.
Under state regulations, each MPN must:
include a mix of doctors specializing in work-related injuries and doctors with expertise in general areas of medicine
meet access to care standards for common occupational injuries and work-related illnesses
follow all medical treatment guidelines established by the DWC
allow employees a choice of provider(s) in the network after their first visit.
must offer an opportunity for second and third opinions if the injured worker disagrees with the diagnosis or treatment offered by the treating physician. If a disagreement still exists after the second and third opinion, an injured worker in the MPN may request an MPN Independent Medical Review (MPN IMR).
To help lower your total cost of risk and return injured workers to work as quickly as possible, we offer a FREE consultation with a workers’ comp expert. Together, we will begin to build a workers' comp program to meet your company’s unique needs.