MPN Strategies In California workers' Compensation Practice
Treatment in the Medical Provider Network (MPN) is mandatory under a fairly recent revision of the Labor Code in California. Employers, their claims administrators, and insurance carriers are now getting by with denying MPN status to doctors who want to give an injured worker what is fair.
How the Employer Can Still lose medical Control Under MPN Law.First, it should be noted that MPN treatment is only required in cases of admitted injury. Denied claims may still be treated by doctors outside the MPN. In situations where the employer has admitted one injury and denied another within the same claim, the injured worker may treat outside the MPN for the denied body part or body system. Then there are siuations where it can be shown that the employer's cdonduct has resulted in a "denial of care". When a denial of care is established the injured employee may treat outside the MPN system .
What If the Employer Refuses to Provide Care Prescribed by its Own MPN doctor?That would be a denial of care sufficient to permit treatment outside the MPN.
What If I Provide the Employer Notice of Injury and He/She Fails to Provide Medical Treatment?Per Labor Code Sections 4616.3(a) and 4600 the employer must provide an initial evaluation and begin medical treatment per L.C. Section 4600 or lose medical control.