Regarding Medical Provider Networks
Q. What is a Medical Provider Network (MPN)?
A. An MPN is a network of medical providers such as physicians
and hospitals that have been certified by the State of California
Division of Workers’ Compensation, to provide health care
to injured workers. It mandates treatment by those providers unless
an employee has pre-designated their treating physician prior to
a work related injury. In the case of an emergency, employees are
encouraged to seek the nearest medical emergency services.
2. Q. Why do I have to go to a County Doctor?
A. As referenced in the answer portion of # 11 above, the purpose
of the MPNs is to provide the same quality care and help contain
overcharging in the Workers’ Compensation system. The MPNs
are not made up of “County Doctors”, but professional
health care providers who also provide their services to the public
and other entities.
3. Q. Why are the procedures for
A. The passage of SB899 allows self-insured employers like Los
Angeles County 4to offer MPNs. Labor Code section 4600 provides
that medical provider networks may be established by employers or
insurers on or after Jan. 1, 2005. The standards must also include
a process for allowing employees a choice of medical provider in
the networks (after the first visit) and for getting second and
third opinions. If an employer or insurer uses medical provider
networks, covered employees would receive their medical care in
those networks, unless a predesignated physician is chosen prior
to an injury. Medical provider networks must be approved by DWC
before they can be used.
4. Q. How do I access a list of the MPN providers?
A. You can access the County’s MPNs to choose an initial
and/or on-going treatment provider within the MPNs by clicking the “Initial
Treatment Centers” or “Provider Network” in the
navigation section of this website (to the left of your screen).
5. Q. I live in a rural area outside of Los Angeles County. How
do I get treatment?
A. The County is required to provide occupational health providers
within 30 minutes or 15 miles of an employee’s residence
or workplace. If you live outside of that service area, a provider
will be found for you, so that the required treatment guidelines
are followed. If you need assistance, please contact your Third
Party Administrator (TPA), Return-To-Work (RTW) Coordinator, or
the Chief Executive Office (CAO) Disability Management Unit,
6. Q. How do I change physicians?
A. After your initial referral, you can change treating medical
providers within the
MPNs. If you have a recurring treatment, a letter should have been
provided to you that explained the process for changing physicians.
This process is available on-line at the County of Los Angeles MPNs
website (this website), for your continued reference:
http://ceo.lacounty.gov/mpn/default.htm or you may go through your department’s
7. Q. Can I choose a physician that I have not treated with to
be my predesignated doctor?
A. No, your predesignated physician must have treated you before
your work related injury or illness and must maintain your medical records.
8. Q. What if I don’t agree with the treatment recommended
by the medical provider on the County’s MPNs?
A. If you dispute treatment or diagnosis, you can request a change
of medical provider during the course of your medical treatment.
Your request must be made to your TPA.
9. Q. What if I need immediate non-emergency treatment?
A. The County is required to provide an appointment for initial
treatment within three days of receipt of the claim for non-emergency
treatment. Therefore, for non-emergency treatment, you must wait
until business hours to receive your initial treatment and initial
referral to the County’s MPNs.
10. Q. I don’t trust the County,
how can I be sure they are not going to send
me to a biased medical provider?
A. The State of California has formulated strict rules per the
California Labor Code that the County must abide by for setting-up
and maintaining it’s MPNs. Specifically, the County cannot
offer the doctor any compensation to delay or deny a claim. Since
all treatment must be compliant with the ACOEM guidelines, the treatment
standards are built into the County’s MPNs to assure employees
quality medical care. There are over 40,000 medical providers in
the County’s MPNs and all are certified based upon California
11. Q. What if the County’s
MPNs do not have the specialist I need to treat my
A. If you have problems locating a specialist within the County’s
MPNs, please contact your TPA adjuster, department RTW Coordinator
or refer them to the MPN website.
12. Q. Can I have one doctor for each specialty?
A. Yes, you can have access to one doctor for each specialty as
long as treatment is provided according to the guidelines and the
treating medical provider is part of the County’s MPNs.
13. Q. Can I predesignate Kaiser?
A. No, at this time you cannot predesignate Kaiser. The predesignation
rules are still pending.
14. Q. Can I predesignate my chiropractor?
A. No, chiropractors cannot be predesignated at this time.