Okla. Admin. Code § 810:15-11-2

Current through Vol. 42, No. 4, November 1, 2024

Section 810:15-11-2 - Application and appointment process

(a)Appointment. Appointment of applicants to the list of qualified independent medical case managers, and maintenance and periodic validation of such list shall be by the Commission. Medical case manager appointments to the list shall be for a two year period.

(b)Application for appointment. To request appointment to the list of qualified medical case managers, an applicant shall:

(1) Submit a signed and completed Commission prescribed MCM Application form to the following address: Oklahoma Workers' Compensation Commission, Attention: HEALTH SERVICES DIVISION, 1915 North Stiles Avenue, Oklahoma City, Oklahoma, 73105. Illegible and incomplete or unsigned applications will not be considered by the Commission and shall be returned. A copy of the MCM Application form may be obtained from the Commission at the address set forth in this Paragraph, or from the Commission's website at http://www.wcc.ok.gov;

(2) Submit a current resume, together with the MCM Application form, to the Commission; and

(3) Verify that the applicant, if appointed, will:

(A) provide independent, impartial and objective medical case management services in all cases assigned to the case manager;

(B) decline a request to serve as a medical case manager only for good cause shown;

(C) meet with the claimant and appear at any appointments with treating physicians, as directed by the Commission, and when necessary to report findings or respond to questions and issues submitted by the Commission;

(D) submit an initial written report to the parties and Commission within twenty (20) calendar days from the date of the order appointing the case manager, or sooner as the particular circumstances of the medical care or treatment or inquiries from the Commission may necessitate. Progress reports shall be submitted as the particular circumstances of each case warrant, or as directed by the Commission;

(E) notify the Commission in writing upon any change affecting the medical case manager's qualifications as provided by statute or in 810:15-11-1; and

(F) comply with all applicable statutes, Commission rules, and orders in the case assigned.

(c)Disclosure. As part of the MCM Application, the case manager shall identify, on the application form, any employer, insurer, employee group, certified workplace medical plan, or representatives of the above with whom the case manager is under contract, or who regularly uses the services of the case manager.

Okla. Admin. Code § 810:15-11-2

Adopted by Oklahoma Register, Volume 32, Issue 23, August 17, 2015, eff. 8/27/2015