Regulations
| 9767.12....Employee Notification | |
| (a) When an injury is reported or an employer has knowledge of an injury that is subject to an MPN or when an employee with an existing injury is required to transfer ...more | |
| 9767.13....Denial of Approval of Application or Reapproval; Re-Evaluation | |
|  (b) An MPN applicant denied approval may either:  (1) Submit a corrected application or plan for reapproval addressing the deficiencies; or  (2) Request a ...more | |
| 9767.14....Probation, Suspension or Revocation of Medical Provider Network Plan; Hearing | |
| (a) The Administrative Director may place on probation, suspend or revoke a Medical Provider Network if: Â (1) Service under the MPN is not being provided according to ...more | |
| 9767.15....Compliance with Current MPN Regulations; Reapproval | |
| (a) MPNs approved prior to January 1, 2014 that are not in compliance with the current MPN regulations must file a modification and update to comply with the current ...more | |
| 9767.16....Medical Provider Network Complaints | |
| (a) Any person contending a Medical Provider Network is in violation of the requirements of this article or Labor Code sections 4616 through 4616. 7 shall submit a ...more | |
| 9767.16.5....DWC Medical Provider Network Complaint Form 9767.16.5 | |
| DWC Medical Provider Network Complaint Form 9767. 16. 5 Note: Authority cited: Sections 133 and 4616, Labor Code. Reference: Sections 4616(b) and 4616, Labor Code. Â ...more | |
| 9767.17....Petition for Suspension or Revocation of a Medical Provider Network | |
| Â (b) The failure of an MPN to accept or retain a particular provider in its network shall not be grounds to file a DWC Petition for Suspension or Revocation of a ...more | |
| 9767.17.5....DWC Petition for Suspension or Revocation of a Medical Provider Network Form 9767.17.5 | |
| DWC Petition for Suspension or Revocation of a Medical Provider Network Form 9767. 17. 5 (Part A) DWC Petition for Suspension or Revocation of a Medical Provider Network ...more | |
| 9767.18....Random Reviews | |
| (a) The Administrative Director may conduct random reviews of any approved Medical Provider Network to determine if the requirements of this article and Labor Code ...more | |
| 9767.19....Administrative Penalty Schedule; Hearing, Mitigation and Appeal | |
| Â (B) Failure to file a Notice of MPN Plan Modification within fifteen (15) business days of a change in the MPN applicant's eligibility status, $2,500. Â (F) ...more | |
