Medical Provider Network (MPN)
The State of California recently announced regulatory changes relating to Medical Provider Networks (MPNs) and how insurance carriers administer their MPN. The State has also amended regulations relating to some of the general workers compensation notices including:
- Information about Workers Compensation distributed to new employees
- The MPN posting notice to employees
- The mandatory California Posting Notice
- The workers compensation claim reporting form and notice of potential eligibility
These changes go into effect on October 8, 2010. Below is a listing of both the revised and new notices for you to post and distribute to your employees accordingly. We have outlined the statutory requirements for each of the new notices below.
(Click on any of the document titles to download a copy of the form)
- DWC-7 Workers Comp Posting Notice (English & Spanish) – REVISED
- Required to be posted in a conspicuous place accessible to all employees as of 10/8/10
- Also called Notice to Employees – Injuries Caused by Work
- Post both English & Spanish version where there are Spanish speaking employees
- Covered Employee Notification of Rights Materials – REVISED
- Required to be posted as of 10/08/10 next to the DWC-7 poster
- This replaces the blue glossy MPN poster which should be removed
- Post both English & Spanish version where there are Spanish speaking employees
- 16 page 8-1/2 x 11 version of the old MPN Poster
- DWC Time of Hire Pamphlet (English) – REVISED (formerly Facts About Workers Comp)
DWC Time of Hire Pamphlet (Spanish) – REVISED- Required to be provided to all new employees at time of hire, for those hired 10/8/10 and after
- Distribute both English & Spanish version when new hire is Spanish speaking employee
- Can now be distributed electronically
- New version is in 8-1/2 x 11 format
- MPN Implementation Notice - English - NEW
MPN Implementation Notice - Spanish - NEW- Required to be provided to all new employees at time of hire, for those hired 10/8/10 and after
- Distribute both English & Spanish version when new hire is Spanish speaking employee
- Can now be distributed electronically
- DWC-1 Employees Claim Form - REVISED
- Required to be provided to injured employees for injuries 10/08/10 and after
- Provide at time of injury
Please also note that the State has implemented the following changes relating to the distribution of the blue ‘MPN Pamphlets’ and the red 'Facts for Injured Worker' Pamphlets:
- MPN pamphlets (English & Spanish) NO LONGER REQUIRED
- No longer required to be distributed at time of hire or at time of new policy bind.
- BHHC will send to injured employee at time claim is reported.
- DWC Factsheets for Injured Workers (English) – REVISED (formerly Facts For Injured Workers)
DWC Factsheets for Injured Workers (Spanish) – REVISED- Only required to be distributed to employees that are injured due to a violent crime.
- MPN Implementation Affidavit – NO CHANGES
- This form now signifies that the new MPN Implementation notice has been distributed
- Should be completed when you have a new hire
- Fax completed form to BHHC at 866-348-3588
Please be advised that policyholders not in compliance with the new regulation on October 8, 2010 may be subject to a fine from the State of California of up to $7,000 per violation and forfeit the right to direct medical control of Workers Compensation claims.
If you have any questions regarding the MPN, please contact us at 888-495-8949 or email us at
mpn@bhhc.com.
Click here to download a copy of this information for your records.