MPN Frequently Asked Questions (FAQ)
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WHERE CAN I GET INFORMATION ON THE NEW REGULATORY CHANGES RELATING TO THE MPN?
Information detailing the changes can be found on our main MPN page accessible via the menu on the left. [Close answer]
WHEN DO THE NEW REGULATORY CHANGES GO INTO EFFECT?
The changes go into effect on October 8th, 2010.[Close answer]
WHAT HAPPENS IF I AM NOT IN COMPLIANCE WITH THE NEW CHANGES ON OCTOBER 8TH?
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.[Close answer]
WHAT IS THE BERKSHIRE HATHAWAY HOMESTATE COMPANIES (BHHC) MEDICAL PROVIDER NETWORK?
A Medical Provider Network (MPN) is a group of healthcare providers created by an insurer or self-insured employer and approved by the California Division of Workers' Compensation for the purpose of providing medical treatment for work related injuries or illnesses. Each MPN must include a mix of physicians sufficient to treat common occupational injuries, and the MPN must meet access-of-care standards specified by the State of California. [Close answer]
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WHAT IS THE BHHC MPN COMPRISED OF?
The BHHC network is comprised of selected Blue Cross of California physicians and facilities, and Kaiser On-The-Job locations. [Close answer]
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HOW DO I FIND A DOCTOR WITHIN THE MPN?
For assistance in locating a provider in your area you may contact the examiner directly or call the MPN Help Desk at (888) 495-8949. [Close answer]
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CAN EMPLOYEES CHANGE THEIR DOCTOR?
Yes. After the initial medical evaluation with the employer-designated MPN provider, injured employees may choose another primary treating physician (or any subsequent physician) from the BHHC network. [Close answer]
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HOW DO EMPLOYEES OBTAIN A REFERRAL TO A SPECIALIST?
If the primary treating physician determines that a specialist evaluation is necessary and the referral has been authorized by the claims examiner, the employee must select the required specialist from within the BHHC network. Of course, the employee may seek assistance in the selection of the specialist from the primary treating physician or claims examiner. [Close answer]
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WHAT IF THE EMPLOYEE DISAGREES WITH THEIR DOCTOR'S DIAGNOSIS OR TREATMENT PLAN?
It is the responsibility of the injured employee to advise their claims examiner of a disagreement and request a second opinion evaluation within the MPN. If the employee disagrees with the second-opinion physician's findings, a third opinion evaluation within the MPN may be obtained. If the employee disagrees with the findings of the third-opinion physician, an Independent Medical Review (IMR) may be required from the Administrative Director of the Division of Workers' Compensation. [Close answer]