PROVIDER NETWORK RULES for MINNESOTA
Provider Selection
The employee chooses the treating provider without restriction unless the employer or insurer has contracted with a certified managed care plan.
Within a certified plan the employee must select from the plan providers. However, the employee in a managed care plan may continue to treat with a doctor outside the plan with whom the employee has an established treating relationship.
Managed Care Options
Employers/insurers may contract with one or more plans. If multiple plans exist, employee is allowed to choose plan.
Provider Lists
There is a state-mandated posting for the certified managed care program. The StrataCare generic posting may be used in conjunction with the state poster.
As long as employees are covered by a managed care plan, a posted notice must be displayed which includes the following information:
- Employer has enrolled with a MCP to provide all necessary medical treatment for workers’ compensation injuries. An employee with an injury prior to enrollment may continue treatment with a non-participating provider until he changes doctors.
- Contact person and phone number of employer and MCP who can answer questions about managed care.
- Employee may receive treatment from MD, Chiropractor, Podiatrist, Osteopath or dentist if the treatment is available within community and is appropriate for the injury.
- Toll-free 24-hour phone number of MCP that informs employees of available services.
- Employee is required to receive services from a health care provider who is a member of the MCP unless (1) emergency, (2) outside mileage parameters and (3) documented history of treatment before injury.