Managed Care Organizations

39-71-1101 et. seq. MCA

The department certifies managed care organizations (MCOs).

Organizations desiring to be certified as managed care organizations are required to submit an application and pay a fee of $1,500. Once certified, the MCO can contract with insurers to receive their referrals. These organizations are formed to serve the medical needs of injured workers in a efficient and cost-effective manner by managing the delivery of medical services for a defined population of injured workers. Injured workers who have a loss of wages for any duration, suffer an injury that will result in a permanent impairment, require referral to another medical provider for specialized treatment, or need specialized diagnostic tests, may be referred for treatment to a MCO.

Managed Care Organizations
Workers' Compensation Regulation Bureau
PO Box 8011
Helena, MT 59604-8011
Brett Wall
(406) 444-0776
brwall@mt.gov

Thursday, October 16, 2014

Related Links

 

 

Certification Renewal Processhttp://erd.dli.mt.gov/work-comp-regulations/managed-care-organizations/certification-renewal-processCertification Renewal Process
Annual Report Formathttp://erd.dli.mt.gov/work-comp-regulations/managed-care-organizationsAnnual Report Formathttp://assets.dli.mt.gov/erd/wcrdocs/dli-erd-wcr053.pdf, http://assets.dli.mt.gov/erd/wcrdocs/dli-erd-wcr053.pdf
Renewal Processhttp://erd.dli.mt.gov/work-comp-regulations/managed-care-organizationsRenewal Processhttp://assets.dli.mt.gov/erd/wcrdocs/dli-erd-wcr052.pdf, http://assets.dli.mt.gov/erd/wcrdocs/dli-erd-wcr052.pdf
Reporting Requirementshttp://erd.dli.mt.gov/work-comp-regulations/managed-care-organizationsReporting Requirementshttp://assets.dli.mt.gov/erd/wcrdocs/dli-erd-wcr054.pdf, http://assets.dli.mt.gov/erd/wcrdocs/dli-erd-wcr054.pdf

 
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Managed Care Organizations
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