N.D. Admin Code 92-01-02-38 - Changes of health care providers
1. All changes from
one health care provider to another must be approved by the organization.
Normally, changes will be allowed only after the injured employee has been
under the care of the primary health care provider for sufficient time for the
health care provider to complete necessary diagnostic studies, establish an
appropriate treatment regimen, and evaluate the efficacy of the therapeutic
program.
2. North Dakota Century
Code section 65-05-28 governs choice of health care provider. For purposes of
this rule, the following are not considered changes of health care provider by
the injured employee:
a. Emergency services by
a health care provider;
b.
Examinations at the request of the organization;
c. Consultations or referrals initiated by
the health care provider;
d.
Referrals to radiologists and pathologists for diagnostic studies;
e. When injured employees are required to
change health care providers to receive compensable medical services or time
loss authorization because their health care provider is no longer qualified as
a primary health care provider; or
f. Changes of primary health care provider
required due to conditions beyond the injured employee's control. This would
include when the health care provider terminates practice or leaves the
area.
Notes
General Authority: NDCC 65-02-08, 65-02-20, 65-05-07
Law Implemented: NDCC 65-02-20, 65-05-07
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