Medical Care, Reimbursement, and Treatment Information

Our attorneys have been assisting the Orange County and Southern California communities for over 40 years.

Request free consultation

Medical Care, Reimbursement, and Treatment Information

Request free consultation

If you’ve been injured at work, you’re entitled to medical treatment under California’s workers’ compensation system.

At DiMarco | Araujo | Montevideo, our workers’ comp lawyers have helped thousands of injured workers get the care and benefits they deserve. Below is a general overview of how medical care works.

For advice tailored to your situation, contact us for a free consultation at (714) 783-2205.

What Kind of Medical Care Am I Entitled To After a Work Injury?

Treatment must follow guidelines set by the Division of Workers’ Compensation (DWC), based on peer-reviewed, evidence-based standards. Until DWC finalizes its own rules, the system relies on the American College of Occupational and Environmental Medicine (ACOEM) Practice Guidelines. Other guidelines may apply if your injury isn’t addressed in ACOEM.

Do These Guidelines Still Apply After a Settlement?

Yes. The treatment guidelines remain relevant even if your case settled before they were implemented. If your medical care is denied, you can request an expedited hearing before a workers’ compensation judge.

Are There Limits on Certain Treatments?

Yes. There is a cap of:

  • 24 physical therapy visits
  • 24 chiropractic visits
  • 24 occupational therapy visits
    Additional sessions require approval from the claims administrator.

What If I Need Care Before My Claim Is Approved?

The law requires the claims administrator to authorize medical treatment within one business day of receiving your completed claim form, even while your claim is under review. This early care is limited to $10,000. If treatment isn’t approved promptly, speak with your employer right away.

How Long Can I Receive Medical Care?

As long as it’s medically necessary. Continued treatment must be supported by your doctor and justified under workers’ comp guidelines. These requests go through Utilization Review (UR) — a mandatory process where a third party determines whether proposed care is appropriate.

What Is Utilization Review (UR)?

UR is used to confirm whether your doctor’s recommended treatment is medically necessary under workers’ comp law. If you believe UR isn’t being followed properly, you may file a complaint with the DWC or request a hearing before a judge.

Will I Have to Pay If My Treatment Is Denied?

Generally, no. If the claims administrator denies coverage, the doctor or provider must resolve it directly with them. However, disputes over payment may arise, especially after exams by a Qualified Medical Evaluator (QME) or Independent Medical Examiner (IME).

If the insurer refuses to pay for an authorized QME or IME exam—or the resulting treatment—you may need legal help to recover the cost or enforce compliance.

What Is a Medical Provider Network (MPN)?

An MPN is a network of doctors approved by your employer’s insurance company to treat work injuries. If you didn’t pre-designate your personal physician before your injury, you must choose a doctor within the MPN.

Can I Switch Doctors Within the MPN?

Yes. You may request a list of MPN doctors and change providers within the network at any time.

How Do I Pre-Designate My Personal Doctor?

You may pre-designate your regular doctor if:

  • Your employer offers group health coverage;
  • Your doctor has treated you before and holds your records;
  • Your doctor agrees to treat work-related injuries; and
  • You provide your employer with written notice before the injury, including the doctor’s name and address.

What If I Disagree With My MPN Doctor’s Diagnosis or Plan?

You have options:

  • If a treatment plan is denied during UR, you can request a Qualified Medical Evaluator (QME).
  • If you disagree with your doctor’s diagnosis or plan (not related to UR), you can request a second or third opinion within the MPN.
  • If the disagreement continues, you may request an Independent Medical Review (IMR).

Who Decides What Work I Can Do During Recovery?

Your treating doctor must explain:

  • What kind of work you can safely perform during recovery;
  • Any changes needed in your job duties.

You, your doctor, your employer, and your work injury attorney should review this plan. If you disagree with the doctor’s recommendations, notify the claims administrator immediately in writing.

What If the Claims Administrator Disagrees With My Doctor?

If a dispute arises, the administrator may request a second opinion through a QME or an Agreed Medical Evaluator (AME) if you’re represented by an attorney. This doctor will examine you and issue a report that may resolve the dispute. If not, you may bring your case before the Workers’ Compensation Appeals Board (WCAB).

Why Are QME and AME Reports Important?

These evaluations can help resolve disagreements about:

  • Whether your injury is work-related;
  • The kind of treatment you need;
  • Whether you must stay home from work;
  • Your level of permanent disability.

QME and IME reports often play a critical role in determining your benefits. If a payment dispute arises from these evaluations, legal intervention may be necessary to protect your rights and ensure fair compensation.

Request Free Consultation

  • *required fields