New Hampshire Code of Administrative Rules
Lab - Commissioner, Department of Labor
Chapter Lab 700 - MANAGED CARE PROGRAMS IN WORKERS' COMPENSATION
Part Lab 704 - RIGHTS AND RESPONSIBILITIES OF THE PARTIES UNDER MANAGED CARE
Section Lab 704.03 - Employees

Universal Citation: NH Admin Rules Lab 704.03

Current through Register No. 40, October 3, 2024

(a) For purposes of Lab 704.03, concerning the injured employee's obligation to accept treatment within the network and right to treatment outside the network, "network" means only those healthcare providers listed in Lab 703.01(d) and Lab703.01(f), as originally approved by the commissioner and ratified by the advisory council or as changed through reports submitted under Lab704.02(e).

(b) An employee who receives medical, hospital or remedial care under a workers' compensation managed care program shall:

(1) Have the right to choose a physician or other health care provider from the network, and to make one change of physician or health care provider within the network at each level of treatment;

(2) Have the right to privacy during examinations conducted by a health care provider;

(3) Have the right to obtain a copy of the protocols established by the managed care organization;

(4) Have the right to treatment outside the network in accordance with the provisions of Lab 703.01(g);

(5) Have the right to request a second opinion relative to diagnosis or course of treatment in accordance with Lab 703.01(o);

(6) Have the right to request an independent medical opinion in accordance with Lab 705.01;

(7) Have the right to subsequent independent medical opinions, as provided in RSA 281-A:38-a;

(8) Have the obligation to accept treatment within the healthcare provider network, if the services are provided therein as described in Lab 703.01(d) and (f); and

(9) Have the obligation to cooperate with the managed care organization, insurer and employer with respect to temporary alternative duty assignments and reinstatement to employment as provided in Lab 504.04 and Lab 504.05.

#5788, eff 2-17-94, EXPIRED: 2-17-00

New. #7212, INTERIM, eff 3-2-00, EXPIRED: 6-30-00

New. #7338, eff 8-2-00; ss by #9217, eff 8-1-08

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