Workers' compensation -- certified managed care plan

Some employers participate in a workers' compensation certified managed care plan. A certified managed care plan is an organization that has been certified by the state to manage health care for injured workers. An employer must tell an employee if they are covered by a certified managed care plan. Some employers or insurers have contracted with a managed care plan or network of doctors who are not certified by the department. Injured employees are not required to receive treatment from a doctor in a plan or network that is not certified.

There are three managed care plans certified under Minnesota Rules 5218.0100 to provide managed care for services for an injury or condition covered under Minnesota Statues Chapter 176, Workers' Compensation.

Health Partners	Intracorp/America's PPO	CorVel
(952) 883-7545; 1-888-544-5484	1-800-803-0344, ext. 2148	(612) 436-2420; 1-800-275-8893
Contact:  Care Line 8100 34th Ave. S. P.O. Box 1309 Minneapolis, MN  55440 Fax:  (952) 883-5210	Contact: Susan McDonough 11095 Viking Drive Suite 520 Eden Prairie, MN  55344 Fax:  (952) 996-2159	Contact: Employee Intake Nurse 3001 N.E. Broadway St. Suite 600 Minneapolis, MN  55413 Fax:  (612) 436-2499

If your are covered by a workers' compensation certified managed care plan:

• your employer must post a notice that shows how to get treatment using the managed care plan and provide the name and phone number of a contact person;
• you may ask the employer, the insurer or the certified managed care plan staff for a list of providers in the plan; and
• a medical case-manager might be assigned to coordinate the delivery of health care for your injury.

You must go to a provider in the certified managed care plan unless:  

• you need emergency medical care;
• you want to be receive care from another health care provider who is able to treat your injury and has treated you at least twice in the past two years or who has a documented history of treating you; or
• you live or work too far from a health care provider in the plan. (There is a 30-mile limit in the seven-county Twin Cities area and a 50-mile limit in all other areas.)