Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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34 Pa. Code § 127.752. Contents of list of designated health care providers.

§ 127.752. Contents of list of designated health care providers.

 (a)  If an employer establishes a list of designated health care providers, there shall be at least six providers on the list.

   (1)  At least three of the providers on the list shall be physicians.

   (2)  No more than four of the providers on the list may be CCOs.

 (b)  The employer shall include the names, addresses, telephone numbers and areas of medical specialties of the designated providers on the list.

 (c)  The employer shall include on the list only providers who are geographically accessible and whose specialties are appropriate based on the anticipated work-related medical problems of the employes.

 (d)  If the employer lists a CCO, as an option on the list of designated providers, the employer may not individually list any provider participating in that CCO, under circumstances when those individually listed providers are bound by the terms of the CCO for the treatment rendered to the injured workers.

 (e)  The employer may change the designated providers on a list. However, changes to the list may not affect the options available to an employe who has already commenced the 90-day treatment period.

Source

   The provisions of this §  127.752 amended January 16, 1998, effective January 17, 1998, 28 Pa.B. 329. Immediately preceding text appears at serial pages (203515) to (203516).



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