HOW TO REPORT
WORKERS’ COMPENSATION INJURIES
Employee Rights and Responsibilities
Eckman Freeman is committed to insuring that you receive appropriate medical if injured on the job. You will be provided a directory of MCO Network providers upon your enrollment in the program. At this time, you will be provided with complete information regarding your rights and responsibilities and will be asked to sign a document verifying you have been provided this information. Your employer has a directory of MCO Network Providers and can assist you in selecting a Gatekeeper Provider. The Kentucky Managed Care Regulation (803 KAR 25:096) indicates it is your responsibility to select a Gatekeeper Provider.
Complete the Form 113/Notice of Designated Physician immediately and return it to your employer within 10 days.
Treatment from a non-participating provider may be necessary in the following events:
If treatment outside the network occurs for reasons other the events listed above, the injured employee may be responsible for payment of medical bills.
If you are currently being treated for an injury that occurred prior to implementation of the MCO, you may remain with your provider for the remainder of your treatment. However, if you wish to change providers, you must select a Gatekeeper Provider participating in the Managed Care Plan.
As an employee covered by the new Managed Care Plan you have the right to expect that you will:
The Kentucky Managed Care Regulation (803 KAR 25:096) requires that you comply with the requirements for provider selection. “The unreasonable failure of an employee to comply with the requirements of this section may suspend all benefits payable under KRS Chapter 342 until compliance by the employee and receipt of Form 113 by the medical payment obligor has occurred.”
The Kentucky Workers’ Compensation Law also states that any person or entity who willfully and knowingly makes any false statement or representation for the purpose of obtaining any benefit or payment, for the purpose of defeating or wrongfully increasing or decreasing any claim for benefit or payment of workers’ compensation coverage, or aides and abets for said purpose, could be found guilty of a Class D felony.