Medical Treatment

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Medical Treatment: Workers' Compensation

What is Medical Treatment?

  • Complete Details

    If you are injured at work, you are entitled to free medical treatment. California workers’ compensation law requires claims administrators to authorize and pay for medical care that is reasonably required to cure or relieve the effects of the injury. Under laws enacted in 2003 and 2004, this means care that follows scientifically-based medical treatment guidelines. It is illegal for a physician or medical facility to bill a worker if they know the injury is or may be work related.

  • What treatment am I entitled to?

    You are entitled to reasonable medical treatment to cure or relieve work-related injuries and illnesses. The doctors who treat you must follow treatment guidelines referred to as the medical treatment utilization schedule (MTUS). Only the treatment that meets the guidelines must be approved.


    All employers or claims administrators handling their workers’ compensation claims are required by law to have a program called utilization review (UR). This program is used to decide whether or not to approve medical treatment recommended by your doctor.

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Frequently Asked Questions (FAQs)

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  • Can I be treated by my regular doctor?

    If you predesignated your personal physician or medical group before you were injured, you can have your regular doctor treat you for your work-related injuries immediately after you are injured.

  • What if my employer has an MPN?

    An MPN is a group of physicians and other health care providers selected by the employer or insurer to treat injured workers. MPNs must be approved by the state Division of Workers' Compensation (DWC). Each MPN includes a mix of doctors specializing in work-related injuries and doctors with expertise in general areas of medicine. The claims administrator is required to give you a list of MPN doctors near you. After the first appointment you are free to select another doctor within the MPN.

  • What if my employer has an HCO?

    A health care organization (HCO) is an organization certified by the DWC to provide managed medical care to injured workers. HCOs must have health care providers who understand the workers’ compensation system and occupational health care. If you choose to be in an HCO, the HCO will coordinate all aspects of your medical care for your work injury and work with your employer to get you back to work.

  • If I haven’t predesignated and my employer doesn’t have an MPN or an HCO, who will be my doctor?

    The claims administrator has the right to select your treating doctor for the first 30 days after your employer knows that you were injured. After the first 30 days, you may be treated by a physician of your choice or at a facility of your choice within a reasonable geographic area.

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