Workers' compensation benefits are designed to provide you with the medical treatment you need to recover from your work related injury or illness, partially replace the wages you lose while you are recovering, and help you return to work. Workers’ compensation benefits do not include damages for pain and suffering or punitive damages.
Injured at Work
Make sure your supervisor is notified of your injury as soon as possible. If your injury or illness developed gradually, report it as soon as you learn or believe it was caused by your job. Reporting promptly helps avoid delays in receiving benefits, including medical care. If you don’t report your injury within 30 days, you could lose your right to receive workers’ compensation benefits.
Designed to address important safety related topics common in a K-12 environment.
Once you file a claim, your employer is required to provide you with medical care.
If it’s an emergency, call 911 or go to an emergency room right away. If you can safely do so, contact your employer for further instructions.
If you don’t need emergency treatment, follow the injury reporting procedures of your employer and immediately report the injury so that you can obtain first aid and see a doctor if necessary.
You have the right to be treated by your personal physician. To be eligible you must notify your employer in writing prior to an injury. This is called “Predesignating your Personal Treating Physician”. The physician you designate must be your personal physician, who maintains your medical records and the physician must agree to be predesignated. Click here to download a sample predesignated personal physician form.
Medical Provider Networks
Your employer has the option to participate in a Medical Provider Network (MPN). Unless you have a valid personal physician predesignation, you may be directed to a medical provider within the MPN if you need medical attention. After the initial visit, you have the right to change treating physicians within the MPN.
If Keenan is the claims administrator for your employer, and your employer is participating in an MPN, participating a list of these MPN providers can be found here.
Medical Provider Networks (MPN) are required to have a Medical Access Assistant to provide help in locating or setting up an appointment with an MPN provider. Keenan has set up a “Care Concierge” for this purpose. If Keenan is your employers’ claims administrator and your employer participates in an MPN, if you need assistance please contact 855-521-7080.
If your employer does not participate in a Medical Provider Network (MPN), you may be able to change your treating physician to your personal chiropractor or acupuncturist. Generally your employer, or their claims administrator, has the right to select your treating physician within the first 30 days after your employer knows of your injury or illness. After your employer, or their claims administrator, initiates treatment you may, upon request, have your treatment transferred to your personal chiropractor or acupuncturist. To be eligible you must notify your employer in writing prior to being injured. Click here to download a sample personal chiropractor or acupuncturist form.
California workers’ compensation regulations require a utilization review program. The intention of such a program is to ensure injured employees are receiving appropriate medical care, using evidence based medicine.
The process of ensuring that evidenced based medicine is being utilized can take time and can often require that additional information is obtained from the treating physician. The regulations allow 5 calendar days, not to exceed 14 calendar days, for this review process.
To help expedite and shorten the utilization review process, Keenan utilizes Quick Treat Protocols. This allows certain types of treatment to be quickly authorized helping injured employees receive medical care as quickly and efficiently as possible.
Learn more from the Department of Industrial Relations guidebook:
Chapter 1: The Basics of Workers’ Compensation