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Teri Watson 503-947-7697
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Managed
care organization services
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All certified managed care organizations (MCOs) must offer the following
services:
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A panel of providers that meets
access and coverage requirements;
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A quality assurance program for monitoring medical care provided
enrolled workers by the MCO's panel of providers;
- A service utilization review program to ensure enrolled workers
receive medically necessary and appropriate medical treatment
and to prevent inappropriate or excessive treatment;
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A peer review program to evaluate and review the medical treatment
provided enrolled workers to ensure it is medically necessary
and appropriate and to prevent inappropriate or excessive treatment;
- A dispute resolution program to resolve complaints by enrolled
workers, medical providers, and insurers;
- A program to promote early return-to-work for injured workers;
- A workplace safety and health consultation program
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If you have questions about this webpage, please contact Teri Watson, 503-947-7697.
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