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    Teri Watson   
503-947-7697   

Managed care organization services


All certified managed care organizations (MCOs) must offer the following services:

  • A panel of providers that meets access and coverage requirements;

  • 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;

  • 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
If you have questions about this webpage, please contact Teri Watson, 503-947-7697.