Work Comp News and Issues
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The employer may direct an injured employee for all non-emergency medical care.
The employee may select his/her own pharmacy or select a pharmacy from the
Express Scripts pharmacy network. Emergency medical care does not require
preapproval and should be secured at the nearest location.
Medical treatment provided by Out-of-State Providers: For any service
(emergency or non-emergency) that is provided by an out-of-state provider, and if
a claim is filed under the Kansas Workers Compensation Law, reimbursement for
such service is to be limited to the maximum allowable payment contained within
the appropriate sections of this fee schedule. Thus, any out-of-state provider who
willingly provides medical service to an injured worker who is seeking benefits
under the Kansas Workers Compensation Law, must realize that said service is to
be limited to this fee schedule and should take the necessary steps to receive
authorization from the
insurance company, employer, or payer prior to providing said service. Prior
authorization for such services should be obtained to assure that the processing of
a Workers Compensation claim will not be denied. Additionally, absent any pre-
approval by the insurance company, employer, or payer, balance billing the injured
worker, or any other party, for the services provided is prohibited.
KANSAS WORKERS COMPENSATION COMPREHENSIVE PUBLICATIONS AND INFORMATION FOR INDUSTRIAL INJURIES
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