Louisiana WORKERS COMPENSATION COLLECTION
PUBLICATIONS AND INFORMATION FOR MEDICAL PROVIDERS
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October 31. 2001 Louisiana: News:
Initial Results of Louisiana’s Medical
Treatment Guidelines Promising  Reform leads
to timely evidence-based decisions being
rendered
General Information
Publications
Work Comp News  and Issues
  • Medical Control

An injured employee has the right to select the initial treating provider. The injured employee
may change from one provider to another within the same field or specialty with the prior written
approval of the employer/insurer. The injured employee may change to a provider in another
specialty or field without prior approval by the employer/insurer. 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

  • State Fee Schedule

The carrier or employer has 60 days from the receipt of the bill to either pay the bill or formally
dispute the bill by the filing of the Disputed Claim for Compensation Form, Form LWC-WC
1008 (PDF).

  • Utilization Review

The utilization review rules of OWCA require the use of appropriate procedures to establish
standards of care, or determining the necessity and advisability of proposed or already performed
hospital care or services, medical or surgical treatment, or any non-medical treatment recognized
by the laws of this state as legal. All non-emergency hospital admissions must be pre-certified
with an appropriate length of stay being assigned. Continued stay review must also be performed
on each approved admission. Emergency hospital admission must meet the specified criteria as
outlined in the utilization review rules and must also have concurrent review performed.
The rules also provide appropriate procedures to be followed when seeking approval to continue
treatment beyond the statutory limit of $750.