| New Jersey WORKERS COMPENSATION COLLECTION PUBLICATIONS AND INFORMATION FOR MEDICAL PROVIDERS |
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Medical Control
The employer/insurer may select the provider(s) to treat the injured employee for a work related
injury. 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.
The statute, N.J.S.A. 34:15-15 does give the employer the authority to select the health service
professionals to provide care to an injured worker. However, if the employer refuses or neglects to
provide services reasonable and necessary to cure and relieve the worker of the effect of the injury
or restore function where possible, the employee may take action by filing a Motion for Medical
and/or Temporary Disability Benefits. The filing procedures are outlined in the Rules of the
Division of Workers’ Compensation, N.J.A.C. 12:235-3.2. These proceedings are given a very
high priority and are scheduled before a judge within 30 days of the proper filing of the motion.
All fees and other charges for such physicians’ and surgeons’ treatment and hospital treatment
shall be reasonable and based upon the usual fees and charges which prevail in the same
community for similar physicians’, surgeons’ and hospital services.
The employer/insurer may select the provider(s) to treat the injured employee for a work related
injury. 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.
The statute, N.J.S.A. 34:15-15 does give the employer the authority to select the health service
professionals to provide care to an injured worker. However, if the employer refuses or neglects to
provide services reasonable and necessary to cure and relieve the worker of the effect of the injury
or restore function where possible, the employee may take action by filing a Motion for Medical
and/or Temporary Disability Benefits. The filing procedures are outlined in the Rules of the
Division of Workers’ Compensation, N.J.A.C. 12:235-3.2. These proceedings are given a very
high priority and are scheduled before a judge within 30 days of the proper filing of the motion.
- State Fee Schedule
All fees and other charges for such physicians’ and surgeons’ treatment and hospital treatment
shall be reasonable and based upon the usual fees and charges which prevail in the same
community for similar physicians’, surgeons’ and hospital services.
- There is two-year statute of limitations that applies to workers' compensation cases. A
formal claim petition must be filed within two years of the date of injury or the date of
last payment of compensation, whichever is later. Medical treatment authorized by the
employer is considered a payment of compensation. In cases of occupational illness, for
example - asbestosis, lead poisoning or hearing loss, the claim petition must be filed within
two years from the date the worker first became aware of the condition and its
relationship to employment. Please note that the filing of an application for an informal
hearing does not stop the two-year statute of limitations from running.
December 01, 2011: New Jersey: News:
Memo from Director/Chief Judge Calderone
re: Workers' Compensation Discovery Issues
Committee Both petitioner and respondent
attorneys have raised concerns with our
workers' compensation discovery process
Memo from Director/Chief Judge Calderone
re: Workers' Compensation Discovery Issues
Committee Both petitioner and respondent
attorneys have raised concerns with our
workers' compensation discovery process
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