Treatment by Non-Participating Providers

You are required to receive all medical care through a participating network provider. The only exception will be under special circumstances as approved by the Nurse Case Manager and Risk Management jointly and in compliance with the State Board of Worker’s Compensation Rule 208.

If you experienced a workers’ compensation injury or illness prior to the effective date of this managed care plan, you may continue treatment already in effect. An AmeriSys Nurse Case Manager will be assigned for continued coordination of care when needed, in accordance with the State Board of Worker’s Compensation Rule 208.