On or after July 1, 1993, every employer or its insurance carrier shall offer at least managed care or medical case management in Denver, Adams, Jefferson, Arapahoe, Douglas, Boulder, Larimer, Weld, El Paso, Pueblo, and Mesa Counties, and they must offer medical case management in all other counties of the state.  “Managed care” is defined as the provision of medical services through a network of medical providers accredited to practice workers’ compensation, or through a non-profit hospital, health maintenance organization, or children’s hospital.  If the employer or its insurance carrier offers medical care through one of these medical providers, the claimant generally must accept that care or pay the medical bills themselves.  (Section 8-42-101(3.6)(p), C.R.S.).

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