Medical Case Management

On or after July 1, 1993, every employer or its insurance carrier shall offer at least managed care or medical case management in the counties of Denver, Adams, Jefferson, Arapahoe, Douglas, Boulder, Larimer, Weld, El Paso, Pueblo, and Mesa, and they must offer medical case management in all other counties of the state.  The relevant statute defines case management as “A system developed by the insurance carrier in which the carrier shall assign a person knowledgeable in worker’s compensation health care to communicate with the employer, employee, and treating physician to assure that appropriate and timely medical care is being provided.”  Medical case management is voluntary, but a claimant may want to consider electing case management if they care is particularly complicated, if they are having problems with your doctor, if their medical bills are not being paid in a timely fashion, or if there are reasons to believe that the care they are receiving is not appropriate or is slow in coming.  (Section 8-42-101(13.6)(p), C.R.S.).