20 MAC Pt. 1, R. 1.9
Selection of Medical
Cite as 20 Miss. Admin. Code Pt. 1, R. 1.9
Selection of Medical.
The employer shall select competent physicians, hospitals, and
other attendance or treatment and immediately furnish such
services, including all emergency services, to the injured employee.
The injured employee shall have the right to accept the services
furnished by the employer or, in his discretion, to select one (1)
competent physician of his choosing and such other specialists to
whom he is referred by his chosen physician to administer medical
treatment according to the guidelines set forth in Miss. Code Ann.
Section 71-3-15 (1) and the Commission’s Medical Fee Schedule.
Such physician(s) selected by the employer or the employee,
including any authorized referral, shall be located in an area
reasonably convenient to the place of the injury or the residence of
the injured employee, and the medical services shall be reasonably
suited to the nature of the injury.
The employer may have the injured employee examined by a
physician or medical provider of its choice to evaluate temporary or
permanent disability or medical treatment being rendered. If the
employer desires such an examination, the employer must:
a. make an appointment with the provider for the injured
employee at a time reasonably convenient to the injured employee;
b. prepay mileage at the prevailing statutory rate;
c. pay all reasonable expenses for the attendance of the injured
employee; and
d. pay the charges by the provider.
The Commission must be notified in writing of such appointment
for the examination, and copies of all reports must be promptly
furnished to the Commission and the injured employee.
If at any time the injured employee unreasonably refuses or fails
to submit to such medical examination, the Commission or
Administrative Judge may, by order, suspend the payment of future
compensation during such time as such refusal continues; no
compensation shall be paid at any time during the period of such
suspension.
If any party of interest shows that the injured employee is
suffering from improper medical attention or lack of medical
treatment, the Commission or Administrative Judge may order
further medical treatment at the employer’s expense. If, during such
period, the injured employee unreasonably refuses to submit to
medical or surgical treatment, the Commission or Administrative
Judge shall order the suspension of payment of compensation while
such refusal continues.
Any hearing required by the Commission or Administrative Judge
under this Rule may, in the discretion of the Commission or
Administrative Judge, be held no sooner than five (5) days after
notice to determine whether:
(1) compensation payments should be suspended for refusal or
failure to submit to a medical examination or to proper medical
treatment, or
(2) the injured employee is suffering from improper medical
attention or lack of medical treatment.
Within twenty (20) days of each date of service, all treating and
examining physicians shall:
(1) file CMS 1500 with the Commission and with the employer or
carrier, and
(2) attach all office or progress notes to the CMS 1500 which
shall specify
a. the date of maximum medical improvement,
b. any permanent impairment rating, and
c. any permanent work restrictions resulting from the work-
connected injury.
A physician’s failure to timely file complete reports may result in the
claim for medical and surgical treatment being unenforceable against
the employer unless excused by the Commission or Administrative
Judge.
If an injured employee receives treatment at any Veterans
Hospital, or at the expense of the State Division of Medicaid or the
Mississippi Department of Rehabilitation Services because of a
disability under the Workers’ Compensation Act, the employer or its
carrier shall not be liable for such medical treatment as in other
cases, unless the officials of the Veterans Hospital, the Division of
Medicaid or Department of Rehabilitation Services to whom the
injured employee is referred comply fully with Miss. Code Ann.
Section 71-3-15 and the Commission Rules.
This Rule shall be in force and effect on and after January 18,
2018.