Description
Arkansas Workers' Compensation Managed Care Notice – Form H
Help satisfy applicable Arkansas workers' compensation managed care notice requirements with the Arkansas Workers' Compensation Managed Care Notice – Form H. This notice informs employees that their employer participates in a Managed Care Organization (MCO) or certified Internal Managed Care System (IMCS) for medical treatment related to workplace injuries.
Arkansas employers participating in an applicable workers' compensation managed care system must provide employees with notice of the managed care arrangement as required by Arkansas Workers' Compensation Commission rules.
What Is the Arkansas Managed Care Form H Notice?
The Arkansas Form H – Health Care Notice for Employees Under Managed Care provides employees with information about the employer's workers' compensation managed care system.
The notice identifies the employer's Managed Care Organization or Internal Managed Care System and explains important procedures employees should follow when seeking medical treatment for a work-related injury.
Who Must Post the Arkansas Managed Care Notice?
The Form H notice applies when an Arkansas employer, insurance carrier, or self-insured employer participates in an applicable workers' compensation managed care arrangement through a certified Managed Care Organization or certified Internal Managed Care System.
The managed care system becomes applicable in accordance with Arkansas Workers' Compensation Commission requirements after the appropriate managed care arrangement is established and the required employee notice is provided.
What Is a Managed Care Organization?
A Managed Care Organization (MCO) is an organization certified for purposes of providing or arranging medical services for employees with compensable work-related injuries or illnesses under Arkansas workers' compensation requirements.
An employer may contract with a certified MCO to provide applicable medical treatment to injured employees.
What Is an Internal Managed Care System?
An Internal Managed Care System (IMCS) is an employer, insurance carrier, or self-insured employer managed care arrangement certified under applicable Arkansas workers' compensation requirements.
The Form H notice identifies whether employees are covered through an MCO or an Internal Managed Care System.
What Should an Employee Do After a Work-Related Injury?
An employee who suffers a work-related injury should notify the appropriate supervisor or employer representative promptly and follow the employer's workers' compensation procedures.
The employer or managed care system can provide information concerning the appropriate medical provider and the steps the employee should follow to receive treatment for the work-related injury.
Must Employees Use the Employer's MCO or IMCS?
Employees covered by an applicable Arkansas workers' compensation managed care system are generally required to receive treatment through the employer's MCO or IMCS for a compensable work-related injury.
If an employee obtains treatment outside the applicable managed care system without following required procedures or obtaining appropriate authorization, the employee may be responsible for the cost of that treatment.
What About Emergency Medical Treatment?
Emergency treatment is exempt from the managed care treatment requirement described in the Form H notice.
Employees requiring emergency care should obtain necessary emergency treatment and follow applicable employer and workers' compensation reporting procedures.
Can an Employee Change Medical Providers?
Arkansas workers' compensation rules establish procedures governing medical treatment and changes of physician or healthcare provider.
Employees should follow the applicable managed care and Arkansas Workers' Compensation Commission procedures before changing treatment providers. Obtaining unauthorized treatment outside the applicable system can affect responsibility for payment of medical expenses.
What Information Is Included on Form H?
The Arkansas Health Care Notice for Employees Under Managed Care provides information including:
- The employer's Managed Care Organization or Internal Managed Care System
- Contact information for the applicable MCO or IMCS
- Instructions for obtaining treatment after a work-related injury
- Information about treatment through participating healthcare providers
- Information concerning emergency treatment
- Employee responsibilities when seeking treatment outside the managed care system
- Information concerning managed care complaints or disputes
- Workers' compensation managed care contact information
What if an Employee Has a Problem With the MCO or IMCS?
Employees who have a problem or dispute involving their workers' compensation Managed Care Organization or Internal Managed Care System may use the applicable complaint procedures.
The Form H notice provides information about obtaining assistance from the employer, MCO or IMCS, and the Arkansas Workers' Compensation Commission.
What Is Balance Billing?
Balance billing can occur when a healthcare provider receives payment according to an applicable managed care contract or workers' compensation fee schedule but attempts to collect the remaining difference from the employee.
An employee who receives a bill involving medical treatment for a covered workers' compensation injury should notify the employer and follow applicable Arkansas workers' compensation procedures.
Is the Arkansas Managed Care Form H Notice Required?
Yes, when the employer is participating in the applicable Arkansas workers' compensation managed care system. Arkansas Workers' Compensation Commission rules require the applicable employee managed care notice as part of implementing the managed care arrangement.
This is not a general posting requirement for every Arkansas employer. It applies specifically when the employer's workers' compensation medical treatment is provided through an applicable certified MCO or Internal Managed Care System.
Arkansas Managed Care Notice Specifications
- 8.5"W x 11"H
- Portrait orientation
- Printed in full color
- Laminated with high-quality laminate
- Arkansas workers' compensation managed care employee notice
Arkansas Workplace Compliance Resources
Labor Law Compliance Center provides employers with state and federal labor law posters, workers' compensation notices, specialty workplace postings, and compliance resources. Visit our Arkansas Labor Law Posters page for Arkansas workplace posting information or browse our Arkansas State Specialty Posters for additional Arkansas notices.
