Medical Case Management FAQs
Best Practices In Light of Rule 200.2
Golden Rules [amended 5/4/2017]
- The provisions of Rule 200.2 do not apply to direct employees of the Employer, Insurer or TPA.
- 200.2 applies to all non-catastrophic workers’ compensation cases in the State of Georgia.
- Verbal consent is always required to work directly with and talk to injured workers on the phone.
- A follow up written document must be sent to the client documenting that verbal consent for case management participation was provided and can be revoked at any time.
- Written consent is always required to meet with an injured worker in person at a medical appointment.
- A patient is always entitled to a private medical exam with their physician without the presence of the medical case manager in the exam room.
When Client or Attorney Refuses Case Management
- Care Coordination may continue
- If represented: if verbal or written consent is refused or revoked, notification to the injured worker attorney should continue of case management activities.
- If not represented:simple notification of appointments and basic service notification should be provided to injured worker.