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.