Section 92-01-02-38 - Changes of health care providers1. All changes from one health care provider to another must be approved by the organization. Normally, changes will be allowed only after the injured employee has been under the care of the primary health care provider for sufficient time for the health care provider to complete necessary diagnostic studies, establish an appropriate treatment regimen, and evaluate the efficacy of the therapeutic program.2. North Dakota Century Code section 65-05-28 governs choice of health care provider. For purposes of this rule, the following are not considered changes of health care provider by the injured employee:a. Emergency services by a health care provider;b. Examinations at the request of the organization;c. Consultations or referrals initiated by the health care provider;d. Referrals to radiologists and pathologists for diagnostic studies;e. When injured employees are required to change health care providers to receive compensable medical services or time loss authorization because their health care provider is no longer qualified as a primary health care provider; orf. Changes of primary health care provider required due to conditions beyond the injured employee's control. This would include when the health care provider terminates practice or leaves the area.N.D. Admin Code 92-01-02-38
Effective January 1, 1994; amended effective April 1, 1997; January 1, 2000.Amended by Administrative Rules Supplement 376, April 2020, effective 4/1/2020.Amended by Administrative Rules Supplement 2021-383, January 2022, effective 1/1/2022.General Authority: NDCC 65-02-08, 65-02-20, 65-05-07
Law Implemented: NDCC 65-02-20, 65-05-07