W. Va. Code R. § 85-21-9

Current through Register Vol. XLI, No. 40, October 4, 2024
Section 85-21-9 - Other Administrative Provisions
9.1. An employee who reports an injury alleged to be work-related or files an application for adjustment of a claim shall execute a waiver and consent of any privilege with respect to any condition or complaint reasonably related to the condition for which the employee claims compensation. Notwithstanding any other provision of the West Virginia Code, any physician, psychiatrist, chiropractor, podiatrist, hospital, or health care provider shall, within a reasonable time after written request by the employee, employer, or Commission or upon termination of the Commission, the insurance commissioner, provide the requesting party with any information or written material reasonably related to any injury or disease for which the employee claims compensation.
9.2. When a provider of medical services or treatment makes referrals for medical services or treatment to a provider or entity in which the provider making the referral has an investment interest, the referring provider shall disclose that investment interest to the employee, the Commission or upon termination of the Commission, the insurance commissioner, and the employer or the third party administrator responsible for paying for the medical services or treatment, within thirty (30) days from the date the referral was made.
9.4. Employers may contract with multiple managed health care plans in order to maximize access for their employees.
9.5. Temporary total disability must be certified by a provider within the approved managed health care plan, unless the opt-out provisions of this rule have been satisfied.

W. Va. Code R. § 85-21-9