State of delaware – division of industrial affairs histiocytoma removal cost – workers’ compensation – health care payment system – provider certification

In accordance with the provisions of 19 del.C. §2322(D), certification is required for a health care provider to provide histiocytoma removal cost treatment to an employee, pursuant to delaware’s workers’ compensation statute, without the requirement that the health care provider first pre-authorize each health care procedure, office visit or health care service to be provided to histiocytoma removal cost the employee with the employer if self-insured, or the employer’s insurance carrier. Pursuant to 19 del.C. §2322B and F, for purposes of the certification requirements of §2322D, health care provider in an inpatient hospital setting specifically includes histiocytoma removal cost physicians, chiropractors and physical therapists providing treatment to an injured worker histiocytoma removal cost during his/her period of inpatient hospitalization; all other personnel employed by a hospital providing treatment to histiocytoma removal cost an injured worker during his/her period of inpatient or outpatient hospitalization are excluded from histiocytoma removal cost the certification requirements of this subsection. With regard to any hospital facility providing inpatient and/or outpatient services, to be certified in accordance with the provisions of §2322D so that pre-authorization from the employer or insurance carrier for the employer histiocytoma removal cost is not required for each health care procedure, office visit or health care service provided to an injured histiocytoma removal cost employee, the person completing and signing the health care provider application histiocytoma removal cost for certification on behalf of the hospital shall have the histiocytoma removal cost authority to do so and must attest to and be histiocytoma removal cost responsible for the completion of all of the requirements set histiocytoma removal cost forth on such application. Services provided by an emergency department of a hospital pursuant histiocytoma removal cost to §2322B shall not be subject to the requirement of certification. The provisions of §2322(D) shall apply to all treatments to employees provided after the histiocytoma removal cost effective date of the rule/regulation provided by this subsection and regardless of the date histiocytoma removal cost of injury. A health care provider shall be certified only upon meeting histiocytoma removal cost the following minimum certification requirements:

• have no felony convictions in any jurisdiction, under a federal-controlled substance act or for an act involving dishonesty, fraud or misrepresentation. A felony conviction in any jurisdiction under a federal-controlled substance act or for an act involving dishonesty, fraud or misrepresentation shall be considered to be inconsistent with histiocytoma removal cost certification;

• complete state-approved continuing education courses in workers’ compensation every two (2) years from the last date the health care provider renewed histiocytoma removal cost his or her delaware professional license. Out of state health care providers, who are not licensed in delaware, must complete state-approved continuing education courses in workers’ compensation every two (2) years from the date of the out of state provider’s initial certification. A listing of continuing education courses in workers’ compensation care approved by the state of delaware, department of labor, office of workers’ compensation, will be posted on the office of workers’ compensation website. To maintain certification, the health care provider must provide written notification to the histiocytoma removal cost office of workers’ compensation of compliance with the continuing education course requirement noted histiocytoma removal cost above, setting forth the name of the course(s) completed and the date of completion;

Notwithstanding the provisions of §2322(D), any health care provider may provide services during one office histiocytoma removal cost visit, or other single instance of treatment, without first having obtained prior authorization from the employer if histiocytoma removal cost self-insured, or the employer’s insurance carrier, and receive reimbursement for reasonable and necessary services directly related histiocytoma removal cost to the employee’s injury or condition at the health care provider’s usual and customary fee, or the maximum allowable fee pursuant to the workers’ compensation health care payment system adopted pursuant to 19 del.C. §2322(B), whichever is less. The provisions of this subsection, §2322(D), are limited to the occasion of the employee’s first contact with any health care provider for treatment histiocytoma removal cost of the injury, and further limited to instances when the -2- health care provider believes in good faith, after inquiry, that the injury or occupational disease was suffered in the histiocytoma removal cost course of the employee’s employment. The provisions of this subsection, §2322(D), shall apply to all treatments to injured employees provided after histiocytoma removal cost the effective date of this subsection, and regardless of the date of injury.

The workers’ compensation oversight panel, in accordance with 19 del. C. §2322D, established a certification process for health care providers who treat histiocytoma removal cost delaware’s injured workers. This link provides a list of those health care providers histiocytoma removal cost who are certified to date. Each day the office of workers’ compensation receives additional applications and updated information; consequently, the list cannot be all inclusive and will regularly change histiocytoma removal cost to reflect newly certified providers. If you do not see a particular health care provider histiocytoma removal cost on this list and you need to know if that histiocytoma removal cost provider is certified to treat workers’ compensation patients, we recommend you check directly with the provider.

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