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    November 7, 2019

    Medical Management Responsibilities of the Treating Physician/PCP Role

    The designated treating physician is responsible for the coordination and management of all medical care for the injured employee.  Once the provider is designated  the Primary Care Provider (PCP), she/he will be paid 110% of fee schedule and all other non-facility providers will be paid at 90% of fee schedule.  The increased reimbursement rate is to compensate the PCP for the additional responsibilities associated with this role.

    ARM 24.29.1513 Documentation Requirements http://www.mtrules.org/gateway/ruleno.asp?RN=24.29.1513

    ARM 24.29.1515 Improvement Status http://www.mtrules.org/gateway/RuleNo.asp?RN=24291515