Designated Medical Provider

A Designated Medical Provider (DMP) is a medical professional or a facility selected by the employer to treat work-related injuries. All employers in North Dakota have the option of selecting a DMP.

Employers may choose a single provider, a group of providers, or any combination of provider specialties.

While employers can choose any combination of providers as their DMP, employers should select providers with the knowledge and training to work with occupational injuries.

This professional knowledge in work-related injuries enhances the implementation of appropriate treatment plans that include using the job as part of the recovery process and positively impacts the healing process.

An employer’s selection of a DMP does not apply to emergency treatment, treatment the worker did not know was related to a compensable injury or care directed by North Dakota Workforce Safety & Insurance (WSI) or DMP referrals.

Benefits of a DMP

By working with a DMP who understands your business and shares in the commitment to the safety, health, and well-being you can:

  • Reduce the length of time off work
  • Reduce workers’ compensation costs
  • Retain valuable employees through a transitional work program
  • Reduce the risk of re-injury

Selecting a DMP

Employers should be selective in the process of choosing a DMP. Some areas they may consider include:

  • Does the provider have experience in working with occupational injuries?
  • Is the provider willing to come to your place of business to understand your operations?
  • Is the provider open to using the job as part of the recovery process?
  • Is the provider willing to communicate with you on work-related treatment plans in a timely manner?
  • Is the provider willing to allow an employer representative to attend an appointment with the injured worker to discuss return to work options?
  • How does the provider measure functional capabilities?

As an employee, you have the right to select a different DMP; however this must be completed in writing prior to an injury. If WSI does not agree with your DMP selection, state law allows WSI to decline the request.

Employer’s Role

The employer must:

  • Inform the provider, in writing, that they have been selected as their DMP
  • Develop an agreement with the DMP
  • Have a contact person identified for the DMP
  • Inform employees in writing of the DMP selection and their options
  • Obtain a signed and dated acknowledgement of the DMP from all employees
  • Display the DMP selection in a place where employees can easily see it
  • Conduct annual training regarding your DMP
  • Develop transitional work duties so the DMP knows transitional work is available
  • Have detailed job descriptions that can be provided to the DMP at the time of the injury
  • Inform WSI of the DMP selected by completing the Designated Medical Provider Selection Form

DMP’s Role

The DMP should:

  • Acquire knowledge of the employer’s business operations and job functions
  • Have a contact person identified for the employer
  • Provide prompt and appropriate care to injured workers
  • Evaluate the injury and develop treatment plans including using the job as part of the recovery process
  • Establish functional capabilities
  • Provide completed reports promptly. Note: For each medical appointment a Capability Assessment (C3) form should be completed
  • Establish and maintain communication with the injured worker, employer, and WSI and its agents
  • Share in the employer’s goal of keeping the injured worker at work, while making sure abilities match job functions
  • Maintain responsibility for the direction of medical management including referral to specialists

Worker’s Role

The worker must:

  • Receive and sign an acknowledgement of information about the employer’s DMP selection
  • Seek treatment from the employer’s selected DMP, unless you previously informed the employer in writing of a different provider before an injury occurs
    • If you do not treat with the employer’s DMP or the one chosen by you before being injured, it may result in nonpayment of benefits
  • Contact WSI if you no longer wish to treat with the DMP
    • You must treat with the DMP for 30 days before requesting to change providers to avoid nonpayment of benefits

Resources:

DMP Brochure
Designated Medical Provider Selection Form