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MCO Selection Form
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Introduction |
One of the key players in BWC’s Health Partnership Program (HPP) is the managed
care organization (MCO). MCOs partner with employers to ensure claims are filed
quickly, treatment for injured workers' begins promptly and recovery programs are
implemented to safely and quickly return injured employees to work.
BWC offers the
MCO Selection Guide and MCO Report Card to help employers with the selection process. The guide provides instructions on selecting an MCO. The
report card indicates how well MCOs are succeeding at returning injured
workers to work within established standards and other medical management goals.
Some MCOs may be placed at capacity, which means they are unable to accept additional
employers. Also, not all MCOs are certified in every county. A BWC representative will contact you for another choice if the MCO you've
chosen is unavailable for selection.
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| Required information |
- Employer policy number
- County of operation
- Contact name
- Phone number
- Number of employees
- MCO name
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| Complete the forms: |
The free Adobe Reader
software is required to display and print the application.
Do you have all the required information at hand? If so, you can complete the
online form. When completing the online form, please use the previous and next
buttons located at the bottom of the page to navigate
through the form.
Begin online form now.
Are you missing any required information? If so, you may return here at
a later time when you have all the information you need, and complete this
online form. You also may print a blank copy of the form, complete it by hand and
either mail or fax it to BWC.
Print a blank form.
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