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MPN October 8, 2010 Changes

The Office of Administrative Law (OAL) has approved new regulations regarding the Medical Provider Network (MPN), which takes effect on October 8th, 2010.
This alert is intended to inform you, as the employer of what your responsibilities are to your employees regarding notification and posting requirements.
The notices and forms take effect beginning October 8th, 2010.
If you have any questions, please email or call:
Office: 949-673-0398

The Regulatory Revision

The Changes in Short


The DWC has clarified the existing requirement to provide a toll-free number with access to the MPN contact. That information is made available on the "Notice to Employee - Injuries Caused by Work," notice.


The notice needs to be placed in an area accessible and frequented by employees, therefore where the current labor law posters are placed should meet the requirement. 


There will be some blank areas which the Employer will be responsible for obtaining the correct information to fill in.


The following is the contact information:

MPN Toll Free: 888-312-5246

MPN Website:

MPN Address: PO Box 5038, Modesto, CA 95302 


What Employers Are Required to Do

  • Post the new version of "Notice to Employees - Injuries Caused by Work" English/Spanish (DWC 7)
  • Use the new Workers' Compensation Claim Form (DWC 1)
  • Provide the updated "Notice of Potential Eligibility" English/Spanish along with the DWC 1
  • Inform the employees that the company is implmenting, changing, or terminating the MPN
  • Distribute a new "Facts About Workers' Compensation" pamphlet to new employees

Failure to post the notice by the October 8th deadline can result in fines up to $7,000 in civil penalties


Employee Notification

As of October 8th, it is easier to show employee notification of the MPN.

The two forms that are acceptable are:

  • Email Distribution
    • When sending the notification via email, the email must:
      1. Come from a company email address.
      2. The MPN contact must be CC'd to to document a record of the notification having been provided to the employee
  • Paystub Distribution
    • When sending the notification via paystub
      1. Employers must get the employee to sign off on a log indicating they have received the information.
      2. A copy of the log along with a copy of the documents provided must be kept on file.

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