In Medical Provider Network planning, who approves the plan?

• A. Administrative Director
• B. Medical Director
• C. California Insurance Commissioner
• D. WCAB

Answer: (A)

In California, Medical Provider Network planning is regulated by the Division of Workers’ Compensation, and the plan must be submitted to and approved by the Administrative Director. This office has the authority to evaluate the network structure, provider qualifications, utilization review processes, and related requirements to ensure the plan complies with state laws and regulations. The Medical Director typically handles clinical governance and medical management within the network, not the approval of the plan itself. The California Insurance Commissioner oversees insurers, not self‑insured MPN plans, and the Workers’ Compensation Appeals Board deals with disputes and hearings rather than approving MPN plans.