The ER or insurance carrier shall submit a plan for the Medical Provider Network for approval by:

• A. Medical Director
• B. Mgr of SIP
• C. CA Insurance Commissioner
• D. Administrative Director

Answer: (D)

In California workers’ compensation, the authority to approve Medical Provider Network plans rests with the Administrative Director of the Division of Workers’ Compensation. An ER or self-insured plan or insurer must submit the MPN plan to this official for review to ensure it complies with statutory requirements, including timely access to care, proper provider selection, and the referral process. The Medical Director handles clinical matters, not regulatory approvals; the SIP manager is an internal role, and the California Insurance Commissioner regulates insurers but does not approve MPN plans. So the plan must be approved by the Administrative Director.