The plan for the Medical Provider Network (MPN) must be approved by which official?

• A. Medical Director
• B. Administrative Director
• C. California Insurance Commissioner
• D. Manager of Self Insurance Plans

Answer: (B)

In California workers’ compensation, Medical Provider Networks (MPNs) are governed at the state level to ensure injured workers have access to appropriate medical care. The plan for an MPN is submitted for approval to the Administrative Director of the Division of Workers’ Compensation. The Administrative Director has the authority to approve or deny MPN plans, ensuring they meet statutory requirements for network structure, provider qualifications, treatment guidelines, and dispute resolution processes.

The Medical Director handles clinical oversight within a network but does not have the authority to approve the MPN plan. The California Insurance Commissioner oversees insurance regulation broadly, not the approval of MPN plans. The Manager of Self Insurance Plans does not hold the final approving authority for MPN plans.