NHMTA / Intracorp Assistance:
- Assigns a nurse case manager to act as an impartial advisor and coordinate your health care.
- Assist your injured worker in selecting an appropriate medical provider from the program network, upon request.
- Assist with out-of-network treatment when appropriate. Out-of-network treatment is only allowed in special circumstances, as defined by law in cases of emergency care, reoccurring treatment within six months, or written approval from the Commissioner of Labor. You or your injured worker will need to notify NHMTA when out-of-network treatment has been received, or when requesting this option.
- Facilitate communication between the injured worker, the employer, healthcare providers, and any other involved parties.
- Work with employers on job modification, as well as prompt and safe return to work.
Roles & Responsibilities
Employee's Roles & Responsibilities:
- Report the injury or medical condition to their supervisor(s) or employer representative immediately.
- Fill out the necessary forms to document the injury or illness.
- Select a health care provider from the Intracorp / Cigna Healthcare Network of providers (Your employer and / or NHMTA will assist you in selecting a provider). Out-of-network treatment does require special pre-authorization and permission from your case manager.
- Assistance from your nurse case manager at NHMTA is only a toll free call away at: 1-866-248-6573.
- After seeking medical treatment, submit a copy of the New Hampshire Workersí Compensation medical form to your employer ASAP.
Employer's Roles & Responsibilities:
- Offers assistance with seeking medical assistance.
- Assists with provider selection.
- Refers injured worker to the NHMTA nurse case manager for assistance in reporting of injury.
- Provides temporary alternative duty work when appropriate.
- Provides job modifications when appropriate.
- Maintains open communication with NHMTA.
Network Provider Roles & Responsibilities:
- Provide prompt and appropriate medical care (generally within 24-48 hours).
- Work collaboratively with the NHMTA nurse case manager to ensure an optimal recovery is obtained.
- Make specialty referrals as needed.
- Communicate medical information to your injured worker, the employer, and NHMTA / Intracorpís case manager using the New Hampshire Workers' Compensation medical form.
In Case of EMERGENCY:
1. Seek treatment at the nearest emergency room immediately.
2. Report the injury to your employer, ASAP.
3. Notify NHMTA as soon as possible at: 1-866-248-6573.
Frequently Asked Questions:
1. Can my injured worker be treated with their own PCP(Primary Care Provider)?
Treatment with PCP's are discouraged for work-related injuries / illness.
2. Are there limitations on the number or types of providers my injured workers' can treat with?
In general, there is one primary treating provider in workerí compensation treatment; however, an injured worker could be treated by multiple providers of different specialties at the same time. This is why NHMTA encourages the involvement of case management services for the purpose of overseeing, coordinating, and directing medical treatment to achieve optimal outcomes with recovery and return to work plans.
3. Do you recommend a specific type of provider for initial medical treatment?
If non-emergent care is required, an occupational health specialist is the provider of choice. Also, direct specialty care is allowed (ie.: if your injured worker sustains an eye injury, then seeking treatment from an ophthalmologist / eye specialist is acceptable).
For detailed information about claims, claims manuals, and forms, please CLICK HERE.
Your Managed Care Workers' Compensation Program is called NHMTA / Intracorp. It is a program designed to assist your employees who sustain a work-related injury / illness. It is a partnership between the injured worker, their employer, and NHMTA.