PHYSICIANS COOPERATIVE OF TEXAS IS A CERTIFIED WORK COMP HEALTH CARE NETWORK!

 

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PCT seeks only the highest quality provider to be included in our Provider panel.  Since the formation of PCT, we have been highly successful at contracting with these high quality Providers that have either left the Texas Workers Compensation system or never accepted these products due to the excessive burdens and problems that are being resolved with the PCT model.

TO VIEW THE CURRENT PCT PROVIDER DIRECTORY: 

      
CLICK HERE FOR TREATING DOCTORS        AND HERE FOR PROVIDERS


TO DOWNLOAD THE PCT PROVIDER DIRECTORY:  CLICK HERE

 

PCT is focused on the highest quality of medical care, services, clinical outcomes and return-to-work results. The key component to this focus is the quality of our Network configuration of Participating Providers and their ability to promptly render the appropriate medical care to injured employees.  PCT partners with our Participating Providers and expects them to be dedicated to the PCT core values and policies.  PCT respects the authority and integrity of the Participating Provider, their relationships with other specialized Physicians and their patient’s.

 

PCT and our Providers offer to Employees in each service area the following:

  1.  quality healthcare services
  2. availability and accessibility of healthcare services and Providers
  3. continuity of care

 

Our current provider panels include the types of specialties and quantities based on the best known capacity projections.  As PCT grows, we will closely monitor the capacity relationship projections of our Provider Panels and expand any Providers or specialties necessary to meet the healthcare needs of our Customers.  PCT considers the ratio capacity of 1 Provider to every 1,000 covered Employees in each service area.  PCT encourages our Providers to make special scheduling arrangements for our Customers, especially when urgent services are required.  Research indicates that once a Network model is implemented, the utilization of office visits and medical service volumes will decrease.

 

PCT has evaluated the Texas Work Comp Injury Types data in comparison to our Provider panel specialties and their Scope of Practice, which indicates that our Providers are trained to treat these Injury types; any further services required by a specialty not in our panel will be referred to our out of network and access plan procedures.  Additionally, the TDI data indicates that historically, some of the injury types may not have been treated by Providers trained in the most appropriate specialty or their scope of practice.

 

Currently, the PCT Participating Provider Panels include the following Specialties located in the PCT service areas:

       

 

Facilities and Clinics

Provider Type or Specialty

Region 1  

D/FW

Region 3

Austin/San Antonio

General / Acute Hospitals

9

7

Ambulatory Surgery Center

9

10

Inpatient Rehabilitation

5

2

Outpatient Rehabilitation

5

3

Behavioral Health Facilities

1

1

Specialty Hospital

0

2

Occupational Medicine Clinic

6

0

Occupational Therapy Clinic

19

18

Physical Therapy Clinic

19

18

Diagnostic Radiology Facility w/Physician

8

2

Emergency/Urgent Care Clinic

0

7

 

 

Physicians

Provider Type or Specialty

Region 1  

D/FW

Region 3

Austin/San Antonio

Treating Doctors

29

50

MMI /IR

42

19

Orthopedic Surgery

38

39

Anesthesia / Pain Medicine

20

5

Family Practice

49

14

General Practice

4

5

Radiology & Diagnostic Rad

12

2

Physical Medicine and Rehab

26

6

Neurological Surgery

6

0

Internal Medicine

28

3

Occupational Medicine

0

3

Neurology

14

2

Psychiatry

4

0

Plastic Surgery

2

0

General Surgery

4

2

Emergency Medicine

0

0

Hand Surgery

3

5

Chiropractor

2

5

Aerospace Medicine

1

0

Allergy & Immunology

1

0

Cardio Disease

2

0

Genetics

2

0

Gynecology

2

0

Hospitalist

16

0

Hyperbaric Medicine

1

0

Infectious Disease

4

0

Maternal & Fetal Medicine

2

0

Neuroradiology

2

0

Obstetrics & Gynecology

5

0

Opthamology

8

2

Otology

0

1

Otolaryngology

0

1

Pathology

1

0

Pediatrics

8

0

Pediatric Pulmonology

1

0

Podiatry

23

0

Preventative Medicine

1

0

Pulmonary Disease

17

0

Psychology

4

0

/Radiation Oncology

3

0

Urology

1

0

Social Work

1

0

Wound Care

1

0

       

 

TREATING DOCTOR SPECIALTY DESIGNATED BY PCT

Treating Doctor: A physician who (i) is approved by PCT to be a Treating Doctor (ii) is a Participating Provider, (iii) holds an unrestricted license to practice allopathic or osteopathic medicine in the State, (iv) is engaged in general practice, family practice, internal medicine, occupational medicine or general orthopedics and (v) is responsible pursuant to the applicable Benefit Program for coordinating and managing the delivery of Covered Medical Services to Employees selected or assigned to such physician in accordance with PCT policies and applicable state law, rule or regulation.

PCT agrees to notify Physician of the specialties that have been designated by PCT as a Treating Doctor.  Physician must be approved by PCT to be a PCT Treating Doctor and Physician must mutually agree to do so.  PCT and Physician agree to indicate this in all applicable PCT materials, and Physician agrees to all applicable PCT and state Treating Doctor policies, provisions, laws, regulations and rules, which shall be made known to Physician by PCT. PCT Treating Doctor Specialties are: (1) Family/General Practice, (2) Internal Medicine, (3) Occupational Medicine,  (4) General Orthopedic Surgery, (5) Occupational Medicine Clinic and (6) Urgent Care Clinic.