Health Care Organization (HCO)
Legal basis: LC §4600.5
Definition
A certified managed care entity that contracts with employers or insurers to provide medical treatment for industrial injuries under a managed care model. HCOs must be certified by the DWC and provide all required medical services through their network of participating providers.
Related Terms
Frequently Asked Questions
What is a Health Care Organization (HCO)?
A certified managed care entity that contracts with employers or insurers to provide medical treatment for industrial injuries under a managed care model. HCOs must be certified by the DWC and provide all required medical services through their network of participating providers.
What is the legal basis for HCO in California workers' compensation?
Health Care Organization is governed by LC §4600.5 under California workers' compensation law. This statute defines the requirements, procedures, and standards for health care organization in the workers' compensation system as of 2026.
What agency oversees health care organization in California?
Health Care Organization falls under the jurisdiction of California's Division of Workers' Compensation (DWC) per LC §4600.5. The DWC establishes rules, guidelines, and enforcement procedures to ensure compliance across the workers' compensation system.