Complaint Process


Pursuant to MGL c. 152 § 13(3), the HCSB is obligated to investigate complaints alleging patterns of discrimination against workers' compensation claimants; overutilization of procedures; unnecessary surgery or other procedures; or other inappropriate treatment of compensation recipients. Where the Board finds a pattern of abuse, it shall refer its findings to the appropriate board of registration.

Complaints may be filed by employees, employers or insurers about any health care provider who provides services for work related injuries. Complaints should be filed in writing on a form provided by the HCSB and include a signed authorization for release of medical records. Attachments may be added. Incomplete complaints will be returned to the sender, stating the reasons for the return and notifying the sender that the complaint may be refiled.

The HCSB will provide a copy of the complaint to the provider. [His, Her, Its] response will be considered as part of HCSB's review of the complaint. Following that review, the HCSB will let all of the parties know what action has been taken with respect to it. If the complaint appears to be about an impartial physician on the Department of Industrial Accidents' roster, a copy will be forwarded to the senior judge responsible for the impartial program. However, the act of forwarding a complaint or response is not a recommendation or an opinion to the appropriateness of the provider to serve as an impartial physician.

Two members of the Complaint Sub-committee of the Health Care Services Board will review the complaint and make their recommendation to the Board at a future meeting. Each party will be notified of, and invited to speak before, the HCSB meeting wherein final action will be taken .

HCSB Provider Complaint Form - Form 134
 
The complaint and medical release must be signed, therefore the complaint should NOT be sent by E-mail.

Send correspondence to:

H. Dalton
Department of Industrial Accidents
Health Care Services Board
1 Congress Street, Suite 100
Boston, MA 02114-20017

Tel: 617-727-4900, ext. 310
Fax: 617-348-2176