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Designation Notice, form WH-382 informs the employee whether the FMLA leave request is approved; also informs the employee of the amount of leave that is designated and counted against the employees FMLA entitlement.
What is the MC 382 form?
MC 382 (6/18) Use this form to appoint an individual or organization as your Medi-Cal authorized representative. Your authorized representative may act for you on all duties related to your Medi-Cal eligibility and enrollment. Or, you may also limit duties. You may cancel or change this appointment at any time.
Why are doctors hesitant to fill out FMLA paperwork?
Because of doctors workloads and the inability in many situations to render a precise prognosis about the frequency and duration of a condition, it can be a challenge when they have to complete patients FMLA request forms.
What mental health conditions qualify for FMLA?
Chronic conditions (e.g., anxiety, depression, or dissociative disorders) that cause occasional periods when an individual is incapacitated and require treatment by a health care provider at least twice a year.
What is the purpose of an authorized representative?
An Authorized Representative is an individual with legal authority to bind the government entity (e.g., the Chief Executive Officer of the government entity). An Authorized Representative must sign the Acceptance of Award terms for it to be valid.
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A Letter of Authorization authorizes payment for medical services received over 12 months before the current month. A Letter of Authorization is not required if the medical services were received within 12 months of the current month. Months still showing on the [INQM] screen in MEDS do not require an LOA.
Related links
WH-382 (.pdf)
While use of this form is optional, a fully completed Form WH-382 provides employees with the information required by 29 C.F.R. 825.300(d), 825.301, and
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