CompFox AI Summary
This case involves an applicant seeking reimbursement for home health care services. The defendant contested the award, arguing the need for a physician's prescription, challenging the reliance on an agreed medical examiner over utilization review, and questioning the compensability of services provided by the applicant's mother. The Workers' Compensation Appeals Board affirmed the initial award, finding the defendant had sufficient notice and failed to provide necessary care. The Board emphasized that the opinion of an agreed medical examiner can constitute substantial evidence and that family members providing care are still compensable under Labor Code section 4600.
Full Decision Text1 Pages
This case involves an applicant seeking reimbursement for home health care services. The defendant contested the award, arguing the need for a physician's prescription, challenging the reliance on an agreed medical examiner over utilization review, and questioning the compensability of services provided by the applicant's mother. The Workers' Compensation Appeals Board affirmed the initial award, finding the defendant had sufficient notice and failed to provide necessary care. The Board emphasized that the opinion of an agreed medical examiner can constitute substantial evidence and that family members providing care are still compensable under Labor Code section 4600.
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