CompFox AI Summary
This case concerns a dispute over the necessity and timeliness of 24/7 home health care for an injured worker. The Workers' Compensation Appeals Board (WCAB) affirmed the original findings but amended them to rule the defendant's utilization review (UR) decision was untimely, thus invalid. The WCAB found the worker had a valid prescription for home health care and was entitled to services starting October 22, 2013. However, one commissioner dissented, arguing there was insufficient evidence to support the indefinite need for the requested services based on current medical evaluations.
Full Decision Text1 Pages
This case concerns a dispute over the necessity and timeliness of 24/7 home health care for an injured worker. The Workers' Compensation Appeals Board (WCAB) affirmed the original findings but amended them to rule the defendant's utilization review (UR) decision was untimely, thus invalid. The WCAB found the worker had a valid prescription for home health care and was entitled to services starting October 22, 2013. However, one commissioner dissented, arguing there was insufficient evidence to support the indefinite need for the requested services based on current medical evaluations.
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