CompFox AI Summary
Applicant Odilio Velasquez sustained an industrial injury to his head, brain, neck, and back. The defendant, State Compensation Insurance Fund, sought reconsideration of a Findings and Award (F&A) that mandated the continuation of home health care services for the applicant. The defendant argued that its provision of services was utilization review-mandated and the case law relied upon by the WCJ, Patterson, only applied to unilateral decisions to offer medical treatment. The Appeals Board denied the petition for reconsideration, agreeing with the WCJ that the defendant failed to establish a change in the applicant's condition or circumstances to cease previously authorized treatment, affirming that the Patterson analysis applied.
Full Decision Text1 Pages
Applicant Odilio Velasquez sustained an industrial injury to his head, brain, neck, and back. The defendant, State Compensation Insurance Fund, sought reconsideration of a Findings and Award (F&A) that mandated the continuation of home health care services for the applicant. The defendant argued that its provision of services was utilization review-mandated and the case law relied upon by the WCJ, Patterson, only applied to unilateral decisions to offer medical treatment. The Appeals Board denied the petition for reconsideration, agreeing with the WCJ that the defendant failed to establish a change in the applicant's condition or circumstances to cease previously authorized treatment, affirming that the Patterson analysis applied.
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