CompFox AI Summary
In this workers' compensation case, the applicant, Rafael Chavez, sought reconsideration of a decision denying home healthcare benefits. The Workers' Compensation Appeals Board (WCAB) granted reconsideration, finding the parties had stipulated to an Agreed Medical Evaluator (AME) for this issue, thereby waiving formal utilization review processes. The WCAB rescinded the prior order and ruled applicant entitled to 12 hours per day of home healthcare for up to six months, pending a new evaluation by the AME.
Full Decision Text1 Pages
In this workers' compensation case, the applicant, Rafael Chavez, sought reconsideration of a decision denying home healthcare benefits. The Workers' Compensation Appeals Board (WCAB) granted reconsideration, finding the parties had stipulated to an Agreed Medical Evaluator (AME) for this issue, thereby waiving formal utilization review processes. The WCAB rescinded the prior order and ruled applicant entitled to 12 hours per day of home healthcare for up to six months, pending a new evaluation by the AME.
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