CompFox AI Summary
The applicant seeks reconsideration of a decision denying further nurse case manager services. The WCAB granted reconsideration, holding that an employer cannot unilaterally terminate long-term, voluntarily provided nurse case manager services without medical evidence of changed circumstances. The Board found the applicant's treating physician recommended continued services, and the defendant bears the burden to prove services are no longer medically necessary. Therefore, the defendant must reinstate nurse case manager services until such medical evidence is presented.
Full Decision Text1 Pages
The applicant seeks reconsideration of a decision denying further nurse case manager services. The WCAB granted reconsideration, holding that an employer cannot unilaterally terminate long-term, voluntarily provided nurse case manager services without medical evidence of changed circumstances. The Board found the applicant's treating physician recommended continued services, and the defendant bears the burden to prove services are no longer medically necessary. Therefore, the defendant must reinstate nurse case manager services until such medical evidence is presented.
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