CompFox AI Summary
The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior award concerning medical treatment for applicant Urban Jones. The WCAB amended the award to find applicant entitled to an inpatient psychological rehabilitation program, which had been approved by utilization review (UR). Two earlier UR decisions regarding outpatient cognitive behavioral therapy and medication management were found untimely due to improper notification to applicant's attorney, and the issue of their medical necessity was deferred. The WCAB affirmed the entitlement to the inpatient program, ordering it provided at the specified facility as per the UR approval.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior award concerning medical treatment for applicant Urban Jones. The WCAB amended the award to find applicant entitled to an inpatient psychological rehabilitation program, which had been approved by utilization review (UR). Two earlier UR decisions regarding outpatient cognitive behavioral therapy and medication management were found untimely due to improper notification to applicant's attorney, and the issue of their medical necessity was deferred. The WCAB affirmed the entitlement to the inpatient program, ordering it provided at the specified facility as per the UR approval.
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