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КАТЕГОРИИ:






Types of medical examinations: previous and periodic




Preliminary medical examination carried out for those workers who are subject to the contract shall receive medical services in the manner prescribed in the contract. Workers subject to the contract include those who are receiving medical treatment for an accepted compensable injury or occupational disease, regardless of the date of injury or medically stationary status, on or after the effective date of the contract. If the managed care organization determines that the change in provider would be medically detrimental to the worker, the worker shall not become subject to the contract until the worker is found to be medically stationary, the worker changes physicians or nurse practitioners, or the managed care organization determines that the change in provider is no longer medically detrimental, whichever event first occurs.

Periodic medical examination carried out after the workers condition is medically stationary are not compensable except for the following purposes:

Ø Services provided to a worker who has been determined to be permanently and totally disabled.

Ø Services necessary to administer prescription medication or monitor the administration of prescription medication, prosthetic devices, braces and supports.

Ø Services necessary to monitor the status, replacement or repair of prosthetic devices, braces and supports.

Ø Services that are necessary to diagnose the workers condition.






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