What the panel ordered
Petition for Reconsideration denied; continuation of home health care services ordered as previously authorized.
Defendant filed a Petition for Reconsideration of the February 6, 2025 Findings and Award by the WCJ, which was denied by the WCAB panel on May 6, 2025.
What was disputed, and how it came out
Each issue the panel decided, with the reasoning it gave. An outcome is what this panel did on this record — not a rule, and not a prediction.
Medical treatment / UR / IMRApplicant prevailedhead · brain · neck · back
The WCJ and WCAB found defendant failed to meet burden to show change in applicant's condition or circumstance to justify termination of home health care, applying Patterson analysis to ongoing treatment originally authorized by Utilization Review.
From the decision · page 4On February 6, 2025, the WCJ issued the F&A, determining in relevant part that the analysis in Patterson, supra, applied to the instant home health care dispute. (Finding of Fact No. 2.) Following a review of the evidentiary record, the WCJ concluded that defendant had not met its burden of establishing a change in applicant's condition or circumstance that would require a review of the medical necessity of previously authorized medical treatment or services. (Finding of Fact No. 3.) Accordingly, the WCJ ordered defendant to continue to provide home health care services at the previously authorized levels of 28 hours per week. (Award No. "A".)