CompFox AI Summary
The Board reconsidered a WCJ's award of home health care for an applicant injured in 2004, finding the defendants' arguments regarding IMR and authorization rules inapplicable due to the injury date. While affirming the need for home health care supported by medical opinions, the Board remanded the case to determine the specific scope and amount of such services, distinguishing them from non-industrial conditions. The Board reversed the WCJ's finding that the applicant's right ankle injury was industrially related due to a lack of substantial medical evidence and applicant testimony. Therefore, the award is affirmed in part, with the home health care scope deferred and the ankle injury deemed non-industrial.
Full Decision Text1 Pages
The Board reconsidered a WCJ's award of home health care for an applicant injured in 2004, finding the defendants' arguments regarding IMR and authorization rules inapplicable due to the injury date. While affirming the need for home health care supported by medical opinions, the Board remanded the case to determine the specific scope and amount of such services, distinguishing them from non-industrial conditions. The Board reversed the WCJ's finding that the applicant's right ankle injury was industrially related due to a lack of substantial medical evidence and applicant testimony. Therefore, the award is affirmed in part, with the home health care scope deferred and the ankle injury deemed non-industrial.
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