LISA SIMMONS vs. CALIFORNIA DEPT. OF MENTAL HEALTH: Insured ClaimsLISA SIMMONS vs. STATE OF CALIFORNIA, DEPARTMENT MENTAL HEALTH, Legally Uninsured; STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Adjusting Agency
is a case involving Lisa Simmons, an applicant, and the State of California, Department of Mental Health, Legally Uninsured; State Compensation Insurance Fund/State Contract Services, Adjusting Agency, defendants. The case involves a petition for reconsideration and/or removal from the Findings and Award, issued August 1, 2012, in which a workers’ compensation administrative law judge (WCJ) appointed an Independent Medical Examiner (IME) to evaluate applicant. The WCJ found the medical record was not sufficient to determine applicant’s need for home health care, nursing services, maid and cleaning services, and whether defendant appropriately terminated these services, as an element of her 2006 award of further medical treatment for her 2002 industrial injury. The WCJ indicated that the
