(a) The Commission may adopt utilization rules and guidelines, consistent with this Article, for medical care and medical rehabilitation services, other than those services provided by managed care organizations pursuant to G.S. 97-25.2, including, but not limited to, necessary palliative care, physical therapy treatment, psychological therapy, chiropractic services, medical rehabilitation services, and attendant care. The Commission's rules and guidelines shall ensure that injured employees are provided the services and care intended by this Article and that medical costs are adequately contained. In developing the rules and guidelines, the Commission may consider, among other factors, the practice guidelines adopted by the boards and associations representing medical and rehabilitation professionals.
(b) Palliative care rules or guidelines adopted by the Commission may require that the provider (i) supply to the employer a treatment plan, including a schedule of measurable objectives, a projected termination date for treatment, and an estimated cost of services, and (ii) obtain preauthorization from the employer, not inconsistent with the provisions of G.S. 97-25.3. (1993 (Reg. Sess., 1994), c. 679, s. 2.4.)
Notes of Decisions
Mehaffey v. Burger King, 749 S.E.2d 252 (N.C. 2013).
· cites it 8× “§ 97-25.4(a) (2011). Those “rules and guidelines shall ensure that injured employees are provided the services and care intended by this Article and that medical costs are adequately contained.”
Collins v. Speedway Motor Sports Corp., 598 S.E.2d 185 (N.C. Ct. App. 2004).
· cites it 2× “See N.C. Gen. Stat. §§ 97-25.4 and 97-25.5 (2003) (providing for the adoption, by the Commission, of utilization rules and guidelines for “medical care and medical rehabilitation services” and for “vocational rehabilitation services and other types of rehabilitation services”).”
Burroughs v. Laser Recharge of Carolinas, Inc. (N.C. Ct. App. 2014).
“On page six of defendants’ brief to the Full Commission, they argued that: To permit an employee to wait years after a family member begins providing post-accident care before bringing the issue of reimbursement to the attention of the -8- employer, carrier, and Commission would…”
— N.C. Gen. Stat. § 97-25.4(a) — 2 cases
Mehaffey v. Burger King, 749 S.E.2d 252 (N.C. 2013).
“§ 97-25.4(a) (2011). Those “rules and guidelines shall ensure that injured employees are provided the services and care intended by this Article and that medical costs are adequately contained.”
Burroughs v. Laser Recharge of Carolinas, Inc. (N.C. Ct. App. 2014).
“On page six of defendants’ brief to the Full Commission, they argued that: To permit an employee to wait years after a family member begins providing post-accident care before bringing the issue of reimbursement to the attention of the -8- employer, carrier, and Commission would…”
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