Worker's Compensation

As of December 1st, 2010, treatment guidelines have changed for patients being treated under Worker's Compensation for the following body parts:

  • Neck
  • Upper, Mid and Lower Back
  • Shoulder
  • Knee
Injuries to body parts not listed above are not affected by the new guidelines and will be administered under the old procedures.

Please visit the Worker's Compensation website for specific details as to how you may be affected under these new guidelines.

The new treatment guidelines create a framework of how treatment is to be administered with expected frequency and duration for specific diagnoses. This new approach is designed to reduce costs, improve access to care and treatment, improve communication between health care providers, and return the patient to work.

Some notable changes to be aware of (please see the website for a complete explanation of these changes and all other changes):

  • Patients are to have an initial re-evaluation with their doctor within 2-3 weeks of beginning treatment
  • Follow-up re-evaluations have been extended to every 90 days, but may be performed earlier if medically necessary
  • The time frame for treatment is predetermined based on your injury
  • Injuries that require treatment beyond the expected duration may be extended through a variance, submitted by your physician
  • Treatment must show progress for therapy to continue
  • Consistent attendance is monitored by the case adjustor
  • Injuries to the above body parts sustained prior to December 1st, 2010 will adhere to the new guidelines

Worker's Compensation website
Worker's Compensation Treatment Guidelines
WC Patient Advocate Contact: (800) 580-6665
Customer Service: (877) 632-4996