Legal Question in Workers Comp in California

I have a work comp case in California from 2002 where I receive lifetime medical. If I move to Washington can I still receive my care?


Asked on 3/30/15, 9:53 am

1 Answer from Attorneys

Nancy Wallace Nancy Wallace Atty at Law

Getting treatment through California Workers Comp in another state has been rendered virtually impossible with Senate BIll 863 decimating workers comp treatment. SB863 now requires each medication Rx and each test or procedure to be requesting in writing twice: both a form PR-2 and Request For Authorization form. Those have to be 'served' (mailed/fax with proof of faxing/mailing) on the Utilization Review company. If the Utilization Review doc is late, you request a trial to get the treatment ordered by the judge in California (so you're coming back to California every time treatment is denied late?? That's big $$), and if it's denied on time, you only get an Independent Medical Review... and IMRs are denied by faceless nameless jerks at Maximus 80% of the time, so you only get a 1 in 5 chance some boob at Maximus (we have no earthly idea if any real doctor there ever sees any records or not) might 'award' you your treatment procedure or medication ... I've never found any physician in any other state willing to treat a patient with this California Insanity, and most good doctors in California are giving up and stepping away from helping injured workers because of this ridiculous scheme.

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Answered on 4/10/15, 8:36 am


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