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When can treatment deviate from the guidelines?

Treatment may deviate from the guidelines when a worker’s condition is unusual, when the guideline recommendations do not fit the worker’s needs, or when the provider documents a clear medical reason for a different approach. Carriers may review non-guideline treatment more carefully and may request Utilization Review to determine if the deviation is appropriate.

 

Source File: Part C Cumulative Trauma for Publication
Law Reference: 19 Del. C. §2322C(f)