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)