WCPanelIQ
PanelGranted

Conlin, Emily

EMILY CONLIN, Applicant vs. YUMMY FOODS, LLC; EMPLOYERS PREFERRED INSURANCE COMPANY, Defendants

ADJ number
ADJ12727724
Decision date
Jul 1, 2024
District office
Van Nuys
WCJ
—
Claim administrator
Employers Preferred Insurance Company
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: head, neck, left hand, left elbow, thoracic spine, lumbar spine, both shoulders, left hip, eyes (claimed), psyche (claimed)

LC §4600LC §5313LC §5803LC §5901LC §5907LC §5908LC §5908.5LC §5950CCR §10305

Summary

Emily Conlin, a delivery driver, sustained industrial injuries on August 19, 2019 to multiple body parts. The WCJ found a December 6, 2023 UR noncertification of an outpatient neurological treatment program (at the Centre for Neuro Skills) timely and binding, and found a May 5, 2023 UR noncertification untimely but moot due to applicant's contemporaneous change of treating physicians. Applicant sought reconsideration arguing that under Patterson v. The Oaks Farm, defendant could not discontinue previously authorized treatment absent substantial medical evidence of a change in circumstances. The Appeals Board granted reconsideration, finding the matter required further review of whether the outpatient CNS treatment qualifies under Patterson and Rivota based on the nature of treatment rather than quantity authorized, and that further development of the record may be appropriate. The Board deferred a final decision after reconsideration.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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