Johnathan Goodwin — ADJ10298755

Applicant Johnathan Goodwin, found 100% permanently totally disabled from a 2016 industrial injury, had been in residential/inpatient care since February 2020, with defendant issuing 34 prior UR certifications. In December 2025, the primary treating physician submitted an RFA for continued inpatient care, which defendant timely submitted to UR and which UR timely denied. The WCJ found the timely UR deprived the court of jurisdiction to act, but applicant sought reconsideration arguing the WCJ failed to address whether an agreed-upon safe discharge plan existed under section 4610(i)(4)(C) and that Patterson v. The Oaks Farm barred discontinuation of long-term concurrent care absent a material change in condition. The Appeals Board granted reconsideration, finding the WCJ failed to address the applicability of section 4610(i)(4)(C) and AD Rule 9792.9.1(e)(6), and that the record was not fully developed. A final decision after reconsideration was deferred pending further review.