Does a physical therapist keep the patient on program or discharge care while waiting for the status of the variance request?
The treating medical provider or therapist should initiate the variance request as early in the treatment program as possible and avoid waiting until treatment is complete, if it is clinically appropriate. According to the Medical Treatment Guidelines regulations, “When a Treating Medical Provider determines that medical care that varies from the Medical Treatment Guidelines, such as when a treatment, procedure, or test is not recommended by the Medical Treatment Guidelines, is appropriate for the claimant and medically necessary, he or she shall request a variance from the insurance carrier or Special Fund by submitting the form prescribed by the Chair for such purpose. A variance must be requested before medical care that varies from the Medical Treatment Guidelines is provided to the claimant and a request for a variance will not be considered if the medical care has already been provided”.
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