Medical Treatment Utilization Schedule definition

Medical Treatment Utilization Schedule or “MTUS” means the treatment utilization scheduled adopted by the Administrative Director of the Division of Workers' Compensation as required by Labor Code section 5307.27 and sections 9792.20 et seq of Title 8 of the California Code of Regulations.
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Medical Treatment Utilization Schedule means the standards of care adopted by the Administrative Director pursuant to Labor Code section 5307.27 and set forth in Article 5.5.2 of this Subchapter, beginning with section 9792.20.
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Medical Treatment Utilization Schedule means the standards of care adopted by the Administrative Director pursuant to Labor Code section 5307.27; updated as of December 2017 (CA MTUS).
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Examples of Medical Treatment Utilization Schedule in a sentence

  • In the event the disputed medical treatment, condition or injury is not addressed by the Medical Treatment Utilization Schedule, the evaluator's medical opinion shall be consistent with and refer to other evidence-based medical treatment guidelines, peer reviewed studies and articles, if any, and otherwise shall explain the medical basis for the evaluator's reasoning and conclusions.

  • The treatment protocols or standards governing the utilization review process shall be consistent with the Medical Treatment Utilization Schedule adopted by the Administrative Director pursuant to Labor Code section 5307.27.

  • This prohibition shall not apply to visits for postsurgical physical medicine visits prescribed by the surgeon, or physician designated by the surgeon, under the postsurgical component of the Division of Workers’ Compensation’s Medical Treatment Utilization Schedule.

  • Medical Treatment Utilization Schedule (a) The Administrative Director adopts the Medical Treatment Utilization Schedule (MTUS) consisting of section 9792.20 through section 9792.26.

  • Medical benefits will be provided under the San Manuel Medical Providers Network and will be comparable to those established by the California Department of Industrial Relations, Division of Workers’ Compensation and the California Medical Treatment Utilization Schedule.

  • If it is found after Retrospective Review that there is a pattern and practice of the physician or provider failing to render treatment consistent with the Medical Treatment Utilization Schedule, including the Drug Formulary, BHHC may prohibit the physician or provider from providing further medical treatment to any employee without Prospective Review or Concurrent Review.

  • Fixed dollar copays  $20 copay for office visits except for chiropractic which is $15  $50 copay for emergency room visits $50 copay for emergency room visits Percent coinsurance Note: Copays apply once the deductible has been met.

  • Gaming Enterprise shall provide quality and timely medical treatment comparable to the California Medical Treatment Utilization Schedule.

  • Physician-Dispensed DrugsExempt Drugs dispensed by a physician must be Authorized through Prospective Review or Concurrent Review prior to being dispensed, except a physician may dispense up to a 7-day supply of one or more Exempt Drugs at the time of an initial visit without obtaining Authorization through Prospective Review or Concurrent Review, if the drug treatment is in accordance with the Medical Treatment Utilization Schedule and the initial visit occurs with 7 days of the date of injury.

  • Exceptions to the prohibition on a chiropractor continuing as your treating physician after 24 visits include postsurgical physical medicine visits prescribed by the surgeon, or physician designated by the surgeon, under the postsurgical component of the Division of Workers’ Compensation’s Medical Treatment Utilization Schedule, or if your employer has authorized additional visits in writing.


More Definitions of Medical Treatment Utilization Schedule

Medical Treatment Utilization Schedule means the standards of care adopted by the Administrative Director pursuant to LC § 5307.27 and set forth in Division 1, Chapter 4.5, Subchapter 1, Article 5.5.2 of the CCR.
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Medical Treatment Utilization Schedule and “MTUS” means the most current version of guidelines adopted by the Administrative Director pursuant to Labor Code §5307.27 and set forth in Article 5.5.2 of Title 8 of the California Code of Regulations beginning with Section
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Medical Treatment Utilization Schedule means the evidence-based, peer-reviewed, nationally recognized standards of care adopted by the Administrative Director pursuant to Labor Code section 5307.27 and set forth in California Code of Regulations, title 8, sections 9792.20 et seq.
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Medical Treatment Utilization Schedule means the standards of care adopted by the Administrative Director pursuant to Labor Code section 5307.27 and set forth in Article 5.5.2 of this Subchapter, beginning with section 9792.20 and includes the MTUS Drug List set forth in section 9792.27.15 and the formulary rules set forth in sections 9792.27.1 through 9792.27.23.
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Medical Treatment Utilization Schedule means the standards of care adopted by the Administrative Director pursuant to Labor Code section 5307.27 and set forth in California Code of Regulations, title 8, sections 9792.20 et seq.
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Related to Medical Treatment Utilization Schedule

  • Medical Treatment means examination and treatment by a Legally Qualified Physician for a condition which first manifested itself, worsened or became acute or had symptoms which would have prompted a reasonable person to seek diagnosis, care or treatment.

  • Mechanical Treatment means the use of power saws, axes, or other approved tools to remove trees.

  • Qualified residential treatment program means a program that (i) provides 24-hour residential

  • Thermal treatment means the treatment of hazardous waste in a device which uses elevated temperatures as the primary means to change the chemical, physical, or biological character or composition of the hazardous waste. Examples of thermal treatment processes are incineration, molten salt, pyrolysis, calcination, wet air oxidation, and microwave discharge. (See also “incinerator” and “open burning”.)

  • Residential treatment facility means a facility which provides a treatment program for behavioral health services and is established and operated in accordance with applicable state laws for residential treatment programs. RETAIL CLINIC is a medical clinic licensed to provide limited services, generally located in a retail store, supermarket or pharmacy. A retail clinic provides vaccinations and treats uncomplicated minor illnesses such as colds, ear infections, minor wounds or abrasions.

  • Psychiatric residential treatment facility means a facility which

  • National Treatment NT shall not apply to any measure affecting the type of activities which may be conducted on land or the usage of land, including but not limited to, land zoning, land use and urban planning policies. Urban Redevelopment Authority Act, Chapter 340, 1985 Revised Edition

  • Hospital treatment means treatment (including provision of goods and services) that is intended to manage a disease, injury or condition and is provided at a hospital or arranged with the direct involvement of a hospital.

  • General treatment means treatment (including provision of goods and services) that is intended to manage or prevent a disease, injury or condition and is not “hospital treatment”.

  • Continuing treatment means ongoing medical treatment or supervision by a health care provider.

  • Confidential treatment in its entirety, and replace it with the following:

  • Confidential Treatment Requested The redacted material has been separately filed with the Commission."

  • Regulatory Capital Treatment Event means the good faith determination by the Corporation that, as a result of (i) any amendment to, or change in, the laws or regulations of the United States or any political subdivision of or in the United States that is enacted or becomes effective after the initial issuance of any share of Series F Preferred Stock, (ii) any proposed change in those laws or regulations that is announced after the initial issuance of any share of Series F Preferred Stock, or (iii) any official administrative decision or judicial decision or administrative action or other official pronouncement interpreting or applying those laws or regulations that is announced after the initial issuance of any share of Series F Preferred Stock, there is more than an insubstantial risk that the Corporation will not be entitled to treat the full liquidation value of the shares of Series F Preferred Stock then outstanding as “tier 1 capital” (or its equivalent) for purposes of the capital adequacy guidelines of the Board of Governors of the Federal Reserve System, Regulation Y, 12 CFR 225 (or, as and if applicable, the capital adequacy guidelines or regulations of any successor Appropriate Federal Banking Agency), as then in effect and applicable, for as long as any share of Series F Preferred Stock is outstanding.

  • Opioid treatment program means a detoxification or maintenance treatment program which is required to report patient identifying information to the central registry and which is located in the state.

  • Substance abuse treatment means outpatient or inpatient services or participation in Alcoholics Anonymous or a similar program.

  • Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which:

  • Day treatment means specialized treatment that is provided to:

  • Water treatment plant means that portion of the water supply system which in some way alters the physical, chemical, or bacteriological quality of the water.

  • Inpatient treatment means twenty-four-hour-per-day mental

  • Outpatient treatment means mental health or substance abuse treatment services rendered to a

  • Unproven/ Experimental treatment means the treatment including drug experimental therapy which is not based on established medical practice in India.

  • OPD treatment means the one in which the Insured visits a clinic / hospital or associated facility like a consultation room for diagnosis and treatment based on the advice of a Medical Practitioner. The Insured is not admitted as a day care or in-patient.

  • preferential tariff treatment means the rate of customs duties applicable to an originating good of the exporting Party in accordance with paragraph 1 of Article 16; and

  • Sewage Treatment Plant means any arrangement of devices and structures used for treating sewage.

  • Treatment zone means a soil area of the unsaturated zone of a land treatment unit within which hazardous constituents are degraded, transformed, or immobilized.

  • Dental Treatment means a treatment related to teeth or structures supporting teeth including examinations, fillings (where appropriate), crowns, extractions and surgery.