Medical Treatment Utilization Schedule (MTUS) definition

Medical Treatment Utilization Schedule (MTUS) means the evidence based treatment guidelines adopted by the California Department of Workers’ Compensation as recommendations for the treatment of injured workers. (Available on the CA Government DWC website for reference).
Medical Treatment Utilization Schedule (MTUS) means the standards ofcare adopted by the Administrative Director pursuant to Labor Code section 5307.27 and set forth in Article
Medical Treatment Utilization Schedule (MTUS) 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 the California Code of Regulations, Title 8, Chapter 4.5. Division of Workers’ Compensation, Subchapter 1. Administrative Director – Administrative Rules, beginning with section 9792.20. Effective 01/01/2018, the MTUS includes a drug formulary.

Examples of Medical Treatment Utilization Schedule (MTUS) in a sentence

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

  • TheMedical Treatment Utilization Schedule MTUS is presumptively correct on the issue of extent and scope of medical treatment and diagnostic services addressed in the Medical Treatment Utilization Schedule MTUS for the duration of the medical condition.

  • Nurse Review” or “NR,” which means the initial review of proposed medical treatment for approval or referral to Physician Review (defined below), with such determinations made based on nationally recognized treatment guidelines such as Medical Treatment Utilization Schedule (MTUS) and American College of Occupational & Environmental Medicine ( ACOEM).

  • In performing its function, the Contractor shall use the Medical Treatment Utilization Schedule (MTUS) promulgated by the DWC administrative director under Labor Code sections 5307.27 and 4604.5, and found in sections 9792.20 et seq.

  • When the Medical Treatment Utilization Schedule (MTUS) is updated, Bunch CareSolutions will accept and utilize that schedule.

  • If the disputed medical treatment only involves a drug that is listed on the Medical Treatment Utilization Schedule (MTUS) Formulary Drug List, the deadline for filing the IMR application is 15 days from the mailing date of the determination letter.

  • Number:CA Decisions 4Subject:Physician Reviewer DecisionsPolicy:Requests for authorization that cannot be approved by the Initial Clinical Reviewer or an adjuster will be assigned to a qualified physician Reviewer who will use the California Medical Treatment Utilization Schedule (MTUS) to review the request.

  • Medical Treatment Utilization Schedule (a) The Administrative Director adopts the Medical Treatment Utilization Schedule (MTUS) consisting of sSections 9792.20 through sSection 9792.236.

  • Defendant continued to provide outpatient care to applicant until July 16,2019, when defendant’s UR denied the request based on the Medical Treatment Utilization Schedule (MTUS) guidelines for traumatic brain injury.

  • Treatment must be medically necessary and consistent with the Division of Workers’ Compensation Medical Treatment Utilization Schedule (MTUS) or other scientifically-based medical evidence and be medically appropriate for the work-related injury.


More Definitions of Medical Treatment Utilization Schedule (MTUS)

Medical Treatment Utilization Schedule (MTUS) 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.

Related to Medical Treatment Utilization Schedule (MTUS)

  • 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

  • Psychiatric residential treatment facility means a facility which

  • 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.

  • 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”.)

  • 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.

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

  • 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”.

  • 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.

  • 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.

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

  • 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.

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

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

  • FOIPPA means the Freedom of Information and Protection of Privacy Act and Regulations (British Columbia);

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

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

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

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

  • 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

  • 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.

  • Overseas treatment means treatments or appliances provided or sourced from outside of Australia. This includes treatment on cruise ships inside or outside Australian waters.

  • Pretreatment wash primer means the first coat applied to bare metal if solvent-based primers will be applied. This coating: