Medical Treatment Utilization Schedule

MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 1 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 2 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 3 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 4 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 5 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 6 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 7 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 8 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 9 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 10 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 11 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 12 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 13 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 14 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 15 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 16 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 17 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 18 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 19 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 20 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 21 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 22 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 23 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 24 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 25 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 26 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 27 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 28 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 29 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 30 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 31 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 32 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 33 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 34 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 35 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 36 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 37 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 38 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 39 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 40 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 41 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 42 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 43 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 44 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 45 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 46 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 47 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 48 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 49 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 50 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 51 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 52 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 53 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 54 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 55 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 56 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 57 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 58 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 59 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 60 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 61 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 62 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 63 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 64 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 65 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 66 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 67 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 68 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 69 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 70 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 71 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 72 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 73 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 74 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 75 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 76 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 77 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 78 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 79 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 80 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 81 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 82 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 83 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 84 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 85 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 86 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 87 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 88 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 89 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 90 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 91 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 92 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 93 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 94 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 95 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 96 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 97 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 98 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 99 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 100 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 101 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 102 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 103 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 104 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 105 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 106 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 107 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 108 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 109 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 110 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 111 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 112 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 113 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 114 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 115 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 116 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 117 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 118 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 119 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 120 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 121 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 122 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 123 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 124 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 125 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 126 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 127 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 128 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 129 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 130 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 131 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 132 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 133 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 134 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 135 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 136 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 137 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 138 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 139 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 140 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 141 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 142 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 143 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 144 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 145 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 146 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 147 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 148 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 149 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 150 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 151 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 152 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 153 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 154 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 155 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 156 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 157 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 158 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 159 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 160 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 161 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 162 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 163 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 164 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 165 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 166 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 167 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 168 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 169 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 170 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 171 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 172 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 173 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 174 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 175 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 176 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 177 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 178 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 179 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 180 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 181 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 182 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 183 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 184 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 185 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 186 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 187 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 188 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 189 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 190 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 191 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 192 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 193 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 194 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 195 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 196 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 197 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 198 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 199 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 200 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 201 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 202 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 203 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 204 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 205 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 206 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 207 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 208 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 209 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 210 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 211 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 212 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 213 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 214 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 215 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 216 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 217 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 218 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 219 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 220 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 221 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 222 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 223 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 224 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 225 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 226 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 227 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 228 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 229 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 230 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 231 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 232 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 233 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 234 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 235 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 236 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 237 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 238 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 239 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 240 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 241 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 242 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 243 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 244 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 245 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 246 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 247 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 248 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 249 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 250 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 251 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 252 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 253 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 254 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 255 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 256 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 257 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 258 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 259 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 260 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 261 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 262 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 263 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 264 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 265 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 266 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 267 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 268 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 269 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 270 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 271 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 272 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 273 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 274 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 275 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 276 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 277 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 278 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 279 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 280 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 281 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 282 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 283 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 284 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 285 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 286 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 287 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 288 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 289 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 290 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 291 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 292 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 293 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 294 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 295 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 296 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 297 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 298 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 299 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 300 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 301 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 302 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 303 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 304 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 305 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 306 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 307 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 308 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 309 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 310 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 311 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 312 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 313 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 314 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 315 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 316 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 317 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 318 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 319 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 320 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 321 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 322 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 323 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 324 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 325 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 326 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 327 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 328 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 329 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 330 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 331 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 332 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 333 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 334 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 335 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 336 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 337 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 338 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 339 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 340 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 341 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 342 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 343 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 344 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 345 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 346 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 347 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 348 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 349 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 350 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 351 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 352 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 353 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 354 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 355 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 356 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 357 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 358 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 359 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 360 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 361 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 362 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 363 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 364 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 365 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 366 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 367 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 368 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 369 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 370 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 371 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 372 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 373 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 374 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 375 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 376 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 377 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 378 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 379 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 380 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 381 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 382 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 383 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 384 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 385 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 386 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 387 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 388 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 389 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 390 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 391 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 392 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 393 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 394 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 395 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 396 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 397 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 398 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 399 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 400 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 401 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 402 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 403 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 404 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 405 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 406 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 407 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 408 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 409 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 410 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 411 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 412 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 413 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 414 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 415 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 416 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 417 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 418 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 419 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 420 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 421 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 422 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 423 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 424 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 425 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 426 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 427 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 428 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 429 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 430 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 431 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 432 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 433 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 434 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 435 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 436 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 437 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 438 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 439 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 440 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 441 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 442 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 443 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 444 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 445 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 446 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 447 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 448 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 449 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 450 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 451 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 452 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 453 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 454 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 455 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 456 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 457 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 458 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 459 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 460 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 461 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 462 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 463 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 464 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 465 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 466 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 467 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 468 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 469 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 470 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 471 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 472 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 473 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 474 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 475 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 476 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 477 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 478 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 479 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 480 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 481 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 482 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 483 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 484 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 485 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 486 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 487 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 488 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 489 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 490 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 491 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 492 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 493 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 494 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 495 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 496 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 497 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 498 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 499 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 500 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 501 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 502 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 503 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 504 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 505 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 506 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 507 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 508 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 509 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 510 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 511 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 512 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 513 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 514 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 515 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 516 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 517 of 519 MEDICAL RULEMAKING WRITTEN COMMENTS NAME OF RESPONSE ACTION TREATMENT 45 DAY COMMENT PERIOD PERSON/ UTILIZATION AFFILIATION SCHEDULE General Comment Commenter states under the proposed regulations, Harry J. Monroe, Disagree. DWC is precluded from None. (Automatic future revisions of the applicable guidelines by Director of automatically adopting future Updates) ACOEM or the Work Loss Data Institute will not Government updates of documents incorporated become part of the MTUS unless the DWC amends Relations into a rulemaking without formal the regulations. Commenter opines in future years this Coventry Health Care rulemaking. If future updates are may become confusing for physicians trying to August 12, 2008 automatically incorporated by determine which guidelines are applicable. reference into the MTUS Commenter suggests the guidelines adopted by those regulations, which have the full respective organizations as of the date of the request force and effect of law, then the for treatment be applicable for review purposes, Administrative Director has unless the DWC has taken subsequent action to deny delegated the power to make the use of a revision. Commenter requests if the DWC regulatory law in California to a declines to take this step, DWC should take whatever private association with no steps are necessary to make all current guidelines limitation whatsoever and with no available on its website. Commenter states this would rational basis for determining what at least help to make sure physicians can locate the policy will be implemented. (1 relevant and applicable guidelines. CCR §20, Kugler v. Yocum, 69 Cal. 2nd 371, 375-377 (Cal. 1968).) On the other hand, with medical advances likely to occur and become current practice, it will be necessary for the DWC to update the MTUS on a regular basis. This update will be accomplished through formal rulemaking. The applicability of the MTUS becomes effective when the regulations are approved through the formal rulemaking process. After the regulations become effective, the MTUS is applicable as presumptively correct until it is updated again through formal rulemaking. If there are changes in the medical evidence as a result of medical advances before the next update, then Section 9792.25 allows both physicians and claims administrators to attempt toPage 518 of 519 Page 519 of 519

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