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Agency 85 - Workers' CompensationTitle 85 - PROCEDURAL RULE WORKERS' COMPENSATION RULES OF THE WEST VIRGINIA INSURANCE COMMISSIONER
Series 85-20 - Medical Management Of Claims, Guidelines For Impairment Evaluations, Evidence, And Ratings, And Ranges Of Permanent Partial Disability Awards
Section 85-20-59 - Required documentation to be submitted for continued coverage of opioids to treat chronic, noncancer pain

W. Va. Code R. § 85-20-59

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Current through Register Vol. XLI, No. 45, November 8, 2024
Section 85-20-59 - Required documentation to be submitted for continued coverage of opioids to treat chronic, noncancer pain
59.1. In addition to the general documentation required by the Commission, Insurance Commissioner, private carrier or self-insured employer, whichever is applicable, the attending physician must submit the following information at least every sixty days when treating with opioids:
a. Documentation of drug screenings, consultations, and all other treatment trials;
b. Documentation of outcomes and responses, including pain intensity and functional levels; and c. Any modifications to the treatment plan.

The physician must document the patient's improvement in pain intensity and functional levels.

W. Va. Code R. § 85-20-59