Medical Technologies and Procedures Policy
developed a process for evaluating requests for the review of new medical
technology or procedures for coverage for the treatment of workers’compensation
conditions. This process does not apply to new products or methods for the
treatment of conditions when a similar method or product for treatment is
currently available. The review will include the following steps.
BWC or MCO
identifies the technology or procedure of concern in regard to authorization.
gather information regarding the procedure, treatment or technology. Sources
may include manufacturer’s literature, submitted documentation from the
provider requesting authorization of the service, and information from the MCO
Injury Management or Medical Policy Division will review the documentation and
will research other sources such as MEDLINE or other databases; The Cochrane
Library, established treatment guidelines and specialty organizations,
such as the Centers for Disease Control.
Injury Management or Medical Policy division will review the information and
create a draft position document focusing on indications, outcomes, adverse
effects, safety and cost.
position will be presented to the appropriate medical committee (i.e., MCO
Medical Directors Committee or BWC Health Care Quality Assurance Advisory
position paper will be posted on BWC’s website.