Oregon Statutory Time Limitations Handbook: The Red Book

Page 206

WORKERS’ COMPENSATION / §87.7

double payments for death benefits and PPD payments are allowed. ORS 656.218(6).

G.

Payment of PPD awards must commence within 30 days of the date the order awarding benefits becomes final. OAR 436-060-0150(7).

An insurer’s or employer’s request for hearing appealing a reconsideration order stays payment of compensation ordered in the reconsideration order. ORS 656.313. Medical Services. Medical services for compensable conditions continue for life, but are not payable for medical services directed solely to a worker’s preexisting condition. ORS 656.245(1), ORS 656.225. •

196

Medical services are not compensable after the worker’s compensable condition becomes medically stationary, except for: 1.

Medical services to a worker who has been found permanently and totally disabled;

2.

Prescription medications;

3.

Services necessary to administer and monitor administration of prescription medication;

4.

Prosthetic devices, braces, and supports;

5.

Services necessary to monitor status, repair, or replacement of prosthetic devices, braces, and supports;

6.

Services provided pursuant to an accepted claim for aggravation;

7.

Services provided pursuant to the Workers’ Compensation Board’s (Board’s) own motion for reopening;

8.

Services necessary to diagnose the worker’s condition;

9.

Life-preserving modalities similar to insulin therapy, dialysis, and transfusion;

10.

Palliative care required to enable the worker to continue working or vocational training, when approved by the insurer or self-insured employer, or when approved by the Director at the request of the worker or the worker’s attending physician;

11.

With approval of the Director, curative care from a generally recognized and nonexperimental advance in medical science since the worker’s claim was closed, if that curative care is highly likely to improve the worker’s condition; or

12.

Curative care to stabilize temporary and acute waxing and waning of symptoms.


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