OAR 438-012-0037: Payment of Medical Benefits

Except as otherwise provided in OAR 438-012-0020(7), for every condition resulting from a compensable injury occurring before January 1, 1966, the Own Motion insurer may pay for reasonable and necessary medical services when: (1) Undertaken for curative purposes; (2) Provided to a claimant who has been determined to have permanent total disability; (3) Provided in the form of prescription medications; (4) Necessary to administer prescription medication or to monitor administration of prescription medication; (5) Provided in the form of prosthetic devices, braces and supports; (6) Necessary to maintain and monitor the status, replacement or repair of a prosthetic device, brace or support; (7) Necessary to diagnose the claimant's condition; (8) Necessary to enable the claimant to continue current employment; (9) Provided in the form of life-preserving modalities similar to insulin therapy, dialysis and transfusions; or (10) The Board determines that special circumstances justify the provision of further medical services.