Under the 2018 Date of Injury framework, the 30-day authorization without prior utilization review applies when the body part is accepted as compensable and addressed by which of the following?

• A. UR medical treatment schedule
• B. Medical Treatment Utilization Schedule
• C. Both UR medical treatment schedule and Medical Treatment Utilization Schedule
• D. Neither

Answer: (A)

The 30-day authorization without prior utilization review is tied to treatments listed on the UR medical treatment schedule. When the injured body part is accepted as compensable and its treatment falls under this UR schedule, the insurer must authorize the initial treatment within 30 days without a formal utilization review. The MTUS provides medical treatment guidelines, but it does not trigger this automatic 30-day preauthorization. So, if the body part is addressed by the UR medical treatment schedule, the quick 30-day authorization applies; if not, the standard utilization review process governs.