Section 418.101008. Reimbursement for opioid treatment for chronic, non-cancer pain.  


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  • (1) For purposes of these rules, chronic pain is pain unrelated to cancer or is incident to surgery and that persists beyond the period of expected healing after an acute injury episode. It is pain that persists beyond 90 days following the onset of the pain. The payer shall reimburse for opioids used in the treatment of chronic pain resulting from work-related conditions.

    (2)   This rule is applicable to opioid treatment of chronic pain for the following:

    (a)   Injury dates on or after June 26, 2015.

    (b)   Beginning December 26, 2015, all other injury dates.

History: 2014 AACS; 2015 MR 17, Eff. Sept. 15, 2015.