The Tennessee Attorney General has approved new treatment guidelines and a closed drug formulary proposed by the Tennessee Bureau of Workers’ Compensation, according to Helios, a comp PBM company. The rule will next go before a legislative committee for review and approval. As published, the rule is scheduled to take effect on February 28th, 2016, but depending on the action of the legislature, it could be delayed for up to 30 days. The treatment guidelines adopted in the rule are a combination of the Official Disability Guidelines (ODG), the Tennessee Department of Health Chronic Pain Guidelines, and related appendices of both guidelines, including any future updates. The guidelines and closed formulary apply to treatment occurring on or after January 1st, 2016, with a six month adjustment period. For injuries that occurred prior to the new year, the formulary will apply six months following the effective date for newly prescribed medications, and 12 months after the effective date for any medications used prior to January 1st, 2016.
Read further details on the rule via Helios here.