Specifications include, but are not limited to: Pursuant to the requirements of 19 Del.C. § 2322C (1), administer Utilization Review for the Delaware Department of Labor as follows: • Review treatment to determine whether or not the following health care treatment adheres to the Delaware Workers’ Compensation Health Care Payment System (HCPS) and/or the Delaware Workers’ Compensation Health Care Practice Guidelines (PGs): o Medical Treatment; o Chiropractic; o Diagnostic tests; o Hospitalization; o Outpatient Procedures; o Physical Therapy and other physical treatment modalities; o Surgery. o Prescription Drug Utilization • Provide service requests within the applicable time standards and provided medical advice as warranted
