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  1. #11
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,021

    Default Re: What Does It Mean When The Doctor States I Have Reached MMI

    TTD payments stop when you have reached MMI (Maximum Medical Improvement), becasue your PTP has determined that your condition is relatively stable, and is not expected to substantially improve or worsen over the next year or so. Even if you are declared MMI, it does NOT mean that your condition does not require contined medical treatment or Future Medical Treatment.

    Also,... keep in mind that WC is there to provide treatment to the EE due to a work related injury... and a RTW as soon as possible...
    Your TTD benefits end becasue as Charles said, you have reached a state where your doctor considers you to be P&S/MMI, which means that with or without additional treatment your condition is not expected to change better or worse in the next 12 months... and you are capable of returning to work...although that RTW may not be in your previous position/job.
    Unless you settle your case by a C&R, you are entitled to medical treatment to this injury/body part, and possibly to a 'compensable consequence' for life.

    This is where the issue of "reasonable accomodation" comes into the picture. And your ER's mandate to partake in the 'interactive process'...and ADA/FEHA rules/laws.

    The popular belief that you will receive benefits from your ER/IC until you are completely recovered from your injury is unfortunately WRONG...WC is there to get the IW back on his/her feet, and a return to some kind of 'gainful employment'...NOT necessarily the job you "know and love"...
    "Gainful employment'' is as determined by the Social Security Adm are those people capable of earning more than $940.00/month.

  2. #12
    Join Date
    May 2007
    Posts
    95

    Default Re: What Does It Mean When The Doctor States I Have Reached MMI

    My checks stopped on 10/13/07 (at this point I was under modification because of a trial return to work). About 5 weeks later I was told they didn't have a job that would accomodate my restrictions. They are required in NC to send notice of termination of benefits w/i 14 days ( I believeit is 14 days) but have never sent any notice. I have a date w/mediation on 5/27/08.

  3. #13
    Join Date
    Dec 2006
    Posts
    2,165

    Default Re: What Does It Mean When The Doctor States I Have Reached MMI

    Julie, if your ER can NOT offer you modified work, then you SHOULD have TTD payments RESUMED. Has your actual Employer ADVISED your CA that they have NO MODIFIED work given your works restrictions?

    You should also go back to your PTP ASAP, tell him that there IS NO MODIFIED WORK available, etc., and that you have not received payment or Notice from the IC. Perhaps another CURRENT report from your PTP concerning your TTD status would expedite the process...

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