The Department of Industrial Accidents' (DIA) treatment guidelines and protocols cover the majority of tests and treatments for work-related injuries.
Treatment guidelines and protocols are used to evaluate if an injured worker's proposed treatment is medically reasonable and necessary. They give guidance to clinicians, insurers, and others about appropriate diagnostic testing and treatment. Members of the Health Care Services Board (HCSB) draft the guidelines. They give guidance to cli9nicians, insurers, and others about appropriate diagnostic testing and treatment. Members of the Health Care Services Board (HCSB) draft the guidelines. The full HCSB board votes to endorse the guidelines after soliciting and considering public comment. Thereafter, the DIA director adopts the guideline/protocol. Guidelines are not mandates and it is expected that up to 10% of treatment may deviate from the recommendations in the guidelines/protocols.
Changes to the Massachusetts Treatment Guidelines and Protocols June 2021
Please be advised of the following changes to Massachusetts Treatment Guidelines:
- New Neck and Back Treatment Guideline with Appendices replacing
- Neck and Back Injuries Conservative Treatment Guidelines (Up to 12 Weeks From Date Treatment Commences),
- Cervical Radiculopathy/Single Nerve Root Entrapment Surgical Treatment Guideline,
- Single Lumbar Spinal Nerve Root Entrapment Conservative Treatment Guideline,
- Single Lumbar Spinal Nerve Root Entrapment Surgical Treatment Guideline,
- Chronic Neuromuscolo-skeletal Injury Conservative Treatment Guideline,
- Revised Chronic Pain treatment Guideline which removes treatment recommendations covered by the Neck and Back Pain Treatment Guideline.
- Revised Acupuncture Protocol
All Treatment Guidelines which address acupuncture will reflect the changes noted in eh Acupuncture Protocol