Marijuana Reimbursement Rules Raise Questions About Utilization Review

As New Mexico moves closer to setting reimbursement rates for marijuana in its medical fee schedule, insurance carriers that are already concerned about the possibility of violating federal law by paying for an illegal drug are also trying to figure out how to use utilization review to ensure marijuana is appropriate for an injured worker's condition. Following three New Mexico Court of Appeals Decisions ruling employers have to pay for marijuana when recommended by an injured worker's treating physician, the Workers' Compensation Administration in October proposed rules that woul...