Moore v. K-Mart Corp. (Signed Opinion)Annotate this Case
Petitioner filed a claim for workers’ compensation for her peripheral neuropathy that she developed due to toxic exposure to heavy metals at the workplace. The claim was ruled compensable. Petitioner subsequently began intravenous chelation therapy at her physician’s office, a treatment that was medically necessary to treat Petitioner’s compensable condition. Petitioner sought reimbursement for those medical expenses. An administrative law judge with the Workers’ Compensation Office of Judges concluded that reimbursement was appropriate. The Workers' Compensation Board of Review reversed, concluding that reimbursement for these medical expenses was precluded pursuant to West Virginia Code of State Rules 85-20-62.2, under which a claimant will be denied reimbursement for intravenous chelation therapy performed in an office. The Supreme Court reversed, holding that section 85-20-62.2 unreasonably denies reimbursement when such treatment is medically necessary, in contravention of W. Va. Code 23-4-3, and it is therefore invalid. Remanded for entry of an order directing that Petitioner’s reasonable expenses for medically necessary chelation therapy be reimbursed.