Tribunal denies most treatment plans for lack of evidence but grants assessments and a $250 special award.
The applicant sought entitlement to numerous treatment plans for physical and psychological therapy, assistive devices, and assessments following a motor vehicle accident.
The Licence Appeal Tribunal denied the majority of the treatment plans, finding the applicant failed to prove they were reasonable and necessary, largely due to a lack of corroborating medical evidence and inconsistencies in the expert reports provided.
However, the Tribunal granted entitlement to translation services, a chronic pain assessment, and an attendant care assessment.
The Tribunal also ordered the respondent to pay a $250 special award under s. 10 of O. Reg. 664 for unreasonably withholding funding for the applicant's attendant care assessment while funding its own.
OLATOntario Licence Appeal TribunalJun 7, 2023
