The Court of Appeals then noted for <a href="https://thelomad.com/getmad.today/wp-contentwww.getmad.today/blog/2013/07/did-you-know-the-third-department-holds-that-medical-treatment-which-is-not-specifically-included-in-the-mtg-is-presumptively-not-medically-necessary/">treatments not in accord with the medical</a> treatment guidelines “may nevertheless be approved” through the variance process