Provider Resources

Resources for Crime Victim Compensation Providers

Payment schedule

For the Crime Victims Compensation Program:


Billing Crime Victims

Simplified Provider Registration & Billing.

The victim can’t be billed for services if the claim has not reached the maximum benefit. For claims exceeding the maximum, $150,000, the victim is responsible for expenses not previously covered under the claim.

"a client must not be billed for treatment of his or her accepted condition. All copayments, deductibles or out of pocket expenses not covered by primary insurance should be included in your billings to the department" WAC 296‑30‑085(2) (

"Providers must determine if any public or private insurance benefits are available before billing the department. Available public or private insurance must be billed first and a copy of the insurance explanation of benefits must be attached to billings submitted to the department" WAC 296‑30‑085(2) (

A victim isn't responsible for costs even if they are higher than what the Crime Victims Compensation Program pays:

"When treating a crime victim who comes under our jurisdiction, you agree to accept and comply with the department's rules and fees" WAC 296‑30‑081(1) (

"You must inform the victim of his or her rights under the Crime Victims Act and give whatever assistance is necessary for the victim to apply for compensation and provide proof of other matters required by our rules. Providers may not charge the victim for these services" WAC 296‑30‑081(2) (

Helping Providers Understand the Crime Victims Program (F800‑102‑000).

Use Provider Accounts Change Form for Crime Victims Compensation (F800‑089‑000) for changes such as Tax ID address or name, business address, billing address, name, or termination of account.

New method to calculate medical payments

The method to calculate payment for Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPC) codes for dates of service on or after July 1, 2011 for Crime Victims Compensation Program will be 40% of L&I's fees.

This doesn't change the current reimbursement rate or the hospital and pharmacy calculations.

Sexual assault examinations

The Crime Victims Compensation Program is the primary payer for all sexual assault examinations done for collection of evidence and possible prosecution in accordance with RCW 7.68.170 (

Refer to Billing Guidelines for Sexual Assault Examinations (F800‑100‑000) for complete billing instructions. Included in this guide are the specific codes and forms to use when billing for these examinations.

Laws and regulations

Crime Victims Compensation Program forms

Chiropractic fees

Practitioners should continue to bill using the L&I local codes for chiropractic care.

New chiropractic care rates for CVCP
2050A Level 1: Chiropractic Care Visit (straightforward complexity) $17.04
2051A Level 2: Chiropractic Care Visit (low complexity) $24.82
2052A Level 3: Chiropractic Care Visit (moderate complexity) $32.18

Mental health reporting forms (WAC 296-31-060)

Mental health billing information

Mental Health Fee Schedule and Billing Guidelines (F800‑105‑000).

Related resources at other Web sites

Burial and funeral information

Funeral directors are required to give customers a price list of goods and services. For consumer concerns regarding burial and funeral expenses we have included a link to some websites that may be of interest.

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