Orthopedic and Neurological Surgeon Quality Project

Resources

Reduce Utilization Review Delays

Visit L&I’s Treatment Guidelines for information on how to reduce or avoid Utilization Review Delay’s.


Prescription Management

Why endorse the Washington State Preferred Drug List?

    • Endorsement is required to participate in the Orthopedic and Neurological Surgeon Quality Project.
    • Reduces your administrative burden. (See flow chart.)
    • Authorization is not required to prescribe a non-preferred drug.

Why prescribe preferred drugs from the Outpatient Drug Formulary?

    • Reduce your administrative burden.
    • Do not require preauthorization.
    • Patients can get their prescriptions faster.

Who do you call to obtain approval for non-preferred drugs?

    • Preferred Drug List hotline at 1-888-443-6798 or 360-902-4321.

What are the preferred drugs in the therapeutic interchange program?

For more information please visit Drugs and Prescriptions webpage.
Outpatient formulary (163 KB PDF).


Reduce Claim Delay

To reduce your claim delays, follow the suggestions below:

    • Put the claim number in the top right corner of all documents.
    • Do not use address stamps that are too large for the form.
    • Send legible documentation.
    • Fully complete the forms.
    • Send reports and chart notes separately from bills.

Fax your documents to L&I, because faxed information goes directly to the claim file. You can fax your documents to: 360-902-4567

Questions?

For questions about the Orthopedic and Neurological Surgeon Quality Project, Tier assignments, or reports you may call: 360-902-6060 or email ONSQualityPilot@lni.wa.gov

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