Rules relating to the network have been proposed and adopted in 3 phases. The latest rules are listed first.
This rulemaking includes requirements that self-insurers make certain their workers receive the information necessary to access care within the health care provider network.
An emergency rule went into effect March 1, 2013 and is in effect for 120 days. It allows any provider who applied to join the network before January 1 to continue to treat, as long as a final decision hasn't been made on their application and it hasn't been withdrawn.
Also, until the Emergency Rule expires, there is no 60-day limit on provisional status.
This third rulemaking phase amends certain L&I rules that conflict with the legislation to implement the network.
The second phase rules allow injured and ill workers to see a provider of their choice for the initial visit to start their claims.
These rules also define what services may be provided by a non-network provider and when care must be transferred to a network provider.
The first phase of rules established minimum standards for credentials of health care providers and other requirements for network participation.
These rules also clarify what constitutes patterns of risk of physical or psychiatric harm or death that determines when we may remove a provider from the network.