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Implantable drug delivery systems

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes (includes case by case)

L&I (State fund):
Utilization Review provided by Qualis

Self-insured:
Contact the employer

Related information on coverage and treatment

L&I has prepared coverage criteria for implantable drug delivery systems.

Billing and payment policies

Related rules

  • Treatment requiring authorization. WAC 296-20-01002.
  • Medical coverage decisions. WAC 296-20-02700-02850.
  • Radiology, radiation therapy, nuclear medicine, pathology, hospital, chiropractic, physical therapy, drugless therapeutics and nursing — drugless therapeutics, etc. Chapter 296-23 WAC.

 

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