News & Updates - Archives

For Medical Providers

L&I moderates panel on evidence based medicine in legal cases (October 17, 2016)
Project Help sponsored a Meeting of the Minds conference on October 6-7, 2016 in Olympia. The conference featured a panel moderated by L&I staff Leah Hole-Marshall and Debra Hatziolouxia. Panelists included attorneys who represent business, labor, and the Board of Industrial Insurance Appeals and an expert in evidence based policy, Jane Beyer. The panel discussed use and role of evidence based medicine in workers’ compensation cases. Read the session description.


Coverage decision on Autologous blood/platelet-rich plasma injections (July 27, 2016)
L&I has adopted a Health Technology Clinical Committee coverage determination. Autologous blood/platelet-rich plasma injections is not a covered benefit, effective September 1, 2016.


Coverage decision on Bronchial thermoplasty for asthma (July 27, 2016)
L&I has adopted a Health Technology Clinical Committee coverage determination. Bronchial Thermoplasty for Asthma is not a covered benefit, effective September 1, 2016.


Coverage decision on Tobacco Cessation Treatment for Surgical Care (June 22, 2016)
A new coverage decision, Tobacco Cessation Treatment for Surgical Care, for WA State Workers’ Compensation has been published and can be found on the Condition and Treatment page. It is effective July 1, 2016 and will be used as part of the Utilization Review process when a surgeon submits a request for surgical care.

The Department’s Industrial Insurance Medical Advisory Committee (IIMAC) developed this tobacco cessation treatment best practice standard for surgical treatment. Providers who are in the department’s Medical Provider Network are required to follow this as it applies to the treatment they provide to injured workers, WAC 296-20-0275.


Coverage decision on Novocure (June 22, 2016)
L&I has adopted a Health Technology Clinical Committee coverage determination on Novocure (Tumor Treating Fields). Novocure is not a covered benefit.


Coverage decision on Extracorporeal Membrane Oxygenation Therapy (ECMO) (June 22, 2016)
L&I has adopted a Health Technology Clinical Committee coverage decision on ECMO.  ECMO is a covered benefit with conditions, effective on August 1, 2016.


Coverage decision on cardiac stents (June 22, 2016)
L&I has adopted a Health Technology Clinical Committee coverage decision regarding cardiac stents, effective on August 1, 2016.


Surgical Knee Guideline (June 21, 2016)
A new Surgical Knee Guideline for WA State Workers’ Compensation has been published and can be found on the Medical Treatment Guidelines page. It is effective August 1, 2016 and will be used as part of the Utilization Review process when a surgeon submits a request to Qualis Health.

The Department’s Industrial Insurance Medical Advisory Committee and its Surgical Knee Guideline Subcommittee developed this treatment guideline as a best practice standard for surgical treatment of certain knee conditions. Providers who are in the department’s Medical Provider Network are required to follow this guideline as it applies to the treatment they provide to injured workers, WAC 296-20-0275.


The department has published the 2016 edition of the Medical Aid Rules and Fee Schedules. (June 1, 2016)


L&I now offers Direct Deposit - take advantage of the benefits! (April 26, 2016)

  • The advantages of direct deposit include faster payment, time savings, and preventing lost or stolen checks. 
  • It may take up to 30 days for your direct deposit to go into effect. During that time, you should cash any checks that come from L&I.
  • To sign up for direct deposit, complete a new Statewide Payee Registration form.  


Surgical Knee Guideline
A new Surgical Knee Guideline for WA State Workers’ Compensation is open for public comment (mail, fax, or email) through 5:00pm on Monday, April 11th.  

The Department’s Industrial Insurance Medical Advisory Committee and its Surgical Knee Guideline Subcommittee developed this treatment guideline as a best practice standard for surgical treatment of certain knee conditions. Providers who are in the department’s Medical Provider Network are required to follow this guideline as it applies to the treatment they provide to injured workers.  

A draft of the Surgical Knee Guideline will be presented to the Industrial Insurance Medical Advisory Committee in an open public meeting on April 28, 2016 (see the L&I website for meeting details). The department’s response to all public comments will be available, and there will be time on the agenda for public testimony. (March 24, 2016)


Lumbar Fusion
There has been an important update to the Lumbar Fusion Guideline from Washington State Labor and Industries effective on March 7, 2016. Lumbar fusion for uncomplicated degenerative disc disease is not a covered benefit. The decision is based on a Health Technology Clinical Committee coverage determination finalized on January 15, 2016. (March 4, 2016)

Imaging for Breast Cancer Screening in Special Populations
L&I has determined that the Health Technology Clinical Committee (HTCC) decision to cover imaging for breast cancer screening in special populations does not apply to Washington’s workers’ compensation because preventative care is not a covered benefit. (November 2, 2015)

Bariatric Surgery for Obesity
L&I has determined that the Health Technology Clinical Committee (HTCC) decision to cover bariatric treatment for obesity does not apply to Washington’s workers’ compensation because generally, obesity does not meet the definition of an industrial injury or occupational disease. (November 2, 2015)

Good news about L&I’s Medical Provider Network!
Your doctors don’t need to reapply after three years. Read about our change to a continuous monitoring program. (October 21, 2015)

Want detailed information about your L&I payments without calling us?
You can get your detailed Remittance Advice online: here's how. (October 14, 2015)

Testosterone TestingL&I has adopted a Health Technology Clinical Committee coverage decision regarding testosterone testing, effective on December 1, 2015. (October 14, 2015)

Clinical Guideline for the Diagnosis of Beryllium Sensitization and Chronic Beryllium Disease (July 2015) (October 6, 2015)

Do you know how ICD-10 will affect your work with L&I?  If you have questions or concerns, please tell us by July 17, 2015 - write to us at ICD10@Lni.wa.gov.  We will answer in a live webinar on August 17, 2015 at 10 am at http://www.lni.wa.gov/ICD10Webinar.  For your convenience, our ICD-10 webinar will also be available for replay the following day. (July 6, 2015)

The department has published the 2015 edition of the Medical Aid Rules and Fee Schedules. (June 1, 2015)

New guideline is open for public comment until May 1, 2015 The AMDG welcomes your comments on the new Agency Medical Directors’ Group’s (AMDG) 2015 Interagency Guideline on Prescribing Opioids for Pain. (April 16, 2015)

Coverage decision on screening & monitoring tests for osteopenia/osteoporosisL&I has adopted a Health Technology Clinical Committee coverage decision regarding screening and monitoring tests for osteopenia/osteoporosis, effective on April 1, 2015. (February 27, 2015)

Changes to L&I's Report of Accident - L&I recently mailed copies of a revised Report of Accident (ROA). We’ve made changes to the ROA to speed up claim processing. Here’s what’s changed. (February 26, 2015)

CMS 1500 billing form requirement starts April 1, 2015 - As of April 1, 2015, L&I will only accept the Version 02/2012 CMS 1500 form. This change is in conjunction with L&I’s conversion to ICD-10 an adoption of industry standards. It will also assist L&I to reduce payment delays due to use of the outdated version. (February 18, 2015).


 

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