About Referrals

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Questions and answers

• Can Vocational Rehabilitation Counselors (VRCs) continue to request that a doctor provide information on a worker's physical capabilities?

  No. The Insurer Activity Prescription Form (F242‑385‑000) is designed to collect this information and to reduce administrative burden on health care providers. Provider Bulletin 07-08 (165 KB PDF) provides information about this new form and policy. Vocational providers may continue to submit job analysis to health care providers and they may continue to communicate with health care providers on other issues involving return to work.

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• What should a VRC do if he or she receives a voc referral but recognizes that the referral is inappropriate because medical and capacities information isn't available on the claim file?

  The referral should be closed ADMA — "VRC declines referral". This should occur as soon as the VRC has determined that the referral isn't appropriate.

• What should a VRC do if he or she receives a voc referral but there is conflicting medical and capacities information isn't available on the claim file?

  The referral should be closed ADM1 — "Medically unstable". This should occur as soon as the VRC has determined that the conflicting medical must be resolved.

• If the worker calls with questions that the Claim Manager or Vocational Services Specialists can't answer, who answers the question?

  E-mail the question to VocRehabProgram@Lni.wa.gov. Respond to the worker after getting the information.

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Laws, Rules, and Guidelines

• RCW 51.32.090
  (www.leg.wa.gov).
• RCW 51.32.095
  (www.leg.wa.gov).
• RCW 51.32.099
  (www.leg.wa.gov).
• RCW 51.32.0991
  (www.leg.wa.gov).
• WAC 296-19A
  (www.leg.wa.gov).

• Department WAC 296-19A Guidelines (68 KB PDF).
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