Plan Implementation / Monitoring



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WAC 296-19A-110
What are vocational rehabilitation plan implementation and monitoring services?

WAC 296-19A-120
What reports are required when vocational rehabilitation plan implementation and monitoring services are completed?

About plan monitoring and implementation

Plan monitoring and implementation services assist the injured worker in completing a vocational rehabilitation plan.

The vocational provider monitors a worker's progress to identify and resolve problems without delay.

When can the worker elect Option 2?

  • For plans approved on or after July 31, 2015, the worker can elect Option 2 at any point beginning with the date of plan approval or department's determination a plan is valid and ending the fifteenth day after completion of the first academic quarter or three months' training.
    • In a vocational program with an academic quarter system, the completion of the quarter is the last day of finals.
    • In a vocational program without an academic quarter system, the completion of three months training is 90 days after training started.
  • If the worker chooses Option 2 after starting formal retraining under Option 1, the workers benefits will be reduced as follows:
    • The training benefit will be reduced by the amount of tuition and expenses expended during the Option 1 retraining plan.
    • The nine-month vocational award will be reduced by any time-loss received since the beginning of the Option 1 retraining plan.

Note: Workers whose plans were approved before July 31, 2015, had only 15 days from the date of plan approval or department's determination a plan is valid to elect Option 2. These workers are not eligible for the expanded Option 2 benefits.

When the workers time limit to select Option 2 is nearing an end, what responsibility does the VRC have?

  • Within 2 weeks before the end of the first academic quarter or three months of retraining, the VRC should discuss Option 2 with the worker again and remind the worker of the deadline to choose Option 2.

What if a worker doesn't complete the plan?

  • A worker's ability to work will need to be reassessed if, due to his or her own inactions, the worker doesn't complete the written plan.
  • A recommendation of "able to work" should be evaluated first based on the skills acquired during the time the worker was in the plan.
  • The worker's ability to work should be re-evaluated in the closing report.

What if the plan needs to be modified?

  • If modifying a plan, remember to use the Option 1 Plan Modification Accountability Agreement (F280‑056‑000).This form is only needed when modifying a plan previously agreed to by the worker, such as changing duration, courses, or schools. However, if the modification doesnt affect what the worker previously agreed to do, a new Accountability Agreement is not needed. For example, its not needed when requesting additional funding or reallocation of previously approved funding.
  • When submitting plan modifications on the Training Plan Cost Encumbrance (F245‑374‑000) form, the total in the right-hand column should include the sum of the previously requested amount plus or minus the new data; it shouldn't reflect only the requested changes.
  • When providing services for 2 concurrent referrals on the same worker, the billings should be split equally.

What if a worker elects Option 2?

  • L&I closes the plan implementation referral and issues an order granting Option 2.

What if a worker is injured when participating in an approved rehabilitation plan?

  • When there are no wages, such as with formal training, the new injury is covered under the original claim.
  • If there is an employer, such as with an on-the-job training program, a new claim would be filed under the trainer's worker's compensation coverage.

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