Get a Form or Publication: fee schedule

Your search for "fee schedule" returned 3 documents.

Title Type Number
Hearing Aid Repair Authorization Fax Request

Hearing Aid Repair Authorization Requests. If you need to purchase or replace a hearing aid, fax all of the information required by Medical Aid Rules and Fee Schedule (MARFS) including the Hearing Services Worker Information (F245-049-000) to 360-902-6252.

Form F245-384-000
Mental Health Fee Schedule and Billing Guidelines

Manual: This manual is for providers who bill the Crime Victims Compensation Program for mental health services for crime victims.

Manual F800-105-000
Medical Forms Request

Used to order L&I medical forms.

Form F208-063-000



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