Work Hardening Provider

Becoming a Work Hardening Provider in Washington State

Who can provide work-hardening services?

The following provider types may apply to become approved work-hardening providers for WA State L&I:

  • Physical therapists.
  • Occupational therapists.
  • Physical medicine and rehabilitation board-qualified or certified medical or osteopathic physicians.

Are you a provider outside of Washington?

L&I will consider using an out-of-state provider on a case-by-case basis.  If you receive a request to provide work hardening, contact both the claim manager and the therapy services coordinator to see if your programs may qualify.

How to apply to become an approved provider of work-hardening services in Washington State

Send a packet to L&I that includes the following:

  1. Name, address, and phone and fax numbers for your hospital or clinic.
  2. L&I provider number
  3. A list of staff, including titles and copies of licenses or other credentials.
  4. A description of your program protocol, including details of how you will meet L&I’s standards.
  5. A description of your facility, including a floor plan with square footage, services offered, and equipment.
  6. A copy of your report formats and/or, preferably, samples of completed reports. Include any other forms that help describe your program.
  7. A copy of your quality-assurance protocol, including showing how you provide follow-up and internal review, to assure that you are prepared to comply with L&I standards.
  8. A letter of intent to comply with L&I standards.


Where do I mail our packet?

P.O. Box 44324, Olympia, Wash. 98504-4324
Attn: Therapy Services Coordinator

How does L&I pay for work-hardening services?

See the Work Hardening Fee Schedule. To get paid, work-hardening services must be requested by the attending provider and authorized by the claim manager.

See additional information about L&I’s work-hardening program.


Sarah Martin, Therapy Services Coordinator

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