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Out of State Care Coordination

 

Care Coordination

L&I can use nurse case managers to coordinate care for Washington injured workers residing out-of-state.

Referrals are made by L&I claim managers to assist injured workers in finding needed health care resources in a timely manner. NCMs are privately employed professionals

Lookup service

To assist injured workers in finding a doctor in their area, L&I has developed a lookup service, Find a Doctor. The search criteria includes provider type, specialty and zip code. Search results display the provider's name, address and phone number. Being listed doesn't mean a provider is willing or able to accept a patient.

Nurse case management out-of-state care coordination

Referrals are made by L&I claim managers to attempt to assist injured workers find needed health care resources in a timely manner. NCMs are privately employed professionals.

Injured workers continue to have a choice of attending provider

Referral is made to a NCM located in a geographic area near the injured worker. They are also familiar with the health care resources in that area. The NCM:

  • Helps the injured worker find needed health care resources.
  • Helps the selected health care provider understand what is needed by L&I.
  • Makes sure the provider:
    • Has an L&I provider account number.
    • Knows how to bill L&I.
    • Knows when and where to send progress reports.
  • Helps the provider get any needed information from L&I.

NCM policies and billing information is available in the current fee schedule.

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