Service authorized by an occupational nurse consultant (ONC):
- Home health care ordered by a physician for skilled nursing, nursing assistant, physical therapy, or occupational therapy
- Long term attendant care
- Skilled nursing facility care
- Residential care at an adult family home, group home, or assisted living
- Home infusion therapy (IV antibiotic)
- Negative Pressure Wound Therapy
- Nurse care management
Contact an ONC for authorization
Occupational Nurse Consultants are assigned to specific claim units. To contact the assigned ONC, call:
- Office assistant staff 360-902-5880
- Provider Hotline staff 1-800-848-0811, or send a secure email: PHL@lni.wa.gov
Give them the claim number, and ask to be connected to the assigned ONC.
Discharge planning and facility placement
Prior authorization is required when a worker is being discharged from a hospital or facility to another facility or home health care. Only an Occupational Nurse Consultant can give this authorization.
Planners should seek authorization as early as possible prior to discharge; L&I typically needs 1-2 business days to make an authorization decision.
Step 1: Ensure a Report of Accident (ROA) is on file with L&I. If it’s not, fax the patient’s ROA to 360-902-4567, or file a new ROA using our FileFast system. If you don’t have a facility in mind for discharge, use our Find A Doctor page to search for in-network providers.
Step 2: Contact the ONC assigned to the claim. You will be asked to provide the L&I claim number from the ROA when you call.
Step 3: To expedite authorization, be prepared to provide the following:
- As many of the patient’s chart notes and records as you have available
- What kind of facility the worker is being discharged to (and potential facility names if available)
- Treatment recommendations and orders from discharging provider
- Durable medical equipment requirements
Step 4: An L&I ONC will make an authorization decision once sufficient information is available.
Step 1: Contact the ONC assigned to the claim. You will be asked to provide the L&I claim number when you call.
Step 2: To expedite authorization, be prepared to provide the following:
- As many of the patient’s chart notes and records as you have available
- Treatment recommendations and orders from discharging provider
- Durable medical equipment requirements
Step 3: If your facility isn’t part of L&I’s provider network, you will need to become an L&I provider in order to be paid for services provided to L&I patients.
Step 4: An L&I ONC will make an authorization decision once sufficient information is available.