Chapter 296-19A WAC

Last Update: 10/22/19

VOCATIONAL REHABILITATION

(Formerly chapter 296-18A WAC)

WAC Sections

DEFINITIONS
HTMLPDF296-19A-010Definitions.
GENERAL INFORMATION
HTMLPDF296-19A-020When may the department offer vocational rehabilitation services?
HTMLPDF296-19A-025What information does the department consider when exercising discretion?
HTMLPDF296-19A-030What are the responsibilities of the parties?
HTMLPDF296-19A-040What vocational rehabilitation services require authorization?
DEPARTMENT VOCATIONAL REHABILITATION REFERRALS
HTMLPDF296-19A-045Which rules under "vocational rehabilitation referrals" apply only to state fund claims?
HTMLPDF296-19A-050What are vocational recovery services?
HTMLPDF296-19A-060What reports does the department require when vocational recovery services are provided at its request?
HTMLPDF296-19A-065What is an ability to work assessment?
HTMLPDF296-19A-070What information must an assessment report include?
HTMLPDF296-19A-080How often must written progress reports be submitted during assessment activities provided for state fund claims?
HTMLPDF296-19A-090What are vocational rehabilitation plan development services?
HTMLPDF296-19A-092When must plan development be completed?
HTMLPDF296-19A-094How can a provider request an extension of time to complete plan development?
HTMLPDF296-19A-096How will the department determine whether there is good cause to grant an extension of time?
HTMLPDF296-19A-098How often must written progress reports be submitted when plan development services are provided for state fund claims?
HTMLPDF296-19A-100What reports are required when vocational rehabilitation plan development services are completed?
HTMLPDF296-19A-110What are vocational rehabilitation plan implementation and monitoring services?
HTMLPDF296-19A-118How often must written progress reports be submitted when plan implementation and monitoring services are provided for state fund claims?
HTMLPDF296-19A-120What reports are required when vocational rehabilitation plan implementation and monitoring services are completed?
HTMLPDF296-19A-125What is the purpose of forensic services?
HTMLPDF296-19A-130What are the requirements for a forensic evaluation?
HTMLPDF296-19A-135What reports does the department require when forensic services are provided?
HTMLPDF296-19A-137When can the department request a stand alone job analysis?
VOCATIONAL REHABILITATION TOOLS
HTMLPDF296-19A-140What information must a provider include in a labor market survey?
HTMLPDF296-19A-170What information must a provider include in a job analysis?
JOB MODIFICATION ASSISTANCE
HTMLPDF296-19A-180When may the department authorize job modifications?
HTMLPDF296-19A-190How much is available for job modification assistance?
HTMLPDF296-19A-191When may the department authorize prejob accommodations?
HTMLPDF296-19A-192How much is available for prejob accommodations?
HTMLPDF296-19A-193What documentation must be submitted to the department for prejob accommodations?
HTMLPDF296-19A-200How does an employer apply for job modification assistance?
QUALIFICATIONS
HTMLPDF296-19A-210What are the qualifications to provide vocational rehabilitation services to industrially injured or ill workers?
HTMLPDF296-19A-220Can a vocational rehabilitation provider deliver vocational rehabilitation services pursuant to RCW 51.32.095 without receiving a provider number from the department?
AUDITING AND OVERSIGHT
HTMLPDF296-19A-230Why does the department audit vocational rehabilitation providers?
HTMLPDF296-19A-240What authority does the department have to audit vocational rehabilitation providers?
HTMLPDF296-19A-245What is the department's formal appeal process?
HTMLPDF296-19A-250How much notice is the department required to give a vocational rehabilitation provider prior to an audit?
HTMLPDF296-19A-262What actions related to conduct, behavior, or ethical violations by a credentialed vocational provider, intern, or firm may result in corrective action or sanctions?
HTMLPDF296-19A-264What potential corrective actions or sanctions may the department order or direct, and who is responsible for administering the sanction(s)?
HTMLPDF296-19A-266How will the department handle complaints or allegations of sexual misconduct or contact?
HTMLPDF296-19A-268Are vocational providers subject to criminal background checks?
HTMLPDF296-19A-269What are the provisions for independent review for permanent sanctions?
HTMLPDF296-19A-270In what situation(s) can the department take corrective action(s)?
HTMLPDF296-19A-310Are vocational rehabilitation providers entitled to referrals from the department?
HTMLPDF296-19A-320What other requirements are providers required to follow?
BILLING AND DOCUMENTATION SECTION
HTMLPDF296-19A-330How does a vocational rehabilitation provider receive payment for services?
HTMLPDF296-19A-340For what services will the department not pay?
HTMLPDF296-19A-350What are the requirements for case notes?
HTMLPDF296-19A-360What are the requirements for bills submitted to the department?
HTMLPDF296-19A-370What are the procedures for adjustments to provider bills?
HTMLPDF296-19A-380What are the procedures for rebilling?
HTMLPDF296-19A-390What are the procedures for repayment of excess payment of charges?
HTMLPDF296-19A-400What records are vocational rehabilitation providers required to maintain?
VOCATIONAL DISPUTES
HTMLPDF296-19A-410What is the purpose of the department's vocational dispute process?
HTMLPDF296-19A-420Who can dispute a vocational determination?
HTMLPDF296-19A-430Can a vocational rehabilitation provider dispute a vocational determination?
HTMLPDF296-19A-440What elements of a vocational determination may be disputed?
HTMLPDF296-19A-450What are the time frames for filing a dispute of a vocational determination with the department?
HTMLPDF296-19A-460What part of the department is charged with reviewing vocational disputes?
HTMLPDF296-19A-470What is the process for review of a vocational dispute?
NONACCREDITED AND UNLICENSED TRAINING PROVIDERS
HTMLPDF296-19A-500Definitions.
HTMLPDF296-19A-510What training programs can the department approve and issue a provider account number to?
HTMLPDF296-19A-520What are the requirements for providing training services to Washington injured workers?
HTMLPDF296-19A-530What ownership and financial information must a nonaccredited or unlicensed training provider submit as part of the application to provide training services to Washington injured workers?
HTMLPDF296-19A-540How long must a nonaccredited or unlicensed training provider be in operation before applying to provide services to Washington injured workers?
HTMLPDF296-19A-550When must an approved nonaccredited or unlicensed training provider reapply in order to continue providing services to Washington injured workers?
HTMLPDF296-19A-560What documentation does the department require from a nonaccredited or unlicensed training provider in order to be considered for approval to provide training to Washington injured workers?
HTMLPDF296-19A-570What factors will the department consider when deciding whether to approve a nonaccredited or unlicensed training provider for Washington injured workers?
HTMLPDF296-19A-580When must a nonaccredited or unlicensed training provider conform to the requirements of chapter 296-19A WAC?
HTMLPDF296-19A-590What criteria must training providers meet to maintain provider status?
OPTION 2 BENEFITS
HTMLPDF296-19A-600How does an eligible injured worker elect vocational Option 2 benefits?
HTMLPDF296-19A-610What is a vocational Option 2 award?
HTMLPDF296-19A-620What are the vocational Option 2 training funds?
HTMLPDF296-19A-625What if an eligible worker elects Option 2 after starting the retraining program?
HTMLPDF296-19A-627If the worker has more than one open claim and is approved for vocational retraining, can the worker pick Option 1 on one claim and Option 2 on the other?
HTMLPDF296-19A-629After the worker has elected Option 2, can the worker elect Option 1?
HTMLPDF296-19A-631What are Option 2 vocational counseling and job placement services?
HTMLPDF296-19A-633Who can deliver Option 2 vocational counseling and job placement services?
HTMLPDF296-19A-635Who pays the vocational provider for Option 2 vocational counseling and job placement services?
HTMLPDF296-19A-637How are vocational counseling and job placement services delivered?
HTMLPDF296-19A-640What costs cannot be paid from the vocational Option 2 training funds?
HTMLPDF296-19A-650Is the vocational Option 2 award paid if the worker is confined in an institution and under sentence?
HTMLPDF296-19A-660Can a worker use the vocational Option 2 training funds if confined in an institution and under sentence?
HTMLPDF296-19A-670If a worker dies while receiving the vocational Option 2 award, will the award be paid to the worker's beneficiaries or estate?
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
296-19A-260What are the possible consequences for a provider that does not comply with the RCWs, WACs, or department policies? [Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 03-11-009, § 296-19A-260, filed 5/12/03, effective 2/1/04; WSR 00-18-078, § 296-19A-260, filed 9/1/00, effective 6/1/01.] Repealed by WSR 19-21-149, filed 10/22/19, effective 1/1/20. Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, and 51.36.110.
296-19A-280What criteria does the department use to evaluate a vocational rehabilitation provider's performance? [Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 00-18-078, § 296-19A-280, filed 9/1/00, effective 6/1/01.] Repealed by WSR 07-04-009, filed 1/25/07, effective 2/28/07. Statutory Authority: RCW 51.04.010.
296-19A-290How does the department incorporate performance measurement into making referrals to providers? [Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 00-18-078, § 296-19A-290, filed 9/1/00, effective 6/1/01.] Repealed by WSR 07-04-009, filed 1/25/07, effective 2/28/07. Statutory Authority: RCW 51.04.010.
296-19A-300How does the department evaluate performance when a vocational rehabilitation provider does not have either a performance rating with the department or previous experience delivering services to Washington injured workers? [Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 03-11-009, § 296-19A-300, filed 5/12/03, effective 2/1/04; WSR 00-18-078, § 296-19A-300, filed 9/1/00, effective 6/1/01.] Repealed by WSR 07-04-009, filed 1/25/07, effective 2/28/07. Statutory Authority: RCW 51.04.010.
296-19A-480When must providers comply with these rules? [Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.36.100, 51.36.110. WSR 04-08-045, § 296-19A-480, filed 3/31/04, effective 7/1/04; WSR 03-11-009, § 296-19A-480, filed 5/12/03, effective 7/1/03; WSR 00-18-078, § 296-19A-480, filed 9/1/00, effective 6/1/01.] Repealed by WSR 08-06-058, filed 2/29/08, effective 3/31/08. Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.32.099 and 51.32.0991 (2007 c 72).
296-19A-630Can a worker change their option election? [Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095, 51.32.099 and 51.32.0991 (2007 c 72). WSR 10-07-054, § 296-19A-630, filed 3/12/10, effective 4/12/10.] Repealed by WSR 16-03-060, filed 1/19/16, effective 2/19/16. Statutory Authority: RCW 51.04.020, 51.04.030, and 2015 c 137.