INTERPRETIVE AND POLICY STATEMENT
LABOR AND INDUSTRIES
If you have any questions or need additional information, please call Josh Swanson at (360) 902-6805.
The purpose of this provider bulletin is to describe the department's utilization review program and announce changes to the program.
Contact Nikki D'Urso, P.O. Box 44321, Olympia, WA 98504, phone (360) 902-5034.
Provider Bulletin 06-07 Autologous Chondrocyte Implantation.
The purpose of this bulletin is to update the department's coverage policy for autologous chondroctye implantation (ACI). The coverage criteria are updated and specific coverage criteria are provided in the bulletin. ACI is covered for cartilaginous defects femoral condyle (medial, lateral or trochlear).
Contact Josh Morse, P.O. Box 44321, Olympia, WA 98504, phone (360) 902-5026.
Provider Bulletin 06-08 Bone Growth Stimulators.
This provider bulletin communicates a change to the bone growth stimulator coverage policy. The new policy removes the requirement that the patient must have failed at least one surgical intervention prior to approval for ultrasound BGS.
Contact Josh Morse, P.O. Box 44321, Olympia, WA 98504, phone (360) 902-5026.
Provider Bulletin 07-01 To implement an incentive payment program for pharmacies.
The purpose of this bulletin is to communicate the changes to the department's pharmacy on-line-point-of-service (POS) system. Changes to the POS system include a new incentive payment program for pharmacies and require that most pharmacy bills be transmitted through the POS system.
Contact Karen Jost, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-6803.
Provider Bulletin 07-02 Third Party Pharmacy Billing.
This bulletin describes the department's policy for pharmacy providers who use third party pharmacy billers and changes the way third party pharmacy billers bill the department.
Contact James King, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-4244.
Provider Bulletin 07-03 X-STOP¦ Implantable Interspinous Process Device.
The X-STOP¦ interspinous process device is not covered at this time. The department reviewed the scientific literature and determined there is not sufficient evidence of safety and efficacy.
Contact Josh Morse, P.O. Box 44321, Olympia, WA 98504, phone (360) 902-5026.
Repeal 96-10 Exchanging Medical Information with Employers.
This provider bulletin has been deleted because the information is available in L&I's Medical Aid Rules and Fee Schedules and other reference materials.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 97-05 Complex Regional Pain Syndrome (CRPS) formerly known as Reflex Sympathetic Dystrophy.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Provider Bulletin 98-11 Fibromyalgia.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines and other reference materials.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 00-06 Outside of Washington State Provider Reimbursement Policies.
This provider bulletin has been deleted because the information is available in L&I's Medical Aid Rules and Fee Schedules.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 01-05 Guidelines for Lumbar Fusion.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 02-01 Shoulder Surgery Criteria.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 02-04 Utilization Review Program New UR Firm.
This bulletin has been replaced by the new Provider Bulletin 06-06 Utilization Review Program Description and Changes.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 03-02 Coverage Decisions.
This bulletin has been replaced by the new Provider Bulletin 06-07 Autologous Chondrocyte Implantation.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 03-03 Guidelines for the Evaluation and Treatment of Injured Workers with Psychiatric Conditions.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines and the Medical Aid Rules and Fee Schedules.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 03-16 Review Criteria for Knee Surgery.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 04-10 Guideline for Cervical Surgery.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 04-12 Review Criteria for Thoracic Outlet Syndrome Surgery.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 05-09 Utilization Review Simplification Pilot Study.
This bulletin has been replaced by the new Provider Bulletin 06-06 Utilization Review Program Description and Changes.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.
Repeal 05-11 Guideline on Diagnostic Facet Medial Nerve Branch Blocks and Facet Neurotomy.
This provider bulletin has been deleted because the information is available in L&I's Medical Treatment Guidelines.
Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.