WSR 07-22-047

INTERPRETIVE AND POLICY STATEMENT

DEPARTMENT OF

LABOR AND INDUSTRIES

[ Filed October 31, 2007, 12:19 p.m. ]

In accordance with RCW 34.05.230(12), following are the policy and interpretive statements issued by the department regarding the insurance services division policies.

If you have any questions or need additional information, please call Josh Swanson at (360) 902-6805.

Insurance Services

Provider Bulletin 07-07 Replacement of Linear Analog Hearing Aids.

This provider bulletin became effective September 17, 2007. This bulletin applies to state fund, self-insurance and crime victims' compensation.

To announce a policy about replacing linear analog hearing aids. A linear analog hearing aid issued by the insurer may be replaced with a nonlinear digital or analog hearing aid under the following conditions: The worker returns a linear analog hearing aid to their dispenser or audiologist because the: Hearing aid is inoperable or worker is experiencing an inability to hear, and the insurer has given prior authorization to replace the hearing aid.

The insurer will also pay the associated professional fitting fee (dispensing fee) when the replacement of linear analog with nonlinear digital or analog hearing aid is authorized.

Contact Bob Mayer, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5021.

Insurance Services

Provider Bulletin 07-08 Insurer Activity Prescription Form (APF).

This provider bulletin becomes effective November 1, 2007. This bulletin applies to state fund, self-insurance and crime victims' compensation. The insurer activity prescription form (APF) is designed to reduce paperwork for healthcare providers by replacing multiple forms with one form. The APF integrates medical information on workers' conditions, restrictions, and prognoses. The goal is to improve communication between healthcare providers, employers, insurers, and workers to aid in return to work.

Contact Joanne McDaniel, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-6817.

Insurance Services

Provider Bulletin 07-09 Home Modification Benefit.

This provider bulletin replaces PB 96-11 and becomes effective November 15, 2007. This bulletin applies to state fund, self-insurance and crime victims' compensation.

This provider bulletin explains the home modification benefit for catastrophically injured workers and the reimbursement process.

Contact Keith Klinger, P.O. Box 44329, Olympia, WA 98504, phone (360) 902-6362.

Insurance Services

Repeal Policy: PB 96-11 Home Modification Policy 11.10.

This provider bulletin is being replaced by PB 07-09 effective November 15, 2007. This bulletin applies to state fund, self-insurance and crime victims' compensation.

Contact Keith Klinger, P.O. Box 44329, Olympia, WA 98504, phone (360) 902-6362.

Insurance Services

Repeal Policy: 97-04 Neuromuscular Electrical Stimulation (NMES) Device.

This provider bulletin has been deleted because the information is available at http://www.lni.wa.gov/ClaimsIns/Providers/Treatment/CovMedDev/SpecCovDec/NMES.asp.

Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.

Insurance Services

Repeal Policy: PB 99-01 Adoption of the New 1999 Billing Codes and Fee Schedule Changes.

This provider bulletin has been deleted because the information is either obsolete or available at:

Chiropractic fee schedule clarification - http://www.lni.wa.gov/ClaimsIns/Files/ProviderPay/FeeSchedules/2007FS/Marfsall.pdf.

Dry Hydrotherapy - http://www.lni.wa.gov/ClaimsIns/Providers/Treatment/CovMedDev/SpecCovDec/aquamed.asp.

Hearing Aids - http://www.lni.wa.gov/ClaimsIns/Files/ProviderPay/FeeSchedules/2007FS/Marfsall.pdf.

Medical Examiners' Handbook - http://www.lni.wa.gov/IPUB/252-001-000.pdf.

Medical Reimbursement Methods Evaluation Project - Project completed June 30, 1999.

Outpatient Prospective Payment System Project - http://www.lni.wa.gov/ClaimsIns/Files/ProviderPay/FeeSchedules/2007FS/Marfsall.pdf.

Post-Acute Head Injury Program - http://www.lni.wa.gov/ClaimsIns/Files/ProviderPay/FeeSchedules/2007FS/Marfsall.pdf.

TENS - http://www.lni.wa.gov/ClaimsIns/Files/ProviderPay/FeeSchedules/2007FS/Marfsall.pdf.

Contact Cecilia Maskell, P.O. Box 44322, Olympia, WA 98504, phone (360) 902-5161.

Josh Swanson

Washington State Code Reviser's Office