PDFWAC 296-31-016

What treatment or services require authorization from the crime victims compensation program?

(1) The program must authorize the following mental health services and/or treatment:
(a) Consultations beyond what are allowed in WAC 296-31-065;
(b) Inpatient hospitalization;
(c) Concurrent treatment with more than one provider;
(d) Electroconvulsive therapy;
(e) Neuropsychological evaluation (testing);
(f) Day treatment for seriously ill children under eighteen years old;
(g) Referrals for services or treatment not in our fee schedule;
(h) Teleconsultations and other telehealth services.
(2) Your request for authorization must be in writing and include:
(a) A statement of the condition(s) diagnosed;
(b) Current DSM or ICD codes;
(c) The relationship of the condition(s) diagnosed to the criminal act; and
(d) An outline of the proposed treatment program that includes its length, components, procedure codes and expected prognosis.
[Statutory Authority: Chapter 7.68 RCW. WSR 12-23-085, § 296-31-016, filed 11/20/12, effective 1/1/13. Statutory Authority: RCW 7.68.030 and 51.04.030. WSR 99-20-031, § 296-31-016, filed 9/29/99, effective 11/1/99.]