(1) You must immediately notify us when you are treating an unrelated condition concurrently with an accepted condition and provide us with the following information:
(a) Diagnosis and/or nature of unrelated condition;
(b) Treatment being provided; and
(c) The effect, if any, on the accepted condition.
(2) Temporary treatment of an unrelated condition may be allowed and payment for service authorized if:
(a) We approve your request for authorization prior to treatment;
(b) You give us a thorough explanation of how the unrelated condition is affecting the accepted condition;
(c) The unrelated condition is retarding recovery of the accepted condition; and
(d) We receive monthly reports from you, outlining treatment and its effect on both the unrelated and accepted conditions.
(3) We will not approve or pay for treatment of:
(a) An unrelated condition that has no influence or no longer influences the existing condition.
(b) A preexisting unrelated condition that was treated prior to acceptance of the crime victim's claim, unless it is retarding recovery of the accepted condition.
[Statutory Authority: Chapter
7.68 RCW. WSR 12-23-085, § 296-31-074, filed 11/20/12, effective 1/1/13. Statutory Authority: RCW
7.68.030. WSR 00-03-056, § 296-31-074, filed 1/14/00, effective 2/14/00.]