The Department of Labor & Industries (L&I) updated its rulemaking website

Washington State Department of Labor & Industries sent this bulletin at 12/22/2022 12:28 PM PST

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The Department of Labor & Industries (L&I) updated its rulemaking website

Rule filed December 20, 2022

For information on all L&I meetings and public hearings related to rulemaking, please visit our public participation calendar.

Division: Insurance Services (Health Services Analysis)

Topic: Preproposal (CR-101) – Medical Aid Rules - Conversion Factors

Brief Description: The purpose of this rulemaking is to update the Medical Aid Rules rates for most professional health care services for injured workers. These updates may also impact rates for health care services provided to crime victims. The current rules describe elements used in the process of updating the maximum allowable payments for most professional health care services. These elements are set in rule in order to follow the established methodologies of L&I and maintain consistency with the Health Care Authority and Medicaid Purchasing Administration. Specifically, any proposed rule changes will consider the following:

  • WAC 296-20-135: Updating the conversion factors used by L&I for calculating reimbursement rates for most professional health care and anesthesia services. Updating the conversion factors to correspond to changes in the medical procedure codes, the relative value units, and anesthesia base units. These changes would enable L&I to continue a reimbursement methodology consistent with other state agencies. Cost-of-living adjustments may be incorporated into the changes in the conversion factors.
  • WAC 296-23-220 and 296-23-230: Updating the maximum daily reimbursement level for physical and occupational therapy services so L&I may, if necessary, give cost-of-living adjustments to affected providers.

The link below provides additional information about this rulemaking:
CR-101 Preproposal