The Department of Labor & Industries (L&I) updated its rulemaking website
Rules filed August 20 and 21, 2024
For information on all L&I meetings and public hearings related to rulemaking, please visit our public participation calendar.
Division: Insurance Services (Office of the Medical Director)
Topic: Preproposal (CR-101) – Acupuncture
Brief Description: The purpose of this rulemaking is to consider amending WAC 296-23-238, Acupuncture rules, regarding the number of visits paid for medical conditions when acupuncture has been shown to be safe and effective for that condition per L&I review. WAC 296-23-238 currently limits payment to a maximum of ten visits based on L&I’s review of safety and efficacy data for a low back condition. The maximum number of visits could be taken out of rule and, instead, specified in the medical coverage decision for each condition.
Under the rule, “the department or self-insurer may pay for acupuncture treatment when ordered by the worker's attending provider or physician assistant and only for specific conditions related to the accepted condition on a claim and per department policy.” Currently, the department has a medical coverage decision that allows acupuncture treatment for a low back condition when it is an accepted condition on the claim. Starting September 1, 2024, a separate medical coverage decision will also allow acupuncture treatment for chronic migraine when that is an accepted condition on the claim.
Additional information about this rulemaking:
CR-101 Preproposal
Division: Insurance Services (Health Services Analysis)
Topic: Preproposal (CR-101) – Co-Recording of Independent Medical Examination (IME)
Brief Description: The purpose of this rulemaking is to amend Chapter 296-23 WAC to implement Substitute House Bill 1068 (SHB 1068), Chapter 166, Laws of 2023. SHB 1068 allows a worker to audio and visually record an independent medical examination (IME). L&I is considering adding a new section in rule to establish standards for co-recording. Workers retain the right to do their own recording.
Additional information about this rulemaking:
CR-101 Preproposal
Division: Insurance Services (Health Services Analysis)
Topic: Preproposal (CR-101) – Independent Medical Examination (IME) Third-Party Recording (pilot rulemaking)
Brief Description: The purpose of this rulemaking is to amend Chapter 296-23 WAC to implement Substitute House Bill 1068 (SHB 1068), Chapter 166, Laws of 2023. SHB 1068 allows a worker to audio and visually record an independent medical examination (IME). L&I is considering adding a new section in rule to establish standards for third party recording of the IME exam when the worker consents. Rules will establish standards for the use of a third party company to conduct and store recordings when workers consent to the third party recording of the IME. Workers retain the right to do their own recording. L&I intends to use pilot rulemaking to develop proposed rules.
Additional information about this rulemaking:
CR-101 Preproposal
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