Section 296-20-010. General information.

Section 296-20-0100. Industrial insurance chiropractic advisory committee.

Section 296-20-01001. Industrial insurance medical advisory committee.

Section 296-20-01002. Definitions.

Section 296-20-01010. Scope of health care provider network.

Section 296-20-01020. Health care provider network enrollment.

Section 296-20-01030. Minimum health care provider network standards.

Section 296-20-01040. Health care provider network continuing requirements.

Section 296-20-01050. Health care provider network further review and denial.

Section 296-20-01060. Delegation of credentialing and recredentialing activities.

Section 296-20-01070. Waiting periods for reapplying to the network.

Section 296-20-01080. Management of the provider network.

Section 296-20-01090. Request for reconsideration of department decision.

Section 296-20-01100. Risk of harm.

Section 296-20-015. Who may treat.

Section 296-20-01501. Physician's assistant rules.

Section 296-20-01505. Provider types and services not covered.

Section 296-20-020. Acceptance of rules and fees.

Section 296-20-02005. Keeping of records.

Section 296-20-02010. Review of health services providers.

Section 296-20-02015. Interest on excess payments.

Section 296-20-022. Payment of out-of-state providers.

Section 296-20-023. Third party settlement—Excess recoveries.

Section 296-20-024. Utilization management.

Section 296-20-025. Initiating treatment and submitting a claim for benefits.

Section 296-20-02700. What is a medical coverage decision?

Section 296-20-02701. Who makes medical coverage decisions?

Section 296-20-02702. Who uses medical coverage decisions?

Section 296-20-02703. How can I determine if a specific health care service or supply is the subject of a medical coverage decision?

Section 296-20-02704. What criteria does the director or director’s designee use to make medical coverage decisions?

Section 296-20-02705. What are treatment and diagnostic guidelines and how are they related to medical coverage decisions?

Section 296-20-02850. When may the department cover controversial, obsolete, investigational or experimental treatment?

Section 296-20-030. Treatment not requiring authorization for accepted conditions.

Section 296-20-03001. Treatment requiring authorization.

Section 296-20-03002. Treatment not authorized.

Section 296-20-03004. Chemonucleolysis.

Section 296-20-03005. Inoculation or immunological treatment for exposure to infectious occupational disease.

Section 296-20-03010. What are the general principles the department uses to determine drug coverage?

Section 296-20-03011. What general limitations are in place for drugs?

Section 296-20-03012. Where can I find the department's outpatient drug coverage decisions?

Section 296-20-03013. Will the department or self-insurer pay for a denied outpatient drug in special circumstances?

Section 296-20-03014. Which drugs have specific limitations?

Section 296-20-03015. What steps may the department or self-insurer take when concerned about the amount or appropriateness of drugs prescribed for the injured worker?

Section 296-20-03017. What information is needed for prescriptions and the physician’s record?

Section 296-20-03018. What inpatient drugs are covered?

Section 296-20-03030. Definitions associated with opioid authorization and payment.

Section 296-20-03035. Checking the prescription monitoring program data base.

Section 296-20-03040. Administering urine drug testing.

Section 296-20-03045. Tracking function and pain.

Section 296-20-03050. Preinjury opioid use.

Section 296-20-03055. Opioid authorization requirement for the acute phase (0-6 weeks).

Section 296-20-03056. Opioid authorization requirement for the subacute phase (6-12 weeks).

Section 296-20-03057. Opioid authorization requirement for the chronic phase (? 12 weeks).

Section 296-20-03058. Opioid authorization requirement for ongoing chronic opioid therapy.

Section 296-20-03059. Opioid authorization requirement for catastrophic injuries.

Section 296-20-03060. Episodic care for pain.

Section 296-20-03065. Managing surgical pain in workers on opioid therapy.

Section 296-20-03070. When opioid prescribing is not proper and necessary care.

Section 296-20-03075. When to discontinue opioids.

Section 296-20-03080. Weaning or detoxification.

Section 296-20-03085. Addiction treatment.

Section 296-20-035. Treatment in cases that remain open beyond sixty days.

Section 296-20-045. Consultation requirements.

Section 296-20-051. Consultations.

Section 296-20-055. Limitation of treatment and temporary treatment of unrelated conditions when retarding recovery.

Section 296-20-06101. What reports are health care providers required to submit to the insurer?

Section 296-20-065. Transfer of providers.

Section 296-20-071. Concurrent treatment.

Section 296-20-075. Hospitalization.

Section 296-20-081. Unrelated concurrent nonemergent surgery.

Section 296-20-091. Home nursing.

Section 296-20-097. Reopenings.

Section 296-20-09701. Request for reconsideration.

Section 296-20-100. Eye glasses and refractions.

Section 296-20-110. Dental.

Section 296-20-1101. Hearing aids and masking devices.

Section 296-20-1102. Special equipment rental and purchase prosthetic and orthotics equipment.

Section 296-20-1103. Travel expense.

Section 296-20-120. Procedures not listed in this schedule.

Section 296-20-12050. Special programs.

Section 296-20-12055. Structured intensive multidisciplinary program (SIMP) for chronic noncancer pain.

Section 296-20-12060. SIMP requirements for lumbar fusion and artificial disc replacement candidates.

Section 296-20-12065. SIMP definitions.

Section 296-20-12070. SIMP evaluation phase.

Section 296-20-12075. SIMP treatment phase.

Section 296-20-12080. SIMP follow-up phase.

Section 296-20-12085. Requirements the SIMP provider must meet.

Section 296-20-12090. Requirements the worker must meet for a SIMP.

Section 296-20-12095. SIMP referral and prior authorization requirements.

Section 296-20-121. X rays.

Section 296-20-124. Rejected and closed claims.

Section 296-20-12401. Application process for providers outside the scope of the provider network.

Section 296-20-125. Billing procedures.

Section 296-20-12501. Physician assistant billing procedure.

Section 296-20-132. Determination of conversion factor adjustments.

Section 296-20-135. Conversion factors.

Section 296-20-170. Pharmacy—Acceptance of rules and fees.

Section 296-20-17001. Allowance and payment for medication.

Section 296-20-17002. Billing.

Section 296-20-17004. Billing and payment for initial prescription drugs.

Section 296-20-19000. What is a permanent partial disability award?

Section 296-20-19010. Are there different types of permanent partial disabilities?

Section 296-20-19020. How is it determined which impairment rating system is to be used to rate specified and unspecified disabilities?

Section 296-20-19030. To what extent is pain considered in an award for permanent partial disability?

Section 296-20-200. General information for impairment rating examinations by attending doctors, consultants or independent medical examination (IME) providers.

Section 296-20-2010. General rules for impairment rating examinations by attending doctors and consultants.

Section 296-20-2015. What rating systems are used for determining an impairment rating conducted by the attending doctor or a consultant?

Section 296-20-2025. May a worker bring someone with them to an impairment rating examination conducted by the attending doctor or a consultant?

Section 296-20-2030. May the worker videotape or audiotape the impairment rating examination conducted by the attending doctor or a consultant?

Section 296-20-220. Special rules for evaluation of permanent bodily impairment.

Section 296-20-230. Cervical and cervico-dorsal impairments.

Section 296-20-240. Categories of permanent cervical and cervico-dorsal impairments.

Section 296-20-250. Impairments of the dorsal area.

Section 296-20-260. Categories of permanent dorsal area impairments.

Section 296-20-270. Dorso-lumbar and lumbosacral impairments.

Section 296-20-280. Categories of permanent dorso-lumbar and lumbosacral impairments.

Section 296-20-290. Impairments of the pelvis.

Section 296-20-300. Categories of permanent impairments of the pelvis.

Section 296-20-310. Convulsive neurological impairments.

Section 296-20-320. Categories of permanent convulsive neurological impairments.

Section 296-20-330. Impairments of mental health.

Section 296-20-340. Categories for evaluation of permanent impairments of mental health.

Section 296-20-350. Cardiac impairments.

Section 296-20-360. Categories of permanent cardiac impairments.

Section 296-20-370. Respiratory impairments.

Section 296-20-380. Categories of permanent respiratory impairments.

Section 296-20-385. Categories of persisting variable respiratory impairment with normal baseline spirometry.

Section 296-20-390. Air passage impairments.

Section 296-20-400. Categories of permanent air passage impairments.

Section 296-20-410. Nasal septum impairments.

Section 296-20-420. Categories of permanent air passage impairment due to nasal septum perforations.

Section 296-20-430. Loss of taste and smell.

Section 296-20-440. Categories of permanent loss of taste and smell.

Section 296-20-450. Speech impairments.

Section 296-20-460. Categories of permanent speech impairments.

Section 296-20-470. Skin impairments.

Section 296-20-480. Categories of permanent skin impairments.

Section 296-20-490. Impairment of the upper digestive tract, stomach, esophagus or pancreas.

Section 296-20-500. Categories of permanent impairments of the upper digestive tract, stomach, esophagus or pancreas.

Section 296-20-510. Lower digestive tract impairments.

Section 296-20-520. Categories of permanent lower digestive tract impairments.

Section 296-20-530. Impairment of anal function.

Section 296-20-540. Categories of permanent impairments of anal function.

Section 296-20-550. Liver and biliary tract impairments.

Section 296-20-560. Categories of permanent liver and biliary tract impairments.

Section 296-20-570. Impairments of the spleen, loss of one kidney, and surgical removal of the bladder with urinary diversion.

Section 296-20-580. Categories of permanent impairment of the spleen, loss of one kidney, and surgical removal of bladder with urinary diversion.

Section 296-20-590. Impairment of upper urinary tract.

Section 296-20-600. Categories of permanent impairments of upper urinary tract.

Section 296-20-610. Additional permanent impairments of upper urinary tract due to surgical diversion.

Section 296-20-620. Categories of additional permanent impairments of upper urinary tract due to surgical diversion.

Section 296-20-630. Impairment of bladder function.

Section 296-20-640. Categories of permanent impairments of bladder function.

Section 296-20-650. Anatomical or functional loss of testes.

Section 296-20-660. Categories of permanent anatomical or functional loss of testes.

Section 296-20-670. Disability.

Section 296-20-680. Classification of disabilities in proportion to total bodily impairment.

Section 296-20-690. Permanent impairments of the cervico-dorsal (WAC 296-20-240) and lumbosacral regions (WAC 296-20-280) jointly.