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Washington Administrative Code (Last Updated: November 23, 2016) |
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Title 296. Labor and Industries, Department of |
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Chapter 296-20. Medical aid rules. |
Section 296-20-03056. Opioid authorization requirement for the subacute phase (6-12 weeks).
Latest version.
- Before the department or self-insurer authorizes payment for opioids beyond the acute phase, the provider must perform and document the following:• Verify that the worker had clinically meaningful improvement in function and pain with the use of opioids in the acute phase.• If indicated, use a validated instrument to screen the worker for comorbid psychiatric conditions (e.g., depression, anxiety, or post traumatic stress disorder) which may impact the response to opioid treatment.• Verify that the worker has no contraindication to the use of opioids.• Access the state's prescription monitoring program data base, if available, to ensure that the controlled substance history is consistent with the prescribing record and the worker's report.• Use a validated screening instrument to verify the absence of a current substance use disorder (excluding nicotine) or a history of opioid use disorder.• Administer a baseline urine drug test to verify the absence of cocaine, amphetamines, alcohol, and nonprescribed opioids.• Verify that the worker has no evidence of or is not at high risk for serious adverse outcomes from opioid use.