Wash. Admin. Code § 296-31-016 - What treatment or services require authorization from the crime victims compensation program?

(1) The program must authorize the following mental health services and/or treatment:

(a) Consultations beyond what are allowed in WAC 296-31-065;

(b) Inpatient hospitalization;

(c) Concurrent treatment with more than one provider;

(d) Electroconvulsive therapy;

(e) Neuropsychological evaluation (testing);

(f) Day treatment for seriously ill children under eighteen years old;

(g) Referrals for services or treatment not in our fee schedule;

(h) Teleconsultations and other telehealth services.

(2) Your request for authorization must be in writing and include:

(a) A statement of the condition(s) diagnosed;

(b) Current DSM or ICD codes;

(c) The relationship of the condition(s) diagnosed to the criminal act; and

(d) An outline of the proposed treatment program that includes its length, components, procedure codes and expected prognosis.

Notes

Wash. Admin. Code § 296-31-016

Statutory Authority: Chapter 7.68 RCW. 12-23-085, § 296-31-016, filed 11/20/12, effective 1/1/13. Statutory Authority: RCW 7.68.030 and 51.04.030. 99-20-031, § 296-31-016, filed 9/29/99, effective 11/1/99.