WAC 296-19A-060
What reports does the department require
when early intervention services are provided at its request? (1) Progress reports. The vocational rehabilitation provider
must submit a written progress report to the department, and
upon request, to the injured worker or the injured worker's
representative, every thirty calendar days from the date of
the electronic referral summarizing progress during the most
recent reporting period. The progress report must include the
following:
(a) Summarized results of all contacts the provider had
with the industrially injured or ill worker, employer of
injury or current employer, and medical provider(s);
(b) Summary of all actions taken including progress on
previously recommended actions;
(c) Identification and analysis of any barriers
preventing completion of the referral; and
(d) Description of the specific actions the provider
intends to take to overcome barriers and the expected time
frame to complete those actions.
(2) Closing reports. The provider must always submit an
early intervention closing report at the conclusion of
services. In the report the provider must include or address:
(a) A brief description of the industrially injured or
ill worker's work history;
(b) Summary of the industrially injured or ill worker's
education, training, licenses, and certificates;
(c) A medically reviewed job analysis for the job of
injury and any other return to work options;
(d) Description of the worker's medical status and
physical capacities;
(e) Indication of which return to work priority relates
to the situation;
(f) Any other supporting documentation;
(g) The date the worker returned to work and the monthly
salary or wage, or document attempts to obtain this
information, if applicable;
(h) Documentation that no return to work options exist
with the employer of injury or current employer, if
applicable.
(3) The provider must notify the department orally and in
writing within two working days after learning of an
unsuccessful return to work by the injured worker.
(4) The provider must notify the department orally and in
writing within two working days after learning of a return to
work by the injured worker.
[Statutory Authority: RCW 51.04.020, 51.04.030, 51.32.095,
51.36.100, 51.36.110. 03-11-009, § 296-19A-060, filed
5/12/03, effective 2/1/04; 00-18-078, § 296-19A-060, filed
9/1/00, effective 6/1/01.]