WAC 296-20-12050   Special programs.  (1) The department or self-insurer may from time to time enter into special agreements for services provided by, or under the direction of, licensed providers authorized to bill the department. Special agreements are for services other than routine services covered under the fee schedule, and may include multidisciplinary or inter-disciplinary programs such as pain management, work hardening, and physical conditioning.

     (2) The department shall establish payment rates for special agreements, and may establish outcome criteria, measures of effectiveness, minimum staffing levels, certification requirements, special reporting requirements and such other criteria as will ensure injured workers receive good quality and effective services at a prudent cost.

     (3) Special agreements shall be purchased at the discretion of the department or self-insurer. The department may terminate special programs from the industrial insurance program upon thirty days notice to the provider.



[Statutory Authority: RCW 51.04.020(4) and 51.04.030. 87-24-050 (Order 87-23), § 296-20-12050, filed 11/30/87, effective 1/1/88.]