WAC 296-23-332
What are the requirements for notifying
the department or self-insurer if an independent medical
examination (IME) provider has a change in status? Providers
must immediately notify the department of any change in status
that might affect their qualifications for an independent
medical examination (IME) provider number. The notification
must be in writing. Providers must include a copy of any
charges or final orders if applicable. Changes in status
include, but are not limited to:
(1) Changes in time spent in direct patient care;
(2) Loss or restriction of hospital admitting or practice
privileges;
(3) Changes affecting business requirements (WAC 296-23-317);
(4) Loss of board certification;
(5) Charges regarding any crime, gross misdemeanor,
felony or violation of statutes or rules by any administrative
agency, court or board;
(6) Convictions of any crime, gross misdemeanor, felony
or violation of statutes or rules by any administrative
agency, court or board;
(7) Temporary or permanent probation, suspension,
revocation, or limitation placed on their license to practice
by any court, board, or administrative agency in any state or
foreign jurisdiction.
[Statutory Authority: RCW 51.32.055, 51.32.112, 51.32.114,
51.36.060, and 51.36.070. 04-04-029, § 296-23-332, filed
1/27/04, effective 3/1/04.]