Revised Code of Washington Chapter 51.36 — Medical Aid

Washington · statute · Wash. Rev. Code ch. 51.36 · 21 active provisions

Wash. Rev. Code § 51.36.010

Findings—Minimum standards for providers—Health care provider network—Advisory group—Best practices treatment guidelines—Extent and duration of treatment—Centers for occupational health and education—Rules—Reports. (Effective until June 30, 2027.)

(1)(a) The legislature finds that high quality medical treatment and adherence to occupational health best practices can prevent disability and reduce loss of family income for workers, and lower labor and insurance costs for employers. Injured workers deserve high quality medical care in accordance with current health…

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Education Government Administration Health & Medicine

Wash. Rev. Code § 51.36.015

Chiropractic care and evaluation

Subject to the other provisions of this title, the health services that are available to an injured worker under RCW 51.36.010 include chiropractic care and evaluation. For the purposes of assisting the department in making claims determinations, an injured worker may be required by the department to undergo examinatio…

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Wash. Rev. Code § 51.36.017

Licensed advanced registered nurse practitioners

Licensed *advanced registered nurse practitioners are recognized as independent practitioners and, subject to the provisions of this title, the health services available to an injured worker under RCW 51.36.010 include health services provided by licensed *advanced registered nurse practitioners within their scope of p…

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Wash. Rev. Code § 51.36.020

Transportation to treatment—Artificial substitutes and mechanical aids—Modifications to residences or motor vehicles

(1) When the injury to any worker is so serious as to require his or her being taken from the place of injury to a place of treatment, his or her employer shall, at the expense of the medical aid fund, or self-insurer, as the case may be, furnish transportation to the nearest place of proper treatment.(2) Every worker…

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Transportation & Motor Vehicles

Wash. Rev. Code § 51.36.022

Residence modification assistance—Rules—Report to legislature

(1) The legislature finds that there is a need to clarify the process and standards under which the department provides residence modification assistance to workers who have sustained catastrophic injury.(2) The director shall adopt rules that take effect no later than nine months after July 24, 2005, to establish guid…

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Wash. Rev. Code § 51.36.030

First aid

Every employer, who employs workers, shall keep as required by the department's rules a first aid kit or kits equipped as required by such rules with materials for first aid to his or her injured workers. Every employer who employs fifty or more workers, shall keep one first aid station equipped as required by the depa…

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Wash. Rev. Code § 51.36.040

Time and place of coverage—Lunch period

The benefits of Title 51 RCW shall be provided to each worker receiving an injury, as defined therein, during the course of his or her employment and also during his or her lunch period as established by the employer while on the jobsite. The jobsite shall consist of the premises as are occupied, used or contracted for…

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Wash. Rev. Code § 51.36.050

Rehabilitation center—Contracts with self-insurers and others

The department may operate and control a rehabilitation center and may contract with self-insurers, and any other persons who may be interested, for use of any such center on such terms as the director deems reasonable.

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Wash. Rev. Code § 51.36.060

Duties of attending provider—Medical information

Attending providers under this title shall comply with rules and regulations adopted by the director, and shall make such reports as may be requested by the department or self-insurer upon the condition or treatment of any such worker, or upon any other matters concerning such workers in their care. Except under RCW 49…

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Health & Medicine

Wash. Rev. Code § 51.36.070

Medical examination—Reports—Costs—Worker's rights

(1)(a) Whenever the department or the self-insurer deems it necessary in order to (i) make a decision regarding claim allowance or reopening, (ii) resolve a new medical issue, an appeal, or case progress, or (iii) evaluate the worker's permanent disability or work restriction, a worker shall submit to examination by a…

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Health & Medicine

Wash. Rev. Code § 51.36.072

Medical examinations—Telemedicine—Rules

(1) The department may adopt rules to implement *section 3, chapter 213, Laws of 2020.(2) The department must adopt rules, policies, and processes governing the use of telemedicine for independent medical examinations under *section 3, chapter 213, Laws of 2020. Development of rules may include a pilot project. Conside…

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Health & Medicine

Wash. Rev. Code § 51.36.080

Payment of fees and medical charges by department—Interest—Cost-effective payment methods—Audits

(1) All fees and medical charges under this title shall conform to the fee schedule established by the director and shall be paid within sixty days of receipt by the department of a proper billing in the form prescribed by department rule or sixty days after the claim is allowed by final order or judgment, if an otherw…

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Government Administration Health & Medicine

Wash. Rev. Code § 51.36.085

Payment of fees and medical charges by self-insurers—Interest

All fees and medical charges under this title shall conform to regulations promulgated, and the fee schedule established by the director and shall be paid within sixty days of receipt by the self-insured of a proper billing in the form prescribed by department rule or sixty days after the claim is allowed by final orde…

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Health & Medicine

Wash. Rev. Code § 51.36.090

Review of billings—Investigation of unauthorized services

An employer may request review of billings for any medical and surgical services received by a worker by submitting written notice to the department. The department shall investigate the billings and determine whether the worker received services authorized under this title. Whenever such medical or surgical services a…

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Wash. Rev. Code § 51.36.100

Audits of health care providers authorized

The legislature finds and declares it to be in the public interest of the residents of the state of Washington that a proper regulatory and inspection program be instituted in connection with the provision of medical, chiropractic, dental, vocational, and other health services to industrially injured workers pursuant t…

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Health & Medicine

Wash. Rev. Code § 51.36.110

Audits of health care providers—Powers of department. (Effective until June 30, 2027.)

The director of the department of labor and industries or the director's authorized representative shall have the authority to:(1) Conduct audits and investigations of providers of medical, chiropractic, dental, vocational, and other health services furnished to industrially injured workers pursuant to Title 51 RCW. In…

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Government Administration Health & Medicine

Wash. Rev. Code § 51.36.120

Confidential information

When contracting for health care services and equipment, the department, upon request of a contractor, shall keep confidential financial and valuable trade information, which shall be exempt from public inspection and copying under chapter 42.56 RCW.

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Wash. Rev. Code § 51.36.130

False, misleading, or deceptive advertising or representations

In addition to other authority granted under this chapter, the department may deny applications of health care providers to participate as a provider of services to injured workers under this title, or terminate or suspend providers' eligibility to participate, if the provider uses or causes or promotes the use of, adv…

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Wash. Rev. Code § 51.36.140

Industrial insurance medical advisory committee—Duties—Membership

(1) The department shall establish an industrial insurance medical advisory committee. The industrial insurance medical advisory committee shall advise the department on matters related to the provision of safe, effective, and cost-effective treatments for injured workers, including but not limited to the development o…

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Banking, Finance & Insurance Government Administration Health & Medicine

Wash. Rev. Code § 51.36.150

Industrial insurance chiropractic advisory committee—Duties—Membership

(1) The department shall establish an industrial insurance chiropractic advisory committee. The industrial insurance chiropractic advisory committee shall advise the department on matters related to the provision of safe, effective, and cost-effective chiropractic treatments for injured workers. The industrial insuranc…

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Banking, Finance & Insurance Government Administration Health & Medicine

Wash. Rev. Code § 51.36.160

Posttraumatic stress disorder pilot program. (Expires December 31, 2030.)

(1) Legislative findings and intent. The legislature finds that posttraumatic stress disorder is a serious and growing concern for workers in high risk occupations, and that emerging research supports the link between trauma exposure and the development of posttraumatic stress disorder. The legislature intends to suppo…

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Health & Medicine