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Resources for Crime Victim Compensation Providers

Billing Crime Victims

Simplified Provider Registration & Billing.

A victim can't be billed for services:

"a client must not be billed for treatment of his or her accepted condition. All copayments, deductibles or out of pocket expenses not covered by primary insurance should be included in your billings to the department" WAC 296‑30‑085(3) (www.leg.wa.gov).

"Providers must determine if any public or private insurance benefits are available before billing the department. Available public or private insurance must be billed first and a copy of the insurance explanation of benefits must be attached to billings submitted to the department" WAC 296‑30‑085(2) (www.leg.wa.gov).

A victim isn't responsible for costs even if they are higher than what L&I pays:

"When treating a crime victim who comes under our jurisdiction, you agree to accept and comply with the department's rules and fees" WAC 296‑30‑081(1) (www.leg.wa.gov).

"You must inform the victim of his or her rights under the Crime Victims Act and give whatever assistance is necessary for the victim to apply for compensation and provide proof of other matters required by our rules. Providers may not charge the victim for these services" WAC 296‑30‑081(2) (www.leg.wa.gov).

Helping Providers Understand the Crime Victims Program (F800‑102‑000).

Use Provider Accounts Change Form for Crime Victims Compensation (F800‑089‑000) for changes such as Tax ID address or name, business address, billing address, name, or termination of account.

Reimbursement rates

The Crime Victims Compensation Program will reimburse mental health providers at L&I rates for effective dates of service May 1, 2006 and after. The Crime Victims Comp Mental Health Fee Schedule will be used to reimburse mental health providers.

All other provider types, with the exception of providers performing sexual assault forensic examinations and dental providers, will continue to be reimbursed at Medicaid rates until further notice. Visit Health Care Assistance in Washington State (fortress.wa.gov) to find Medicaid reimbursement rates.

Sexual assault examinations

The Crime Victims Compensation Program is the primary payer for all sexual assault examinations done for collection of evidence and possible prosecution in accordance with RCW 7.68.170 (www.leg.wa.gov).

Refer to Billing Guidelines for Sexual Assault Examinations (F800‑100‑000) for complete billing instructions. Included in this guide are the specific codes and forms to use when billing for these examinations.

Laws and regulations

Crime Victims Compensation Program Forms

Mental health reporting forms

Mental health billing information

Mental Health Fee Schedule and Billing Guidelines (F800‑105‑000).

For an alternate format, e-mail Nolan Thompson at thoo235@Lni.wa.gov.

Related resources at other Web sites

Burial and funeral information

Funeral directors are required to give customers a price list of goods and services. For consumer concerns regarding burial and funeral expenses we have included a link to some Web sites that may be of interest.

Grief and loss information

There are a number of books available on grief and loss for adults and children. We have listed only a few and our list is by no means exhaustive. However, the first book listed below specifically addresses the concerns of survivors and victims of traumatic loss such as homicide.

Helping children and teens understand


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