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Provider Hotline Authorizations

You can request authorization for some treatments, services, and surgeries by contacting L&I’s Provider Hotline. The Provider Hotline operates from 8 a.m. to 5 p.m. Monday–Friday.

Note: If the service doesn't require prior authorization you don't need to get it authorized.

Requests for authorization

For the following treatments and services you can request authorization by faxing your request to 360-902-6490.

 

First 12 visits

12th – 24th visit

Over 24 visits

Physical or
Occupational therapy

No authorization
needed

Complete form
and fax

Requires utilization
review
Qualis (UR)

 

First 6 visits

6th – 12th visit

Over 12 visits

Massage therapy

No authorization needed

Complete form and fax

Contact claims manager 


Hearing aid repairs and or supplies

Complete form and fax

Phone your request for authorization to 1-800-848-0811

To find out what services the provider hotline can authorize, check out our fee lookup utility. Below are common services authorized by the provider hotline.

  • Durable medical equipment (up to $1,000)
  • Prosthetics, orthotics, surgical appliances, custom-made shoes
  • Diagnostic testing
  • Radiology services (with the exception of CT scans for the head and brain MRI's, which require utilization review)
  • Surgeries that don’t require utilization review.  Examples include, but are not limited to: 
    • Arthroscopy of the ankle (CPT codes 29894-29899)
    • Arthroscopy of the wrist (CPT code 29840)
      Note:  Claim Managers have final authorization
Did you know?

The Provider Hotline can also answer your questions about:

  • Bill payment or denial,
  • Provider bulletins and updates,
  • The Medical Aid Rules and Fee Schedule and Applicable sections of the Washington Administrative Code (WAC) or Revised Code of Washington (RCW).

For more detail, see: Washington Administrative Code (WAC) 296-20-03001.

 

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