If you practice exclusively in acute care hospitals or inpatient settings in one of the following specialties, you can treat injured workers without joining the network:
- Pathologists
- Emergency room providers
- Hospitalists
- Consulting radiologists in a hospital radiology department
- Anesthesiologists or certified registered nurse anesthetists (CRNAs) who don't have hospital-based pain-management practices
Beginning January 1, 2013, all current and new providers in Washington State of the following types must be in our network to provide care for injured workers (including those employed by self-insured businesses) beyond the initial office or emergency-room visit:
- Physicians (Some hospital-based physicians don't need to enroll - see details)
- Chiropractors
- Naturopathic Physicians
- Podiatric Physicians & Surgeons
- Advanced Registered Nurse Practitioners
- Physician Assistants
- Dentists
- Optometrists
Why you should apply to join the network.
If you are not one of these provider types, or you do not practice in Washington State, do not submit a network application. This includes massage therapists, physical therapists, occupational therapists, speech therapists, psychologists, and all other provider types not listed above. You can continue to treat injured workers without joining the network, but you must have an L&I provider number.
Apply online with ProviderSource
Register or log in to your OneHealthPort account - our preferred option.
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Complete the:
- Washington Practitioner Application (WPA)
- Give access to L&I by checking the box in the Attestation tab. Only practitioners can personally do this step.
- Complete the:
- Provider Network Agreement
- Statewide Payee Registration and W-9 and upload into the Manage Document section. Submit one form for each location/tax ID you have.
Apply on paper
Fax or mail all 3 parts of the application together:
- Washington Practitioner Application (658 KB DOC): Complete a new copy, or update a recent copy. Initial any changes, sign and date the application.
- Provider Network Agreement
- Statewide Payee Registration and W-9: Submit one form for each location/tax ID you have.
Fax: 360-902-4563 |
Mail: Provider CredentialingPO Box 44261 Olympia, WA 98504-4261 |
What if I don't join the network?
Beginning January 1, 2013, L&I will pay non-network providers only for an initial office or emergency room visit. Beginning Fall 2012, we will tell you more about how to help your patients transition care, should you choose not to enroll in the network.
More about the network
Read about why L&I is creating a medical network, the network standards, and other L&I strategies for improving the quality of care for injured workers.
Questions?
Check our list of common questions. If you don't find your answer, contact us:
- Email: ProvNet@Lni.wa.gov
- Phone: 360-902-5140
