News & Updates

News and updates for Medical Providers

Coverage decision on screening & monitoring tests for osteopenia/osteoporosisL&I has adopted a Health Technology Clinical Committee coverage decision regarding screening and monitoring tests for osteopenia/osteoporosis, effective on April 1, 2015. (February 27, 2015)


Changes to L&I's Report of Accident - L&I recently mailed copies of a revised Report of Accident (ROA). We’ve made changes to the ROA to speed up claim processing. Here’s what’s changed. (February 26, 2015)


CMS 1500 billing form requirement starts April 1, 2015 - As of April 1, 2015, L&I will only accept the Version 02/2012 CMS 1500 form. This change is in conjunction with L&I’s conversion to ICD-10 an adoption of industry standards. It will also assist L&I to reduce payment delays due to use of the outdated version. (February 18, 2015)


Revised Activity Prescription Form available Nov. 3, 2014

L&I has revised the APF, which communicates changes in an injured worker’s medical or work status. Claim managers use the APF to make timely decisions about services and benefits.

Changes effective Jan. 1, 2015

  • Providers can "self-generate" the form at the initial visit if there's restricted work status, when the worker's status changes, or when requested by the claim manager.
  • Billing limits: each provider may submit up to 6 APFs per worker within the first 60 days of the initial visit date and then up to 4 times per each 60 days thereafter.
  • L&I is retiring code 1069M.  For dates of service on or after January 1, 2015, COHE program and ortho/neuro surgeon quality project providers must bill for the APF using code 1073M.

More information is available at www.Lni.wa.gov/ActivityRX


Free educational presentation available about Infection Control and Industrial Safety for Medical Interpreters (produced by UWMC, 2014). (3.2MB PDF)(September 30, 2014)


The department has published the 2014 edition of the Medical Aid Rules and Fee Schedules. (June 1, 2014)


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