Learn more about the Centers of Occupational Health & Education (COHEs):

About our Program

We partner with health care organizations to make COHE services available to providers, workers, and employers.

Core COHE services

  • Coordinate worker care for the first year of treatment.
  • Engage with employers about return to work options.
  • Train providers on best practices.
  • Help providers implement best practices in their office(s).

Join a COHE

If you treat workers and would like access to core COHE services, reach out to the appropriate COHE:

Sponsor a COHE

At this time, we aren't accepting new COHE sponsors.

Sponsoring a COHE

The Centers of Occupational Health & Education (COHE) are delivered in partnership with health care organizations throughout the state.  Provider education, health services coordination, collaborative quality improvement, and community engagement are the key components of a successful COHE.

COHEs work with attending providers to:

  • Educate them on occupational health best practices
  • Help them understand provider reporting
  • Improve processes that support a workers' recovery
  • Provide health services coordination resources

COHEs are extremely flexible, allowing health care organizations to define their own service areas.  You can create one exclusively for your own health care organization members, or collaborate with other health care organizations to form a community COHE.

Sponsoring a COHE can offer many benefits for your organization.  When you sponsor a COHE, you can:

  • Lead the way in occupational health best practices
  • Engage with your providers to support the care of workers
  • Provide health services coordination as a resource to your COHE participating providers

COHEs are reimbursed through a cost to claim fee for all initiated claims.  This fee covers Medical Director, Program Director, provider training, and health services coordination administrative work.  In addition, much of the Health Service Coordinator's work is billable.  In addition, L&I provides a web-based platform for easy access to state-fund claim information.  COHEs supporting more than 500 enrolled providers receive a monthly stipend to support provider enrollment activities.

Ready to get started?  L&I contracts with COHEs through a Request for Proposal (RFP) process every nine years.  The next COHE RFP will be released in January 2022, for contracted services starting in July 1, 2022.  To receive notification and respond to the RFP, entities must register on the Washington State Electronic Business Solution (WEBS).

If you have questions before the RFP is issued, please contact the L&I COHE team at HSACOHE@Lni.wa.gov or 360-902-5626.  Once the RFP is issued, all questions will be answered through the WEBS platform.

Best Practices

Occupational health best practices were developed with the assistance of the University of Washington. Opioid best practices were adopted from the Bree Collaborative Prescribing guidelines.

COHE providers should:

  1. Submit a timely and complete Report of Accident (ROA) (F242-130-000) to ensure claims are opened quickly.
  2. Complete an Activity Prescription Form (APF) (F242-385-000) during the first office visit, or when patient restrictions change, so that the worker, employer, and claim manager understand the treatment plan and recovery expectations.
  3. Discuss return-to-work options with the employer when the worker has restrictions.
  4. Identify barriers to recovery and solutions to those barriers with each worker.
  5. Prescribe opioids appropriately.
Health Services Coordination

Health services coordinators (HSCs) help providers, workers, and employers.

Their standard work includes (when needed):

  1. Coordination and tracking of referrals.
  2. Assessment of barriers to recovery.
  3. Referral to community services.
  4. Assistance with medication issues.
  5. Coordination of return to work.
  6. Support during transitions of care.
  7. Ongoing monitoring of recovery.
  8. Coordination of surgical care.

COHE HSCs are assigned to each best practice provider.

Provider Incentives

COHE participation offers financial and non-financial incentives.

Please refer to the COHE Fee Schedule for special billing codes and rates.

Many providers join COHEs for the non-financial incentives, which include:

  • Help from COHE best practice trainers.
  • Access to health services coordinators.
  • Special designation through L&I’s Find-A-Doctor application.

Frequently Asked Questions

    Can a provider submit the APF or ROA electronically?

    Yes, the APF and ROA can be completed and submitted through My L&I on the provider dashboard. In addition, both are also available as a Health Information Exchange (HIE) transactions.