WAC 296-31-074

WAC 296-31-074. What if the claimant has an unrelated condition?

Last amended: 2013Year: 2026Length: 170 wordsOfficial source
(1) You must immediately notify us when you are treating an unrelated condition concurrently with an accepted condition and provide us with the following information: (a) Diagnosis and/or nature of unrelated condition; (b) Treatment being provided; and (c) The effect, if any, on the accepted condition. (2) Temporary treatment of an unrelated condition may be allowed and payment for service authorized if: (a) We approve your request for authorization prior to treatment; (b) You give us a thorough explanation of how the unrelated condition is affecting the accepted condition; (c) The unrelated condition is retarding recovery of the accepted condition; and (d) We receive monthly reports from you, outlining treatment and its effect on both the unrelated and accepted conditions. (3) We will not approve or pay for treatment of: (a) An unrelated condition that has no influence or no longer influences the existing condition. (b) A preexisting unrelated condition that was treated prior to acceptance of the crime victim's claim, unless it is retarding recovery of the accepted condition.
WAC 296-31-074: WAC 296-31-074. What if the claimant has an unrelated condition? | Justis AI