Section 296-23-308 - Scheduling case progress examinations(1) Unless a case progress examination is requested by the attending provider, no case progress examination may be scheduled until 120 days have passed since the later of: (a) The department or self-insurer's receipt of the claim; or(b) The department or self-insurer's receipt of the last case progress examination report and additional treatment of the condition, if requested, has been authorized.(2) Subject to subsection (1) of this section, the department or self-insurer may schedule a case progress examination of an injured worker after: (a) Requesting an explanation from the attending provider regarding status of the treatment plan per WAC 296-23-302, definition of case progress examination, or a referral of the injured worker to a consultation with the appropriate specialty(ies) per WAC 296-20-051 within 15 business days of the request; and(b) The attending provider or consultant: (i) Did not respond within 15 business days of the department or self-insured employer request or the consultation could not be completed within 90 days;(ii) Omitted requested information;(iii) Did not have further treatment recommendations;(iv) Recommended a treatment plan that is not proper and necessary or does not meet the department's medical treatment guidelines; or(v) Wrote a report that does not comply with the provisions of WAC 296-20-06101.Wash. Admin. Code § 296-23-308
Adopted by WSR 22-07-110, Filed 3/23/2022, effective 4/23/2022