WAC 296-31-012
What mental health treatment and services
are not authorized? (1) The crime victims compensation program
will not authorize services and treatment:
(a) Beyond the point that the accepted condition becomes
fixed and stable (i.e., maintenance care);
(b) After the date a permanent partial disability award is
made;
(c) After a client is placed on a permanent pension roll,
except as allowed in RCW 51.36.010;
(d) When services are not considered proper and necessary. Services that are inappropriate to the accepted condition, which
present hazards in excess of the expected benefit, are
controversial, obsolete, or experimental are presumed not to be
proper and necessary, and shall only be authorized on an
individual case basis with written authorization for the service
from the department; or
(e) For any therapies which focus on the recovery of
repressed memory or recovery of memory which focuses on memories
of physically impossible acts, highly improbable acts for which
verification should be available, but is not, or unverified
memories of acts occurring prior to the age of two.
(2) We will not pay for services or treatment, including
medications:
(a) On rejected claims;
EXCEPTION:
We will pay for assessments or diagnostic services used as a basis for the department's decision.
(b) After the date a claim is closed.
EXCEPTION:
Therapy for eligible survivors of victims of homicide can be provided on closed claims.