WAC 296-31-065
Can my client be referred for a
consultation? (1) There may be instances when the client's
accepted mental health condition presents a diagnostic or
therapeutic challenge. In such cases, you or the department may
refer the client for a consultation or you may ask the department
for an independent mental health examination.
(2) There are two levels of consultations that can be
performed: Limited and extensive. Descriptions and procedure
codes are included in the Crime Victims Compensation Program
Mental Health Treatment Rules and Fees.
(3) The consultant will be required to submit a report to
the department that contains the following elements:
(a) The reason(s) for the consultation referral; and
(b) Consultants related recommendations.
(4) Authorization from the department is required for:
(a) More than two consultations before the thirtieth session
for adults or fortieth session for children; and
(b) More than one consultation between thirty and fifty
sessions for adults or between forty and sixty sessions for
children.
(5) You may not make a referral for a consultation if:
(a) An independent mental health examination has been
scheduled;
(b) Claim reopening is pending; or
(c) The claim is closed.
Note:
The consultant must meet provider registration requirements per WAC 296-31-030.