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Washington State Department of Labor & Industries


Qualis Health has partnered with the Washington State Department of Labor & Industries (Washington L&I) to provide utilization review services for its Workers' Compensation Program. The success of this program depends on the collaborative relationship between providers, Washington L&I and Qualis Health. Qualis Health provides services to make sure eligible injured workers get the appropriate care where and when they need it.


Services We Provide for Washington L&I

Utilization reviews are conducted on a prospective, concurrent and/or retrospective basis employing Washington L&I's Medical Treatment Guidelines, if applicable; otherwise, Qualis Health applies InterQual criteria.

Qualis Health reviews inpatient admissions, a select list of outpatient procedures, specified advanced imaging studies and physical medicine services.


Announcements

Updates to Knee Surgery Medical Treatment Guidelines
New MTGs will go into effect 8/1/16.  Please see our notice and L&I treatment guidelines to learn about the upcoming changes.

Qualis Health Provider Portal User Guide Updated
January 22, 2016: The Qualis Health Provider Portal User Guide has been updated. You can also find it on the Provider Resources page.

 

 

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Contact Us

Initiate a Review

Phone:
(800) 541-2894
(206) 366-3360

Fax:
(877) 665-0383

»email Qualis Health Provider Portal Help

»sign up for email alerts

Contact Washington L&I

Provider Hotline

(800) 848-0811

»visit the Washington L&I website

»Medical Treatment Guidelines


»more contact info