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.