Psychological Services Related to L&I Claims

 

 

• Dr. Montañez has experience providing psychological care to Washington workers whose services are related to workers’ compensation claims.

 

• The Washington State Department of Labor & Industries (L&I) allows psychologists to perform certain functions within the workers’ compensation system. The applicable rules depend, among other things, on the type of claim and the nature of the mental health condition.

 

Does the practice accept L&I claims?

 

 

• The practice is authorized to bill L&I directly in accordance with its enrollment and the applicable rules.

 

• Acceptance of a claim does not mean that all services are automatically authorized. Care is subject to L&I requirements, including any authorizations that may be necessary.

 

• L&I currently indicates that psychologists who provide ongoing care to workers must participate in its Medical Provider Network (MPN). It also establishes specific requirements for psychologists who act as attending providers for certain claims exclusively related to mental health conditions.

 

Can Dr. Montañez guarantee that L&I will pay for my treatment?

 

 

• No. Dr. Montañez can provide clinical services and submit the appropriate documentation and billing, but she cannot guarantee that L&I will authorize a particular service, continue authorizing treatment, pay a specific bill, or grant other benefits.

 

• Decisions regarding the claim are made by L&I or the applicable insurer/administrator, depending on the type of claim.

 

Does Dr. Montañez represent workers before L&I?

 

 

• No. Dr. Montañez acts as a mental health professional. She is not an attorney, does not provide legal advice, and does not represent patients in disputes related to claims.

 

• Her role is to provide professional psychological care within the scope of her clinical relationship with the patient.

 

Can I choose Dr. Montañez?

 

 

• Provider choice depends on the rules applicable to the claim and the type of care being requested.

 

 

If you are considering seeking care from Dr. Montañez, you may contact the office for information about the referral process and applicable requirements.