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MEDICAL TREATMENT FOR AN L&I CASE IN A FOREIGN COUNTRY

Thinking of Moving Out of The Country?

What You Need To Know.

Your Washington Labor and Industries (L&I) claim will always be governed by the Washington L&I laws regardless of where you live.  Your claim will continued to be managed by an L&I claims manager.  If you move out of country, your claim may be assigned to a new claims manager who works with out of country claims.

Your will have the same responsibilities, rights and benefits as you did while you were living in Washington.

If you want medical care, and other benefits it is your responsibility to find a new doctor or other provider at your new location.  That doctor or any health care provider who treats you must submit the required reports to Washington State L&I, or your benefits can be stopped.

You must have either medical certification or vocational opinion relying on medical evidence in order to continue to receive time loss benefits.

If your out of country, attending physician or other healthcare provider wants to get paid by L&I for treatment, then they will  need to apply for an L&I provider account number. With that provider account number they can continue to treat injured workers without joining the provider network.

What You Need to Do If You Move Out of the Country.

You must notify L&I of your new address and phone number in writing upon moving.

You need to do the work to find an appropriate medical provider in your new country who is or will become a Washington State Medical Provider.

If you move to Canada or Mexico you can first check to see if there is an already established Washington State L&I medical provider in your area.  Here is how you do that: L&I has a list of network of providers in the Mexico and Canada.   You can find a listing of providers for Mexico and Canada with the necessary provider account by visiting the Find a Doc page on the L&I website.   Even if the provider is listed, you must contact them to see if they are currently accepting new patients.  Second, if there is no such Washington State medical provider in Mexico or Canada who will work for you, then you will need to find a health care provider who is willing to become an L&I medical provider.  This may require a lot of work on your part. When you find a health care provider willing to become a Washington L&I provider, then they should contact Provider Credentialing at 360-902-5800 and have them send the doctor an application to obtain a provider account number.  Here is a link on How to Apply for a Provider Account.   Third, once this process is complete you must notify L&I of your new doctor by completing a transfer of care card and sending it to L&I.

If you move to any other country (not Mexico or Canada) you will need to find a health care provider who is willing to become an L&I provider. This may require a lot of work on your part. When you find a health care provider willing to become a Washington L&I provider, then they should contact Provider Credentialing at 360-902-5800 and have them send the doctor an application to obtain a provider account number, or use this link on How to Apply for a Provider Account.  Once this process is complete you must notify L&I of your new doctor by completing a transfer of care card and sending it to L&I.

Who Can Be a Provider when In a Foreign Country?

Any health care provider can become a Washington L&I provider by following the above procedure. However finding a doctor, therapist, hospital clinic or other provider who will treat you and is willing to do this paperwork for a Washington Workers Compensation claim may be a challenge.

What to Do If You Can’t Find a New Doctor?

If you decide to receive care from a doctor or clinic in a foreign country, and that doctor or clinic doesn’t have a provider account, and won’t apply for one, you may have to pay that doctor for the care.

If the care is later approved by L&I, they will reimburse you at Washington’s L&I fee schedule rate.  If there is a difference, you may have to absorb the difference between your doctor’s medical charges and what L&I pays.

 

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