Administrative Code Provisions | WCHR ยง 23-605-8 | 2018

(a) The commission may request a treatment plan from service providers who provide continuous treatment to the victim at any time after the date of the injury. The information may be used to determine appropriateness of the treatment, the connection between the treatment and the injury, and the portion for which the commission shall be responsible.

(b) The treatment plan shall include, but not be limited to the following information:

(1) All the dates of treatment;

(2) The anticipated or actual date that treatment is terminated;

(3) The initial diagnosis, measurable treatment goals;

(4) The estimated cost of treatment, including a breakdown of anticipated payments from collateral sources, including insurance; and

(5) Any pre-existing condition. If any preexisting condition exists, the percentage of treatment and costs that are directly related to the injury received as a result of the crime.

(c) After each confirmation period, the service provider must submit a treatment update that includes what goals were attained, why goals were not attained, expected duration, and goals to be accomplished in the following quarter.