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PDFWAC 296-23-359

When is telemedicine appropriate for an independent medical exam (IME)?

(1) The following exams may be conducted via telehealth:
(a) Mental health;
(b) Dermatology;
(c) Speech when there is no documented hearing loss;
(d) Kidney function;
(e) Hematopoietic system;
(f) Endocrine.
(2) The terms telehealth and telemedicine are used interchangeably and have the same requirements as in-person visits. Telemedicine may be appropriate to effectively conduct an independent medical exam when:
(a) Face-to-face services by a qualified medical provider can be delivered through a real-time, two-way, audio video connection, and complies with all federal, state, and local rules and laws; and
(b) A worker is able and willing to participate in an exam via telemedicine; and
(c) The department or self-insured employer, and worker, have agreed a telemedicine IME is appropriate; these individuals should also agree to the location of the worker during the exam; and
(d) The agreement is documented in the claim file; and
(e) A physical or hands-on exam is not required.
(3) Upon request of the department or self-insured employer and with the agreement of the worker, a telemedicine IME may be approved on a case-by-case basis for additional specialties not listed under subsection (1) of this section.
[Statutory Authority: RCW 51.04.020, 51.04.030, 51.36.070, 51.32.055, 51.32.110, 51.32.112, 51.32.114, and 51.32.072. WSR 23-16-115, ยง 296-23-359, filed 8/1/23, effective 9/1/23.]
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