Opioids (Pain Management)

The Washington State Department of Labor & Industries (LNI) has adopted specific rules, authorization requirements, and best practices regarding the utilization of opioids in the care of injured workers. LNI requires authorization for utilization beyond the acute (up to 6 weeks) stage of the injury and has issued guidance on post-surgical pain medication.

For information on screening & monitoring tools, authorization requirements, billing & payment policies, and additional resources, visit: www.opioids.lni.wa.gov.

Agency Medical Directors' Group

The Washington State Agency Medical Directors' Group (AMDG) had updated the Interagency Guideline on Prescribing Opioids for Pain which includes recommendations for multi-modal non-opiod therapies and opioids when appropriate.  By using the best practices in the new guideline, providers can improve the care of injured workers with chronic pain and help save lives.

AMDG has developed a dosing calculator, assessment tools, educational videos, and free CME/CE activities for providers. For more information and access to AMDG resources, visit:  www.agencymeddirectors.wa.gov/opioiddosing.asp.

Structured Intensive Multidisciplinary Program (Pain Program)

Injured workers with chronic pain may benefit from a Structured Intensive Multidisciplinary Program (SIMP).  SIMP is a comprehensive pain rehabilitation program focused on helping workers recover their function, reducing & eliminating disability, and improving the quality of patients' lives by helping them cope effectively with chronic non-cancer pain.  Prior authorization is required for all workers to participation in a SIMP for functional recovery from pain.

The St. Luke's Rehabilitation Institute SIMP Program is the only Labor & Industries, CARF-accredited pain program in the Inland Northwest.

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