La. Admin. Code tit. 40 § I-3707

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-3707 - Prior Authorization

A. Requests for home or vehicle modifications will most often originate from the claimant or a vocational rehabilitation consultant.

B. A request for modification or repair of a dwelling must be substantiated by detailed estimates listing the following:

1. exact nature of work to be done;

2. itemized cost of materials; and

3. total cost of labor broken down by total hours and hourly rate.

C. Prior authorization requests will be approved, denied, or amended and approved by the carrier/self-insured employer. Occasionally, some requests may be returned for further information, explanation or reports. Once a request is approved, take great care to bill only for those modifications specifically authorized by the carrier/self-insured employer. In addition, a copy of the prior authorization letter should be attached to the invoice/billing.

La. Admin. Code tit. 40, § I-3707

Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.