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WA Labor & Industries (Worker's Compensation)

Step-by-step guide to using L&I benefits for massage therapy

If you've experienced a work-related injury in Washington State, the Department of Labor and Industries (L&I) may cover massage therapy as part of your recovery. Here’s how you can access and utilize your L&I benefits for massage therapy.


Step 1: File a Claim

Before you can use L&I benefits for massage therapy, you need to file a worker's compensation claim with Washington State L&I. Here’s what you need to do:

  1. Report the Injury: Notify your employer about your work-related injury as soon as possible.
  2. Seek Medical Attention: Visit a healthcare provider to assess your injury. The healthcare provider will help file the initial L&I claim on your behalf.
  3. Get Your Claim Number: Once your claim is filed, you will receive an L&I claim number, which you will need for all related treatments, including massage therapy.


Step 2: Get a Prescription for Massage Therapy

Massage therapy must be deemed medically necessary and prescribed by an authorized healthcare provider (e.g., your doctor or chiropractor). The prescription should include:

  • The diagnosis or condition requiring massage therapy
  • The frequency and duration of the treatment (e.g., 2 times per week for 4 weeks)
  • Treatment goals, such as reducing pain or improving mobility

The prescription is essential for L&I to cover the costs of massage therapy.


Step 3: Schedule and Attend Your Sessions

With your prescription and claim number, you can schedule your massage therapy sessions. Here’s what you need to keep in mind:

  • Schedule your appointment online or by contacting us at (425) 209-0316. Select the "Injury Treatment - L&I/Auto PIP" service for 60 minutes.
  • Complete the Your Healthy Karma intake form for L&I/Auto (PIP) claims that is emailed to you upon scheduling.
  • Bring Your L&I Claim Information: Provide your claim number and prescription details at your first appointment. You may email the forms to karma@yourhealthykarma.com or fax them to (425) 285-8545.
  • Attend appointments and stay up to date on L&I claim status. Massage therapy is only authorized for up to 6 initial visits for the specific treatment approved by L&I. Additional visits must be authorized, and we will submit the authorization request(s) to L&I as appropriate. Keep in mind that authorizations can take time as L&I is a government agency that moves at its own pace.

man holding hurt back while picking up a box

Now billing Washington Labor & Industries for approved claims due to workplace injuries.

Common Questions about L&I coverage

Please check the WA State L&I site for additional information. 

Yes, if the massage therapy is prescribed by an authorized provider and performed by an L&I-approved therapist, L&I will pay the provider directly. 


No, as long as you follow the L&I procedures and receive services from approved providers, there should be no out-of-pocket costs. 


Once your L&I claim is closed, L&I will no longer cover massage therapy sessions. You may choose to continue treatment at your own expense or through other health insurance. 


 

  • Phone: Call L&I’s Claim & Account Center at 1-800-547-8367, Monday through Friday, 8 a.m. to 5 p.m.
  • Online: Use the L&I Claim & Account Center to send secure messages or check your claim status.
  • In Person: Visit a local L&I office near you. Find locations and hours on the L&I website. 


 

If your L&I claim is denied, you have options:

  1. Appeal the Decision: You can file an appeal with the Board of Industrial Insurance Appeals (BIIA). This must be done within 60 days of receiving the denial.
  2. Provide Additional Documentation: Sometimes claims are denied due to incomplete information. Work with your healthcare provider to submit any missing medical records or documentation that supports your claim.
  3. Consult with a Workers' Compensation Attorney: An attorney specializing in workers' compensation can help you understand your rights and improve your chances of a successful appeal.


WA Massage Therapy License #MA00014750

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