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

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

   1. 1. exact nature of work to be done;
   2. 2. itemized cost of materials; and
   3. 3. total cost of labor broken down by total hours and hourly rate.
3. 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.

Authority Note

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

Historical Note

HISTORICAL NOTE: 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).