Six long-form guides to the states with real private vocational-rehabilitation markets — enrolment, authorisation, the code set or the hourly rate, the form, the channel, the clock, and the short-pay. Written from the agencies’ own rules, dated, and honest about what our research does not establish.
Most states either never had a mandatory vocational-rehabilitation benefit or repealed it. These six have registered or certified private markets, published rules, and a real population of people doing this work. Each guide is written to be the answer — not an introduction to the answer.
VRCM · Ohio Bureau of Workers' Compensation (BWC)
The whole Ohio voc-rehab billing chain: which MCO pays you, what the authorisation has to say, what W3207 and W3235 are worth, and where the tracking log goes.
VRC · Washington State Department of Labor & Industries (L&I)
Billing L&I as a vocational provider: WAC 296-19A registration, MARFS Chapter 25 codes, 0810V at $11.05 a unit, and the per-referral caps you track yourself.
QRC · Minnesota Department of Labor and Industry (DLI)
QRC billing in Minnesota: DLI registration under Minn. Stat. 176.102, $129.98 an hour, $104.09 for placement, itemised invoices, and a 30-day payment clock.
rehabilitation supplier · Georgia State Board of Workers' Compensation (SBWC)
Georgia SBWC rehabilitation supplier billing: registration under Board Rules 200.1 and 200.2, $124 catastrophic and $106 an hour otherwise, and 30 days to pay.
rehabilitation professional · North Carolina Industrial Commission (NCIC)
The NCIC registry under 11 NCAC 23C, how Form 25N assigns you to a claim, why North Carolina has no rehabilitation fee schedule, and what belongs on the invoice.
VR counselor · Nebraska Workers' Compensation Court (NWCC)
Court-certified voc rehab in Nebraska: NWCC Rule 40 certification, evaluation billed to the carrier, implementation billed to the state Trust Fund, and the VR-44S.
A counsellor does roughly the same work in all of these states: calls, reviews, reports, employer contacts, plan development. What changes is everything about how it turns into money.
| State | You bill | On | Rate basis |
|---|---|---|---|
| Ohio | the claim’s MCO | CMS-1500, W-codes, by fax | $81.90–$91.00/hr, in tenths |
| Washington | L&I or a self-insured employer | MARFS Ch. 25 codes | $11.05 per 6-min unit |
| Minnesota | the carrier | itemised hourly invoice | $129.98/hr |
| Georgia | carrier, TPA or self-insured employer | itemised time bill | $106–$124/hr |
| North Carolina | the assigning carrier | invoice, after a Form 25N | market — no schedule |
| Nebraska | employer/carrier, then the Trust Fund | court form VR-44S | market — no schedule |
Current as of July 2026 — verify with the agency named in each guide. Every figure in this table is explained, sourced and dated inside its own guide.
The guides cover the six states with the largest private vocational markets. The state pages cover all fifty states and the District of Columbia — who you bill, on what form, through what channel, on what fee basis, and under what clock, with the agency named.
If your state repealed its vocational-rehabilitation benefit, or delivers it through a state agency, the page will say so plainly rather than pretend there is a market. And in every one of those states, invoice-based nurse case management billing works today.
Search “how to bill BWC vocational rehabilitation” and you get a fee schedule PDF, a rule, and a forum post from 2014. The market is a few thousand people spread across fifty different statutes, so nobody built the software and nobody wrote the guide. That is not a discipline problem on your end. It is a market-size problem on ours, and we decided to write the guides anyway.
Every rate and rule number here is dated and attributed to the agency that publishes it. If you find one that is wrong, call 1-877-843-1717 and we will fix the page — that is a better outcome for us than being quietly wrong in front of a few hundred colleagues who all know each other.
Yes, and ungated. No email box, no download form, nothing to sign up for. They are also not summaries of a paid thing — the rates, rules and form numbers are all here.
Every figure carries July 2026 as its verification month and names the agency to check it against. Fee schedules move on their own cadences — Ohio BWC updates in October, Washington L&I in July, Minnesota indexes annually — so verify before you bill from a number on any website, including ours.
These are the six with registered or certified private vocational markets big enough that the how-to question gets asked. The other forty-five jurisdictions have fact pages under /states/ with the same discipline: what is true, what is not verified, and who to ask.
No. They are written to be usable with a spreadsheet and a fax machine, which is how most of this work is done today. If you get to the end of one and think “this is four documents of retyping”, that is the part we sell.
Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.