WSR 00-14-042

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed June 30, 2000, 2:40 p.m. ]

     Document Title: 00-54 MAA Numbered Memorandum.

     Subject: Changes in pharmacist billing crossover claims.

     Effective Date: August 1, 2000.

     Effective August 1, 2000, the Medical Assistance Administration (MAA) will require pharmacists to use the appropriate HCPCS* code when billing MAA for drugs dispensed to dual-eligible clients, instead of MAA's state-unique code 0101E. Instructions for completing field 24d on the HCFA-1500 claim form have been updated to reflect this change. Attached [no information supplied by agency] are replacement pages for Section I of your Prescription Drug Program Billing Instructions, dated December 1998.

     To receive a copy of the interpretive or policy statement, contact Ann Myers, Regulatory Improvement Coordinator, DSHS, Medical Assistance Administration, Division of Program Support, P.O. Box 45530, Olympia, WA 98504, phone (360) 725-1345, TDD 1-800-848-5429, fax (360) 753-7315, e-mail mailto:MYERSEA@dshs.wa.gov.

June 28, 2000

Leslie Saeger, Manager

Regulatory Improvement Project

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