WSR 11-24-084

INTERPRETIVE AND POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed December 6, 2011, 4:36 p.m. ]


Notice of Interpretive or Policy Statement


     Title or Subject: 11-75 Outpatient Hospital Services: Update Fee Schedule, Implement Coverage changes, Highlight Outpatient Prospective Payment System (OPPS) Budget Target Adjuster and Rate Revisions, and Provide Budget Related Change Information.

     Effective Date: January 1, 2012.

     Description: Effective for dates of service on and after January 1, 2012, the medicaid program of the health care authority intends to:


• Incorporate the year 2012 current procedural terminology (CPT¦) and health care common procedural coding system (HCPCS) updates into the outpatient hospital and outpatient prospective payment system (OPPS) fee schedules;
• Implement coverage, authorization, and maximum unit policy changes;
• Update budget target adjuster and OPPS rate information; and
• Provide information for budget related changes for optional healthcare services.

     For additional information, contact Amber Dassow, Health Care Authority, P.O. Box 45504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail dassoal@hca.wa.gov, web site http://www.hca.wa.gov/.

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