INTERPRETIVE OR POLICY STATEMENT
In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the department of social and health services.
Legal and Administrative Services
Subject: Ambulatory surgery centers.
Effective Date: April 15, 2012.
Description: Effective for dates of service on and after April 15, 2012, the medicaid program of the health care authority (the agency) will:
|•||Require[ment] of prior authorization (PA) requests via Qualis Health or the agency for a select group of surgical procedure codes performed in an ambulatory surgery center (ASC);|
|•||Update the ASCs fee schedule with prior authorization changes; and|
|•||Continue the pilot project for the ASC setting and publish one fee schedule which incorporates both the fees for the pilot project procedure codes and their associated former groups.|