WSR 12-14-077

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed July 2, 2012, 2:23 p.m. ]


Notice of Interpretive or Policy Statement


In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the health care authority (HCA).


HCA

Legal and Administrative Services



Document Title: Provider Notice #12-36.

Subject: Medical supplies and equipment (MSE) fee schedule updates and procedure code changes.

Effective Date: July 1, 2012.

Effective for dates of service on and after July 1, 2012, the medicaid program of the HCA will:

Update the maximum allowable fees in the Medical Supplies and Equipment (MSE) fee schedule.

Change the following procedure codes to noncovered: A6228, A6239, A4420, and A9180.

Change the following procedure code to require prior authorization: A6010.

Remove the "RB" modifier option from the following procedure codes: A5113 and A5114.

For additional information, contact Amber Dassow, HCA, 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/.

Washington State Code Reviser's Office