INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
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 firstname.lastname@example.org, web site http://www.hca.wa.gov/.