WSR 12-14-084

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed July 2, 2012, 2:34 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 #12-46.

Subject: Kidney center services medicaid provider guide (MPG).

Effective Date: July 1, 2012.

Specific changes to the guide include:


Update the kidney center services fee schedule.
Add procedure code Q2047 injection, Peginesatide, 0.1mg with prior authorization (PA) required.
Clarify the requirements to be met prior to submitting a PA request for Omontys.
Effective retroactive to May 9, 2012, add revenue code 300, laboratory.
Effective for dates of service on and after September 4, 2012, require institutional providers to identify attending providers on claims submitted for payment.

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