WSR 12-24-065

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed December 3, 2012, 3:45 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 #12-93.

     Subject: Maximum allowable cost update.

     Effective for dates of services on and after January 1, 2012, HCA will update the Physician-Related Services/Healthcare Professional Services Medicaid Provider Guide with new code for Brentuximab vedontin inj, J9042 and authorization changed to covered with PA.

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