WSR 13-02-080

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed December 31, 2012, 11:45 a.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 #12-117.

     Subject: Outpatient hospital medicaid provider guide.

     Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is publishing [a] revised outpatient hospital services medicaid provider guide.

     Specific changes to the guide include:


• Clarified billing criteria for robotic assisted surgery.
• Added procedure codes 95782 and 95783.
• Added language regarding new limitations in providing therapies for clients who are nineteen - twenty years of age.

     Effective for dates of service on and after January 1, 2013, HCA will update the outpatient hospital and outpatient prospective payment system fee schedule.


• Add procedure codes and coverage changes;
• Change prior authorization requirements for certain current procedural terminology codes.

     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/.