INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Billing changes necessary for Health Insurance Portability and Accountability Act (HIPAA) compliance.
Effective Date: September 3, 2003.
Document Description: Effective for dates of service on and after October 16, 2003, the following HIPAA-related changes will apply for claims submitted to the Medical Assistance Administration (MAA):
• All state-assigned procedure codes and modifiers must be discontinued or replaced;
• Two-digit place of service codes will be required on claims;
• Type of service codes will no longer be required on claims;
• Only ICD-9-CM diagnosis codes will be recognized as valid; and
• Billing comments.
To receive a copy of the interpretive or policy statement, contact Barbara Salmon, Rules and Publications Section, Department of Social and Health Services, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1349 or go to website http://maa.dshs.wa.gov/download/publicationsfees.htm (click on "Numbered Memos," "Year 2003"), TDD 1-800-848-5429, fax (360) 586-9727, e-mail salmobl@dshs.wa.gov.
January 14, 2004
E. A. Myers, Manager
Rules and Publications Section