INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Maternity support services/infant case management: ICM intake criteria, tobacco cessation performance measure, and fee schedule changes.
Effective Date: June 22, 2004.
Document Description: Effective for dates of service on and after July 1, 2004, the Medical Assistance Administration (MAA) will implement:
• The newly revised infant case management intake criteria;
• The updated Medicare physician fee schedule data base (MPFSDB) year 2004 relative value units (RVUs); and
• Reimbursement for healthcare common procedure coding system (HCPCS) Level II procedure code S9075 tobacco cessation performance measure.
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.
July 7, 2004
E. A. Myers, Manager
Rules and Publications Section