INTERPRETIVE OR POLICY STATEMENTDEPARTMENT OF
SOCIAL AND HEALTH SERVICES[
Filed December 8, 2004,
DESCRIPTION OF INTERPRETIVE OR POLICY STATEMENT
Document Title: Numbered Memorandum 04-84 MAA.
Subject: Prescription drug program: Washington
preferred drug list and expedited prior authorization changes.
Effective Date: January 1, 2005.
Document Description: Effective for claims with dates of
service on and after January 1, 2005, the Medical Assistance
Administration (MAA) will implement changes to the Washington
preferred drug list.
Effective the week of January 3, 2005, and after, MAA
will implement the following changes to the prescription drug
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 2004"), TDD 1-800-848-5429, fax (360)
586-9727, e-mail firstname.lastname@example.org.
||Changes to expedited prior authorization criteria.
December 3, 2004
Ann Myers, Manager
Rules and Publications Section
© Washington State Code Reviser's Office