INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Document Title: Numbered Memorandum 04-105 MAA.
Subject: Family planning services and family planning-only program: Fee schedule changes.
Effective Date: January 1, 2005.
Document Description: Effective for dates of service on and after January 1, 2005, the Medical Assistance Administration (MAA) will begin using:
• Year 2005 current procedural terminology (CPT)-> and healthcare common procedure coding system (HCPCS) Level II code additions as discussed in this memorandum; and
• Expedited prior authorization (EPA) numbers for billing contraceptive drugs and supplies that do not have a dedicated HCPCS code. This memo contains important instructions for use of the new EPA numbers, and lists changes to the maximum allowable fees for the Year 2005 new code additions.
To receive a copy of the interpretive or policy statement, contact Barbara Salmon, Rules and Publications Section, Department of Social and Health Ssrvices, 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 salmobl@dshs.wa.gov.
December 14, 2004
Ann Myers, Manager
Rules and Publications Section