INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: New billing requirements regarding provider numbers and new website for accessing provider numbers.
Effective Date: April 1, 2005.
Document Description: Effective for dates of service on and after April 1, 2005, billers must list the assigned 7-digit DSHS provider number(s) for all performing/attending/referring providers on the claim form. Claims that do not have the appropriate provider number(s) listed will be denied. This memorandum provides billing guidance for compliance with this new requirement as well as information on a new website for accessing provider numbers. Pharmacies billing for prescription drugs or through point-of-sale (POS) are exempt from this requirement.
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 2005"), TDD 1-800-848-5429, fax (360) 586-9727, e-mail salmobl@dshs.wa.gov.
February 8, 2005
Ann Myers, Manager
Rules and Publications Section