Subject: Family planning.

     Effective Date: January 2006.

     Document Description: These are billing instructions for enteral nutrition providers to use when billing for services rendered to medical assistance clients. Included in this document are definitions, provider requirements, client eligibility, coverage information, prior authorization criteria, modifiers, product list/classification, reimbursement, fee schedule, billing instructions, and claim form instructions and samples.

     To receive a copy of the interpretive or policy statement, contact Amelia Holl, Rules and Publication Section, DSHS, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1349 or go to web site http://maa.dshs.wa.gov/download/publicationsfees.htm (Click on "Billing Instructions"), TDD 1-800-848-5429, fax (360) 586-9727, e-mail hollag@dshs.wa.gov.

December 16, 2005

Amelia Holl

for Ann Myers, Manager

Rules and Publications Section