WSR 09-19-115

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed September 22, 2009, 10:39 a.m. ]


Notice of Interpretive or Policy Statement


     In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the department of social and health services.


Health and Recovery Services Administration

Division of Healthcare Services


     Document Title: Public Notice.

     Subject: Alien emergency medical program (AEM) changes.

     Effective Date: November 1, 2009.

     Document Description: The legislature directed the medicaid program to reduce its expenditures. On November 1, 2009, the medical criteria for eligibility and the scope of services that will be paid for under the federal medicaid definitions for emergency services will change. Certain services will no longer be reimburseable. This affects aliens who have an emergency medical event. Evidentiary hearings to challenge these changes will not be available. Emergency WACs will be effective November 1, 2009.

     To receive a copy of the interpretive or policy statements, contact Gail Kreiger, Washington State Medicaid, Office of Medical Benefits and Clinical Review, P.O. Box 45506, Olympia, WA 98504, phone (360) 725-1681, TDD/TTY 1-800-848-5429, fax (360) 586-1471, e-mail kreigga@dshs.wa.gov, web site http://hrsa.dshs.wa.gov/.

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