WSR 10-06-041

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed February 23, 2010, 12:06 p.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 (DSHS).


Health and Recovery Services Administration (HRSA)

Division of Legal Services



Document Title: # Memo 10-01 Re-Issue.

Subject: New form to initiate request for prior authorization.

Effective Date: March 1, 2010.

Document Description: In response to providers' feedback DSHS is reissuing this memo with a later effective date of March 1, 2010.

Effective for dates of service on and after March 1, 2010, DSHS requires all providers to use the new general information for authorization form, DSHS 13-835, when initiating a request for prior authorization (PA). This memo also reminds providers of the requirement to complete ProviderOne registration.

To receive a copy of the interpretive or policy statements, contact Amber Dassow, HRSA, P.O. Box 5504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail dassoal@dshs.wa.gov, web site http://hrsa.dshs.wa.gov.

Washington State Code Reviser's Office