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.
Legal and Administrative Services
Subject: Outpatient hospitals.
Effective Date: April 1, 2012.
Description: Effective for dates of service on and after April 1, 2012, the medicaid program of the health care authority (the agency) will:
|•||Update the Outpatient Hospital and Outpatient Prospective Payment System (OPPS) Fee Schedule with added codes and coverage changes;|
|•||Update changes in prior authorization requirements for certain current procedural terminology (CPT¦) codes; and|
|•||Implement a utilization review program to determine the medical necessity of emergency room use for conditions that could be treated in a primary care office or urgent care clinic.|
For additional information, contact Amber Dassow, HCA, P.O. Box 45504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail email@example.com, web site http://www.hca.wa.gov/.