WSR 13-01-021

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed December 10, 2012, 1:05 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 health care authority (HCA).

HCA

Legal and Administrative Services



     Document Title: Provider Notice #12-103.

     Subject: Physician-related services/health care professional services medicaid provider guide.

     Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is ending expedited prior authorization (EPA) number 870000023 for procedure codes A9276, A9277, and A9278 for continuous glucose monitoring (CGM). The agency still requires prior authorization for these procedure codes.

     The agency is moving the professional diagnostic CGM to the EPA section in the physician-related services/health care professional services medicaid provider guide. A new EPA number 870001312 is required for professional diagnostic CGMs.

     For additional information, contact Amber Lougheed, HCA, P.O. Box 45504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail amber.lougheed@hca.wa.gov, web site http://www.hca.wa.gov/.