WSR 13-02-077

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed December 31, 2012, 11:42 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 health care authority (HCA).

HCA

Legal and Administrative Services



Document Title: Provider Notice #12-112.

Subject: Access to baby and child dentistry medicaid provider guide.

Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is publishing a revised Access to Baby and Child Dentistry Medicaid Provider Guide. The guide's revisions reflect recent coverage changes.

The specific changes to the guide are as follows:


Discontinued procedure code s D1203.
Added procedure code D1208.
Added procedure code D2929.

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/.