WASHINGTON STATE REGISTER

WSR 13-02-081

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY

[ Filed December 31, 2012, 11:49 a.m. ]

Notice of Interpretive or Policy Statement

аааа 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

аааа Document Title: Provider Notice #12-118.

аааа Subject: Inpatient hospital medicaid provider guide (MPG).

аааа Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is publishing a revised inpatient hospital services MPG.

аааа Specific changes to the guide include:

Х Added robotic assisted surgery criteria.

Х Added criteria for authorization of transcatheter aortic valve replacement (TAVR).

Х Removed blue note box explaining separate authorization segments.

Х Removed blue note box explaining responsibility of the institution for mental disease (IMD) and RSN responsibilities.

Х Added billing instructions specific to IMDs.

Х Added criteria for qualifying medicaid emergency psychiatric demonstration (MEPD) emergencies.

Х Added criteria for MEPD related inpatient psychiatric admissions regarding adverse events.

аааа 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/.

Х	Added robotic assisted surgery criteria.
Х	Added criteria for authorization of transcatheter aortic valve replacement (TAVR).
Х	Removed blue note box explaining separate authorization segments.
Х	Removed blue note box explaining responsibility of the institution for mental disease (IMD) and RSN responsibilities.
Х	Added billing instructions specific to IMDs.
Х	Added criteria for qualifying medicaid emergency psychiatric demonstration (MEPD) emergencies.
Х	Added criteria for MEPD related inpatient psychiatric admissions regarding adverse events.