WSR 14-04-032

[Filed January 27, 2014, 11:08 a.m.]

Document Title: Provider Notice #13-105.

Subject: Vision Medicaid Provider Guide.

Effective for dates of service on and after January 1, 2014, the medicaid program of the health care authority (HCA) will publish a revised Vision Hardware for Clients 20 Years of Age and Younger Medicaid Provider Guide to add Billing for Ocular Prosthetics: See HCA's Outpatient Hospital Fee Schedule for a complete list of complex rehabilitation technology (CPT) codes and maximum allowable fees.

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/.