WSR 14-04-033

HEALTH CARE AUTHORITY

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

NOTICE

Document Title: Provider Notice #13-103.

Subject: Respiratory Care Medicaid Provider Guide.

Effective for dates of service on and after January 1, 2014, the medicaid program of the health care authority (HCA) is publishing a revised Respiratory Care Medicaid Provider Guide with the following changes to the coverage table.

•	Added HCPCS code E1352 (oxygen accessory, flow regulator capable of positive inspiratory pressure).
•	Added the following to the policy/comments column for HCPCS code E0470: "Limit includes three month rental. If criteria met submit for a purchase."
•	Added the following to the policy/comments column for HCPCS code E0601: "Limit includes three month rental. If criteria met submit for a purchase."

For more details, see the What Has Changed table in Respiratory Care Medicaid Provider Guide.

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/.