WSR 14-07-079

[Filed March 17, 2014, 4:21 p.m.]

NOTICE

Document Title: Provider Notice #14-20.

Subject: Prescription Drug Medicaid Provider Guide.

Effective for dates of service on and after March 17, 2014, Washington apple health (medicaid), administered by the health care authority, will add alpha-agonists to the expedited authorization list as indicated in this provider notice.

For additional information, contact Amber Lougheed, Health Care Authority, 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/.