WSR 14-08-049

[Filed March 28, 2014, 1:51 p.m.]

Document Title: Provider Notice #14-04.

Subject: Prescription Drug Program Medicaid Provider Guide.

Retroactive to dates of service on and after January 1, 2014, Washington apple health (medicaid), administered by the health care authority (HCA) is publishing a revised Prescription Drug Program Medicaid Provider Guide. The revision adds information to clarify how to submit documentation for agency approval to bill for splitting single dose vials.

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/.