Chapter 182-543 WAC

Last Update: 7/14/20

MEDICAL EQUIPMENT, SUPPLIES, AND APPLIANCES

WAC Sections

HTMLPDF182-543-0500General.
HTMLPDF182-543-1000Definitions.
HTMLPDF182-543-1100Client eligibility.
HTMLPDF182-543-2000Eligible providers and provider requirements.
HTMLPDF182-543-2100Requests to include new medical equipment and technology.
HTMLPDF182-543-2200Proof of delivery.
HTMLPDF182-543-2250Rental or purchase.
HTMLPDF182-543-3000Covered—Hospital beds, mattresses, and related equipment.
HTMLPDF182-543-3100Patient lifts/traction, equipment/fracture, and frames/transfer boards.
HTMLPDF182-543-3300Covered—Osteogenesis electrical stimulator (bone growth stimulator).
HTMLPDF182-543-3400Covered—Communication devices/speech generating devices (SGD).
HTMLPDF182-543-3500Covered—Ambulatory aids (canes, crutches, walkers, related supplies).
HTMLPDF182-543-4000Covered—Wheelchairs—General.
HTMLPDF182-543-4100Covered—Wheelchairs—Manual.
HTMLPDF182-543-4200Covered wheelchairs—Power-drive.
HTMLPDF182-543-4300Wheelchairs—Modifications, accessories, and repairs.
HTMLPDF182-543-4400Complex rehabilitation technology.
HTMLPDF182-543-5000Prosthetics/orthotics.
HTMLPDF182-543-5500Medical supplies and related services.
HTMLPDF182-543-5700Medical equipment for clients in skilled nursing facilities.
HTMLPDF182-543-7000Authorization.
HTMLPDF182-543-7100Prior authorization.
HTMLPDF182-543-7200Prior authorization for limits on amount, frequency, or duration.
HTMLPDF182-543-7300Expedited prior authorization (EPA).
HTMLPDF182-543-8000Billing general.
HTMLPDF182-543-8100Billing for managed care clients.
HTMLPDF182-543-8200Billing for clients eligible for medicare and medicaid.
HTMLPDF182-543-9000General reimbursement.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
182-543-3200Covered—Positioning devices. [Statutory Authority: RCW 41.05.021 and 2013 c 178. WSR 14-08-035, § 182-543-3200, filed 3/25/14, effective 4/25/14. WSR 11-14-075, recodified as § 182-543-3200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-3200, filed 6/29/11, effective 8/1/11.] Repealed by WSR 20-15-072, filed 7/14/20, effective 8/14/20. Statutory Authority: RCW 41.05.021 and 41.05.160.
182-543-6000DME and related supplies, medical supplies and related services—Noncovered. [Statutory Authority: RCW 41.05.021, and 41.05.160. WSR 14-20-041, § 182-543-6000, filed 9/24/14, effective 10/25/14. Statutory Authority: RCW 41.05.021 and 2013 c 178. WSR 14-08-035, § 182-543-6000, filed 3/25/14, effective 4/25/14. WSR 11-14-075, recodified as § 182-543-6000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-6000, filed 6/29/11, effective 8/1/11.] Repealed by WSR 18-24-021, filed 11/27/18, effective 1/1/19. Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Part 440.70; 42 U.S.C. section 1396 (b)(i)(27).
182-543-9100Reimbursement method—Other DME. [Statutory Authority: RCW 41.05.021 and 2013 c 178. WSR 14-08-035, § 182-543-9100, filed 3/25/14, effective 4/25/14. Statutory Authority: RCW 41.05.021. WSR 12-16-059, § 182-543-9100, filed 7/30/12, effective 8/30/12; WSR 12-07-022, § 182-543-9100, filed 3/12/12, effective 4/12/12. WSR 11-14-075, recodified as § 182-543-9100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-9100, filed 6/29/11, effective 8/1/11.] Repealed by WSR 18-24-021, filed 11/27/18, effective 1/1/19. Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Part 440.70; 42 U.S.C. section 1396 (b)(i)(27).
182-543-9200Reimbursement method—Wheelchairs. [Statutory Authority: RCW 41.05.021 and 2013 c 178. WSR 14-08-035, § 182-543-9200, filed 3/25/14, effective 4/25/14. Statutory Authority: RCW 41.05.021. WSR 12-16-059, § 182-543-9200, filed 7/30/12, effective 8/30/12; WSR 12-07-022, § 182-543-9200, filed 3/12/12, effective 4/12/12. WSR 11-14-075, recodified as § 182-543-9200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-9200, filed 6/29/11, effective 8/1/11.] Repealed by WSR 18-24-021, filed 11/27/18, effective 1/1/19. Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Part 440.70; 42 U.S.C. section 1396 (b)(i)(27).
182-543-9250Reimbursement method—Complex rehabilitation technology. [Statutory Authority: RCW 41.05.021 and 2013 c 178. WSR 14-08-035, § 182-543-9250, filed 3/25/14, effective 4/25/14.] Repealed by WSR 18-24-021, filed 11/27/18, effective 1/1/19. Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Part 440.70; 42 U.S.C. section 1396 (b)(i)(27).
182-543-9300Reimbursement method—Prosthetics and orthotics. [Statutory Authority: RCW 41.05.021. WSR 12-16-059, § 182-543-9300, filed 7/30/12, effective 8/30/12; WSR 12-07-022, § 182-543-9300, filed 3/12/12, effective 4/12/12. WSR 11-14-075, recodified as § 182-543-9300, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-9300, filed 6/29/11, effective 8/1/11.] Repealed by WSR 18-24-021, filed 11/27/18, effective 1/1/19. Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Part 440.70; 42 U.S.C. section 1396 (b)(i)(27).
182-543-9400Reimbursement method—Medical supplies and related services. [Statutory Authority: RCW 41.05.021. WSR 12-16-059, § 182-543-9400, filed 7/30/12, effective 8/30/12; WSR 12-07-022, § 182-543-9400, filed 3/12/12, effective 4/12/12. WSR 11-14-075, recodified as § 182-543-9400, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. WSR 11-14-052, § 388-543-9400, filed 6/29/11, effective 8/1/11.] Repealed by WSR 18-24-021, filed 11/27/18, effective 1/1/19. Statutory Authority: RCW 41.05.021, 41.05.160 and 42 C.F.R. Part 440.70; 42 U.S.C. section 1396 (b)(i)(27).