WSR 05-03-084

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed January 17, 2005, 1:05 p.m. ]


DESCRIPTION OF INTERPRETIVE OR POLICY STATEMENT


Document Title: Billing Instruction.

Subject: Ambulance and Involuntary Treatment Act (ITA) transportation.

Effective Date: February 2005.

Document Description: These are billing instructions for ambulance and involuntary treatment transportation providers to use when billing for medical assistance eligible clients. Included in this document are client eligibility, provider responsibilities, coverage, authorization requirements, reimbursement, fee schedules, out-of-state services, Involuntary Treatment Act (ITA) transportation, and billing.

To receive a copy of the interpretive or policy statement, contact Barbara Salmon, Rules and Publications Section, Department of Social and Health Services, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1349 or go to website http://maa.dshs.wa.gov/download/publicationsfees.htm (click on Billing Instructions), TDD 1-800-848-5429, fax (360) 586-9727, e-mail salmobl@dshs.wa.gov.

January 12, 2005

Ann Myers, Manager

Rules and Publications Section

Washington State Code Reviser's Office