WSR 10-04-023

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed January 26, 2010, 11:25 a.m. ]


Notice of Interpretive or Policy Statement


     In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the department of social and health services (DSHS).

Health and Recovery Services Administration (HRSA)

Division of Legal Services



     Document Title: # Memo 10-01.

     Subject: New DSHS form to initiate request for prior authorization.

     Effective Date: February 1, 2010.

     Document Description: Effective for dates of service on and after February 1, 2010, DSHS requires all providers to use the new general information for authorization form, DSHS 13-835, when initiating a request for prior authorization (PA).

     This memo also reminds providers of the requirement to complete ProviderOne registration.

     To receive a copy of the interpretive or policy statements, contact Amber Dassow, HRSA, P.O. Box 5504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail dassoal@dshs.wa.gov, web site http://hrsa.dshs.wa.gov.

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