Subject: Home health services.

Effective Date: September 1999.

Document Description: This manual covers general information and policy regarding home health services, covered and noncovered services, skilled nursing for obstetrical clients, revenue codes and rates, instructions for completing the UB-92 claim form, sample UB-92 claim form, Medicare/Medicaid Benefits Coordination, instructions for completing the UB-92 claim form for crossover claims, sample claim UB-92 claim form.

To receive a copy of the interpretive or policy statement, contact Ann Myers, Regulatory Improvement Coordinator, Department of Social and Health Services, Medical Assistance Administration, Division of Program Support, P.O. Box 45530, Olympia, WA 98504, phone (360) 664-2314, TDD 1-800-848-5429, fax (360) 753-7315, e-mail MYERSEA@dshs.wa.gov.

August 4, 1999

Leslie Saeger

Regulatory Improvement

Project Manager