WSR 97-15-068

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[Filed July 15, 1997, 1:55 p.m.]

Document Title: Memorandum Number: 97-52 MAA.

Subject: Removal of prior authorization on selected dental procedures.

Effective Date: Date of Service August 1, 1997.

Document Description: Removal of authorization on selected dental procedures, except for 0515D, and 0075D, the following crown procedure codes: 02750, 02751, 02752, 02790, 0279, and all procedures not listed in the MAA dental billing instructions. All claims will be subject to post-pay audit.

To receive a copy of the interpretive or policy statement, contact Anne DeJarnette, Administrative Regulations Analyst, Department of Social and Health Services, Medical Assistance Administration, Division of Client Services, P.O. Box 45530, Olympia, WA 98513, phone (360) 664-2320, TDD 1-800-848-5429, FAX (360) 753-7315, e-mail dejarae@dshs.wa.gov.

July 11, 1997

Roxie Schalliol

for Julie Lake, Director