WSR 01-01-002

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed December 6, 2000, 3:13 p.m. ]


DESCRIPTION OF INTERPRETIVE OR POLICY STATEMENT


Document Title: Numbered Memorandum 00-62 MAA.

Subject: How to complete the HCFA-1500 claim form.

Effective Date: January 1, 2001, dates of service and after.

Document Description: This follow-up memorandum informs MAA's HCFA-1500 billers how to properly complete the HCFA-1500 claim form in an effort to reduce the claims inventory backlog.

To receive a copy of the interpretive or policy statement, contact Ann Myers, Regulatory Improvement Coordinator, DSHS, Medical Assistance Administration, Division of Program Support, P.O. Box 45530, Olympia, WA 98504, phone (360) 586-2337 or download from Internet at http://wws2.wa.gov/dshs/maa/Download/dmn/memos00.html, phone 725-1345, TDD 1-800-848-5429, fax (360) 753-7315, e-mail mailto:MYERSEA@dshs.wa.gov.

November 30, 2000

Leslie Saeger, Manager

Regulatory Improvement Project

Washington State Code Reviser's Office