WSR 01-01-066

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed December 12, 2000, 3:39 p.m. ]


DESCRIPTION OF INTERPRETIVE OR POLICY STATEMENT


Document Title: Billing Instructions.

Subject: Planned home birth pilot project.

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

Document Description: This manual describes DSHS guidelines for planned home births. Included are the following sections: About the Pilot Project, Client Eligibility, Qualifications Requirements to participate, Provider Responsibility, Prenatal Management/Risk Screening Guidelines, Instructions for Completing Planned Home Birth Outcome Report, Fee Schedule, Billing, How to Complete the HCFA-1500 Claim Form.

To receive a copy of the interpretive or policy statement, contact Kevin Sullivan, Regulatory Improvement Coordinator, DSHS, Medical Assistance Administration, Division of Program Support, P.O. Box 45530, Olympia, WA 98504, (360) 725-1344 or go to website http://maa.dshs.wa.gov (click on Numbered Memorandum link), TDD 1-800-848-5429, fax (360) 586-9727, e-mail mailto:sullikm@dshs.wa.gov.

December 11, 2000

Ann Myers, Manager (Acting)

Regulatory Improvement Project

Washington State Code Reviser's Office