INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
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:firstname.lastname@example.org.
December 11, 2000
Ann Myers, Manager (Acting)
Regulatory Improvement Project