WSR 02-21-048

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed October 14, 2002, 3:18 p.m. ]


DESCRIPTION OF INTERPRETIVE OR POLICY STATEMENT


Document Title: Billing instruction.

Subject: Dental and orthodontic programs.

Effective Date: November 1, 2002.

Document Description: These are billing instructions for dental and orthodontic providers to use when billing for services rendered to medical assistance clients. Included in this document are definitions, client eligibility, coverage information, teeth charts, claim form instructions and samples, and fee schedules.

To receive a copy of the interpretive or policy statement, contact Kevin Sullivan, Regulatory Improvement Coordinator, Department of Social and Health Services, Medical Assistance Administration, Division of Program Support, P.O. Box 45533, Olympia, WA 98504-5533, phone (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.

October 8, 2002

E. A. Myers, Manager

Rules and Publications Section

Washington State Code Reviser's Office