WASHINGTON STATE REGISTER

WSR 10-21-042

INTERPRETIVE OR POLICY STATEMENT

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

[ Filed October 13, 2010, 11:05 a.m. ]

Notice of Interpretive or Policy Statement

In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the department of social and health services (DSHS).

Mecicaid [Medicaid] Purchasing Administration (MPA)

Division of Legal Services

Document Title: # Memo 10-69.

Subject: Hearing aids and services: Update authorization criteria for cochlear implant and bone conduction (Baha¦) replacement parts.

Effective Date: October 1, 2010.

Document Description: Effective immediately, DSHS will:

• No longer require providers to use modifier RT, LT, or RA when billing with procedure code V5040;

• Clarify and update the EPA criteria in section "H" within DSHS/MPA hearing aids and services billing instructions; and

• Add EPA number 870000001 for replacement parts for cochlear implant and bone conduction (Baha¦) replacement parts.

To receive a copy of the interpretive or policy statements, contact Amber Dassow, MPA, P.O. Box 45504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail dassoal@dshs.wa.gov, web site http://hrsa.dshs.wa.gov.

•	No longer require providers to use modifier RT, LT, or RA when billing with procedure code V5040;
•	Clarify and update the EPA criteria in section "H" within DSHS/MPA hearing aids and services billing instructions; and
•	Add EPA number 870000001 for replacement parts for cochlear implant and bone conduction (Baha¦) replacement parts.

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