INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Subject: Prosthetic-orthotic devices medicaid provider guide.
Effective Date: July 1, 2012.
Updating the coverage table-
|o||For consistency with other shoe codes, adding the limit of one pair every twelve months to codes A5501, A5503, A5504, A5505, A5506 (related to shoes for diabetics).|
|o||For consistency with the EPA criteria coding table, adding the limit of one pair of oxford shoes every twelve months to L3215 and L3219.|
|o||Correcting L6700, terminal device hook, by adding prior authorization. (No policy change.)|
For additional information, contact Amber Dassow, HCA, P.O. Box 45504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail email@example.com, web site http://www.hca.wa.gov/.