WSR 12-14-081



[ Filed July 2, 2012, 2:30 p.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 health care authority (HCA).


Legal and Administrative Services

Document Title: Provider Notice #12-43.

Subject: Home infusion therapy fee schedule and medicaid provider guide.

Effective Date: July 1, 2012.

Effective for dates of service on and after July 1, 2012, the medicaid program of the HCA will: Update the maximum allowable fees in the home infusion therapy fee schedule. Update the Home Infusion Therapy/Parenteral Nutrition Medicaid Provider Guide to: Clarify specific provider requirements for claims billed with procedure code A4223. Delete procedure code E0784 with modifier NU. Revise comments for procedure code E0784 with modifier RR. Add the words "Invoice required" to procedure codes E1399 and B9999.

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, web site

Washington State Code Reviser's Office