WASHINGTON STATE REGISTER

WSR 12-14-084

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY

[ Filed July 2, 2012, 2:34 p.m. ]

Notice of Interpretive or Policy Statement

аааа In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the health care authority (HCA).

HCA

Legal and Administrative Services

аааа Document Title: Provider Notice #12-46.

аааа Subject: Kidney center services medicaid provider guide (MPG).

аааа Effective Date: July 1, 2012.

аааа Specific changes to the guide include:

Х Update the kidney center services fee schedule.

Х Add procedure code Q2047 injection, Peginesatide, 0.1mg with prior authorization (PA) required.

Х Clarify the requirements to be met prior to submitting a PA request for Omontys.

Х Effective retroactive to May 9, 2012, add revenue code 300, laboratory.

Х Effective for dates of service on and after September 4, 2012, require institutional providers to identify attending providers on claims submitted for payment.

аааа 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 dassoal@hca.wa.gov, web site http://www.hca.wa.gov/.

Х	Update the kidney center services fee schedule.
Х	Add procedure code Q2047 injection, Peginesatide, 0.1mg with prior authorization (PA) required.
Х	Clarify the requirements to be met prior to submitting a PA request for Omontys.
Х	Effective retroactive to May 9, 2012, add revenue code 300, laboratory.
Х	Effective for dates of service on and after September 4, 2012, require institutional providers to identify attending providers on claims submitted for payment.

й Washington State Code Reviser's Office