INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Subject: Physician-related services/health care professional services medicaid provider guide.
Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is ending expedited prior authorization (EPA) number 870000023 for procedure codes A9276, A9277, and A9278 for continuous glucose monitoring (CGM). The agency still requires prior authorization for these procedure codes.
The agency is moving the professional diagnostic CGM to the EPA section in the physician-related services/health care professional services medicaid provider guide. A new EPA number 870001312 is required for professional diagnostic CGMs.
For additional information, contact Amber Lougheed, 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/.