WSR 13-02-080



[ Filed December 31, 2012, 11:45 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 health care authority (HCA).


Legal and Administrative Services

Document Title: Provider Notice #12-117.

Subject: Outpatient hospital medicaid provider guide.

Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is publishing [a] revised outpatient hospital services medicaid provider guide.

Specific changes to the guide include:

Clarified billing criteria for robotic assisted surgery.
Added procedure codes 95782 and 95783.
Added language regarding new limitations in providing therapies for clients who are nineteen - twenty years of age.

Effective for dates of service on and after January 1, 2013, HCA will update the outpatient hospital and outpatient prospective payment system fee schedule.

Add procedure codes and coverage changes;
Change prior authorization requirements for certain current procedural terminology codes.

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, web site