WSR 13-02-081



[ Filed December 31, 2012, 11:49 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 #12-118.

Subject: Inpatient hospital medicaid provider guide (MPG).

Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is publishing a revised inpatient hospital services MPG.

Specific changes to the guide include:

Added robotic assisted surgery criteria.
Added criteria for authorization of transcatheter aortic valve replacement (TAVR).
Removed blue note box explaining separate authorization segments.
Removed blue note box explaining responsibility of the institution for mental disease (IMD) and RSN responsibilities.
Added billing instructions specific to IMDs.
Added criteria for qualifying medicaid emergency psychiatric demonstration (MEPD) emergencies.
Added criteria for MEPD related inpatient psychiatric admissions regarding adverse events.

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