INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Subject: Medicaid program of the HCA will publish a revised Prescription Drug Program Medicaid Provider Guide.
Effective for dates of service on and after June 1, 2013, based on recommendations by the pediatric mental health workgroup, the medicaid program of the HCA will require authorization for alpha-agonists that exceed the agency's dose for eligible clients seventeen years of age and younger.
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 firstname.lastname@example.org, web site http://www.hca.wa.gov/.