12-118 |
Hospitals: Revised Inpatient Hospital Services Medicaid Provider Guide (MPG). |
12/27/12 |
01/01/13 |
12-117 |
Outpatient Hospital: Revised Medicaid Provider Guide and OPPS fee schedule |
12/22/12 |
01/01/13 |
12-116 |
Blood Banks: Added procedure code 86711 John Cunningham antibody and procedure code J7178, Human figrinogen conc inj. |
12/26/12 |
01/01/13 |
12-115 |
Prescription Drug Program: Require authorization for all Leukotriene modifiers |
12/14/12 |
05/01/12 |
12-114 |
Chiropractic Services: The Agency is notifying providers that clients 19 through 20 years of age covered under the Medical Care Services or the Alcohol, Drug Addiction and Support Act programs are not eligible for chiropractic services. |
12/21/12 |
01/01/13 |
12-113 |
Provider Notice number is void |
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12-112 |
Dental: Revisions reflect recent coverage changes. |
12/24/12 |
01/01/13 |
12-111 |
Dental: Revised Dental-Related Service Medicaid Provider Guide. The guide's revisions reflect recent coverage changes. |
12/26/12 |
01/01/13 |
12-110 |
Ambulatory Surgery Centers: Fee Schedule updates |
12/14/12 |
01/01/13 |
12-109 |
FQHC's: Correction by adding code S9436 as an exception to the policy that S codes are excluded from encounter payments |
12/17/12 |
01/01/13 |
12-108 |
DME, MSE and P&O: Update coverage and prior authorization for selected procedure codes |
12/27/12 |
01/01/13 |
12-107 |
Vision Hardware: Added criteria for replacement frames, procedure codes 92071 and 92072 and criteria when client does not pick up eyeglasses |
12/19/12 |
01/01/13 |
12-106 |
Physician-Related Services: Update coverage and prior authorization for selected procedure codes. |
12/28/12 |
01/01/13 |
12-105 |
Family Planning: Revised to replace code J1055 with J1050 for prescription birth control methods, and add several hysteroscopic sterilization codes to the coverage table |
12/19/12 |
01/01/13 |
12-104 |
Home Health Services: Added billing clarifications, including a change for clients 19 through 20 years of age in MCS/ADATSA. Also, added requirement for providers to report to Medicare’s OASIS |
12/18/12 |
01/01/13 |
12-103 |
Home Infusion/Parenteral Nutrition: Effective 1/1/2013, ending EPA number 870000023 for procedure codes A9276, A9277, and A9278 for Continuous Glucose Monitoring (CGM) |
12/07/12 |
01/01/13 |
12-102 |
EPSDT: Added procedure code 90672 to list of No Cost Immunizations from the Department of Health, replaced code D1203 with D1208 for topical application of fluoride, and clarified limits. |
12/19/12 |
01/01/13 |
12-101 |
Respiratory Care: Updating the coverage table codes and symbols for January 2013 |
12/18/12 |
01/01/13 |
12-100 |
Hearing Hardware: Updated fee schedule with new abbreviations to replace the “#” indicator |
12/14/12 |
01/01/13 |
12-98 |
Kidney Center Services: Replacing procedure code Q2047 with procedure code J0890 and updating fee schedule with new maximum allowable fees |
12/19/12 |
01/01/13 |
12-97 |
Provider Notice number is void |
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12-96 |
Mental Health Services: Revised the Mental Health Services for Children, Psychiatric and Psychologist Services Medicaid Provider Guide with multiple procedure code changes, prior authorization and coverage changes, and revised the fee schedule. |
12/21/12 |
01/01/13 |
12-95 |
Outpatient Rehabilitation (PT, ST, OT): Clients 19 through 20 years of age in MCS/ADATSA are not eligible for unlimited outpatient rehabilitation. These clients are eligible for the short term benefit. |
12/17/12 |
01/01/13 |
12-94 |
Prescription Drug: Maximum Allowable Cost Update |
11/29/12 |
01/01/13 |
12-93 |
Physicians-Related Services: Fee Schedule Changes J9042 |
12/03/12 |
01/01/13 |
12-92 |
Prescription Drug Program: Multiple updates including Buprenorphine for pregnant women, mental health polypharmacy, and billing for vaccine administration |
12/19/12 |
01/01/13 |
12-91 |
Prescription Drug: Maximum Allowable Cost Update |
10/30/12 |
12/01/12 |
12-90 |
Maternity Support Services and Infant Case Management MPG: Revised to add TF and TG modifiers |
10/29/12 |
11/01/12 |
12-89 |
Prescription Drug: Revised Washington Preferred Drug List |
10/19/12 |
12/01/12 |
12-88 |
Physician-Related Services: Hemophilia-and von Willebrand-related products must be dispensed by a qualified hemophilia Center of Excellence |
10/19/12 |
11/01/12 |
12-87 |
Prescription Drug: Hemophilia-and von Willebrand-related products must be dispensed by a qualified hemophilia Center of Excellence. |
10/19/12 |
11/01/12 |
12-86 |
Provider Notice number is void |
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12-85 |
Dental: Clarify the expedited prior authorization (EPA) process and update criteria information on the EPA procedure code list |
10/10/12 |
Retro to 10/01/12 |
12-26 |
Pharmacy: Extension of Pharmacist enrollment requirement message for hospitals and pharmacies |
6/19/12 |
6/19/12 |