13-02-012

WSR 13-02-012

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY

[ Filed December 19, 2012, 4:00 p.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).

HCA

Legal and Administrative Services

     Document Title: Provider Notice #12-102.

     Subject: EPSDT medicaid provider guide (MPG).

     The EPSDT MPG 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.

     For additional information, contact Amber Lougheed, HCA, P.O. Box 45504, phone [phone], TDD/TTY 1-800-848-5429, fax [phone], e-mail [e-mail], web site http://www.hca.wa.gov/.