13-02-016

WSR 13-02-016

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY

[ Filed December 20, 2012, 11:05 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).

HCA

Legal and Administrative Services

     Document Title: Provider Notice #12-107.

     Subject: Vision hardware medicaid provider guide.

     Effective for dates of service on and after January 1, 2013, the medicaid program of the HCA is publishing a revised Vision Hardware for Clients 20 Years of Age and Younger Medicaid Provider Guide. Specific changes to the guide include:

?	Added criteria for replacement frames.
?	Added procedure codes 92071 and 92072.
?	Added criteria to follow when client does not pick up eyeglasses.

     For additional information, contact Amber Dassow, 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/.