13-02-081

WSR 13-02-081

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY

[ 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).

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 [phone], TDD/TTY 1-800-848-5429, fax [phone], e-mail [e-mail], web site http://www.hca.wa.gov/.