13-20-143

WSR 13-20-143

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY

[Filed October 2, 2013, 10:38 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 #13-61.

Subject: Medicaid program of HCA will revise the Nondurable Medical Supplies and Equipment (MSE) Medicaid Provider Guide.

Effective for dates of service on and after October 1, 2013, the medicaid program of HCA will require prior authorization for HCPCS code A4466 and will update the coverage table in the Nondurable Medical Supplies and Equipment (MSE) Medicaid Provider Guide.

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/.