10-04-023  

  • WSR 10-04-023

    INTERPRETIVE OR POLICY STATEMENT

    DEPARTMENT OF

    SOCIAL AND HEALTH SERVICES

    [ Filed January 26, 2010, 11:25 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 department of social and health services (DSHS).

    Health and Recovery Services Administration (HRSA)

    Division of Legal Services



         Document Title: # Memo 10-01.

         Subject: New DSHS form to initiate request for prior authorization.

         Effective Date: February 1, 2010.

         Document Description: Effective for dates of service on and after February 1, 2010, DSHS requires all providers to use the new general information for authorization form, DSHS 13-835, when initiating a request for prior authorization (PA).

         This memo also reminds providers of the requirement to complete ProviderOne registration.

         To receive a copy of the interpretive or policy statements, contact Amber Dassow, HRSA, P.O. Box 5504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail dassoal@dshs.wa.gov, web site http://hrsa.dshs.wa.gov.