As of Wednesday, March 18, HCA’s lobby is closed. In-person customer services for Apple Health and the PEBB and SEBB Programs will not be available. Learn more.

Provider Notices 2014

Emails relevant to rules, Medicaid provider guides, and policies

Notice number	Subject	Issue date	Effective date
	Quarterly Billing Guide update	12/31/14	1/1/15
	Prescription Drug Billing Guide update	12/29/14	1/1/15
	New dose limits of stimulant ADHD medications	10/24/14	11/15/14
	Coverage for nonsterile gloves	10/24/14	10/24/14
	Quarterly Billing Guide update	10/02/14	10/01/14
14-67	Elimination of Provider Notice - Final Reminder	07/01/14	07/01/14
14-66	Fee Schedule Only Updates	06/30/14	07/01/14
14-65	State Maximum Allowable Costs (SMAC) - July	06/30/14	07/01/14
14-64	Vision Hardware for Clients 20 Years of Age and Younger	06/30/14	07/01/14
14-63	Outpatient Rehabilitation	06/30/14	07/01/14
14-62	Neurodevelopmental Centers	06/30/14	07/01/14
14-61	Home Health Services	06/30/14	07/01/14
14-60	Inpatient Hospital Services	06/30/14	07/01/14
14-59	Outpatient Hospital Services	06/27/14	07/01/14
14-58	State Maximum Allowable Costs (SMAC) - August	06/26/14	08/01/14
14-57	Washington Preferred Drug List (WPDL)	06/26/14	07/01/14
14-56	Nursing Facilities	06/30/14	07/01/14
14-55	Family Planning	06/26/14	07/01/14
14-54	Planned Home Births and Births in Birthing Centers	06/26/14	07/01/14
14-53	Habilitative Services	06/26/14	07/01/14

14-51	Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)	06/26/14	07/01/14
14-50	Mental Health Services	06/26/14	07/01/14
14-49	School-Based Health Care Services for Children in Special Education	06/26/14	07/01/14
14-48	Kidney Center Services	06/30/14	07/01/14
14-47	Fee Schedule Updates	06/26/14	Superseded see 14-66 07/01/14
14-46	Ambulatory Surgery Center (ASC) Fee Schedule	06/26/14	07/01/14
14-44	Elimination of Provider Notice - Reminder	06/24/14	07/01/14
14-43	Ambulance and Involuntary Treatment Act (ITA) Transportation	06/26/14	07/01/14
14-42	Physicians-Related Services/Health Care Professional	06/24/14	07/01/14
14-41	Prosthetic and Orthotic Devices	06/23/14	07/01/14
14-40	Complex Rehabilitation Technology	06/23/14	07/01/14
14-39	Nondurable Medical Supplies and Equipment Provider Guide	06/23/14	07/01/14
14-38	Durable Medical Equipment (Other) and Non-CRT Wheelchairs	06/23/14	07/01/14
14-37	Elimination of Provider Notice	06/17/14	07/01/14
14-36	Expedited Authorization (EA) List June Update	05/30/14	06/01/14
14-35	Washington Preferred Drug List (WPDL) July Update	05/30/14	Superseded see 14-577/1/14
14-34	Prescription Drug Maximum Allowable Cost Update (July)	05/30/14	07/01/14
14-32	Maternity Support Services/Infant Case Management	05/19/14	05/20/14
14-31	Maximum Allowable Cost Update (June 2014)	04/28/14	06/01/14
14-30	Ambulatory Surgery Center (ASC) Fee Schedule - April updates	04/21/14	Retroactive to 04/01/14
14-29	Orthodontic Services Provider Guide - May 2014 Update	04/18/14	05/01/14
14-28	Dental-Related Services Provider Guide - May 2014 Update	04/18/14	05/01/14
14-27	April updates to the Ambulatory Surgery Center (ASC) Fee Schedule	04/09/14	Superseded see 14-3004/01/14
14-26	April updates to the OPPS and Outpatient Hospital Fee Schedule and Outpatient Hospital Services	04/10/14	04/01/14
14-25	Maximum allowable costs update May 2014	03/28/14	04/01/14
14-24	Prenatal Genetic Counseling client eligibility and billing section updates	04/03/14	04/01/14
14-23	Mental Health Services new CPT Code	04/03/14	04/01/14
14-22	Physician-Related Services/Health Care Professional Provider Guide - April 2014 update	03/24/14	04/01/14
14-20	Add Alpha-agonists to the expedited authorization (EA) list.	03/14/14	03/17/14
14-19	Increased Rate for Independent ARNPs	02/27/14	02/27/14
14-18	Maximum allowable costs update	02/26/14	03/01/14
14-17	Hospice new Modified Adjusted Gross Income (MAGI) codes and descriptions	02/26/14	Retroactive to 01/01/14
14-16	Chemical Dependency Medicaid Provider Guide update definitions section, coverage group codes table and coverage table	02/19/14	Retroactive to 01/01/14
14-14	Washington Apple Health defined	02/07/14	02/07/14
14-13	Prescription Drug Medicaid Provider Guide update and clarify splitting single dose vials	01/30/14	Retroactive to 01/01/14
14-12	Revisions to the agency's Medicaid Provider Guides will affect Federally Qualified Health Centers and Rural Health Clinics	01/29/14	Retroactive to 01/01/14
14-11	Alpha Agonist requirement for 17 years of age and younger	01/29/14	03/01/14
14-10	Prescription Drug Maximum Allowable Cost Update March 2014	01/29/14	03/01/14
14-09	Complex Rehabilitation Technology - coverage table updates	02/07/14	Retroactive to 01/01/14
14-08	Revised Nondurable Medical Supplies and Equipment (MSE) Medicaid Provider Guide	01/30/14	01/01/14
14-07	Physician-Related/Health Care Professional Services MPG clarify developmental screenings are limited to clients 36 months of age or younger who are suspected of having autism.	01/23/14	Retroactive to 01/01/14
14-06	Kidney Center Services update coverage requirements for selected procedure codes	02/07/14	Retroactive to 01/01/14
14-05	Home Infusion Therapy/Parenteral Nutrition remove HCPCS code 4245	02/07/14	Retroactive to 01/01/14
14-04	Prescription Drug Medicaid Provider Guide changes regarding vaccines	01/21/14	Superseded see 14-13 01/01/14
14-02	Maximum Allowable Cost Update Pre-release for February 2014	12/31/13	01/01/14
14-01	Washington Preferred Drug List prerelease update	01/23/14	02/01/14