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14-47 Fee Schedule Updates 06/26/14 Superseded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14-35 Washington Preferred Drug List (WPDL) July Update 05/30/14 Superseded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

Related links

Chapter 41.05 RCW
Legislature website
Access ProviderOne
ProviderOne resources
Title 182 WAC