Memo #
|
Status
|
Description
|
Date
Issued
|
| 03-104
MAA
Postcard
Notification |
|
Outpatient
Hospitals Updates: Year 2004 CPT and HCPCS Updates, Fee Schedule
Additions, and Revenue Code Grid Corrections |
12/31/03 |
| 03-103
MAA
Postcard
Notification |
|
Year
2004 Additions and Deletions to CPT and HCPCS Codes allowed in Ambulatory
Surgery Centers (effective
1/1/04) |
12/30/03 |
| 03-102
MAA
Postcard
Notification |
|
Early
Periodic Screening, Diagnosis and Treatment (EPSDT) Updates (effective
1/1/04) |
12/30/03 |
| 03-101
MAA
Postcard
Notification |
Superseded |
Year
2004 Changes and Additions to CPT™ and HCPCS* Codes (effective 1/1/04)
Updated 1/13/04
Updated CPT and HCPCS codes on p.3. Changed NuvaRing®
information on p.6.
(Superseded by 04-52 MAA) |
12/30/03 |
| 03-100
MAA
Postcard
Notification |
|
Update
for Psychological Testing Certification Requirements (retroactive to
7/1/03) |
12/30/03 |
| 03-99
MAA
Postcard
Notification |
Superseded |
Upcoming
Changes in Billing Requirements for Federally Qualified
Health
Center
(FQHC) and Rural Health Clinic (RHC) Managed Care Enhancements (effective 1/1/04) |
12/29/03 |
| 03-98
MAA
Postcard
Notification |
Superseded |
Family
Planning Clinics - Year 2004 Changes and Additions to CPT™ and HCPCS
Codes (effective 1/1/04)
[Superseded by Memo 04-37
MAA.] |
12/29/03 |
| 03-97
MAA
Postcard
Notification |
|
Year
2004 Healthy Options, Basic Health Plus, SCHIP, and Primary Care Case
Management Updates (effective 1/1/04)
Updated 1/20/04
Corrected information on county coverage for BH+ for Regence Blue
Shield on Attachment I.
|
12/24/03 |
| 03-96
MAA
Postcard
Notification |
Superseded |
Physician-Related
Services - Clarification of Billing Procedures for Maternity Services
(retroactive to 7/1/03)
[Superseded by 04-52 MAA] |
12/24/03 |
| 03-95
MAA
Postcard
Notification |
Superseded |
Planned
Home Births and Births in Birthing Centers - Clarification of Billing Procedures for Maternity Services
(retroactive to 7/1/03)
Updated 3/29/04
Updated maximum allowable fee for procedure code S3620 on p.6.
[Superseded by new
Planned Home Births/Births in Birthing Centers Billing Instructions
1/2005]
|
12/26/03 |
| 03-94
MAA
Postcard
Notification |
|
Maximum
Allowable Cost Updates (effective 1/1/04) |
12/19/03 |
| 03-93
MAA
Postcard
Notification |
|
Updates
to the Prescription Drug Program - Additions to MAA's Preferred Drug List
(Eff. 1/1/04) |
11/25/03 |
| 03-92
MAA
Postcard
Notification |
|
Chemical
Dependency: Rate Increase for Individual Therapy Procedure Codes (Eff
10/1/03) |
11/13/03 |
| 03-91
MAA
Postcard
Notification |
|
Replacement
Page (A.1-A.2) for Psychology Billing Instructions, dated 10/03 |
11/14/03 |
| 03-90
MAA
Postcard
Notification |
|
Maximum
Allowable Cost Update (effective 12/1/03) |
11/14/03 |
| 03-89
MAA
Postcard
Notification
|
Superseded |
Prosthetic
and Orthotic Devices: Change in Rate for Procedure Code L0486
Updated 1/07/04
Maximum allowable for code L0486 is $1,419.28.
[Superseded by 04-50 MAA] |
10/30/03 |
| 03-88
MAA
Postcard
Notification
|
|
Encounter
Rate Change for Indian Health Services (retroactive to 1/1/03)
Page Replacements D.3-D.4 for Indian Health Services Billing Instructions
are attached defining Place of Service Codes
Superseded by
Tribal Health Program Billing Instructions published in June 2006 |
10/24/03 |
| 03-87
MAA
Postcard
Notification
|
|
Regional
Support Network Contacts for Psychiatric Hospitalization |
10/24/03 |
| 03-86
MAA
Postcard
Notification
|
|
Maximum
Allowable Cost Updates (effective 11/1/03) |
10/14/03 |
| 03-85
MAA
Postcard
Notification
|
|
Discontinued
State-Unique Procedure Codes for American Sign Language Interpreter
Services |
9/30/03 |
| 03-84
MAA
Postcard
Notification
|
Superseded |
Rate
Increase Rescinded for Procedure Code S3630 - Newborn Dried Blood Spot
Screening
[Superseded by Memo 04-40
MAA.] |
10/06/03 |
| 03-83
MAA
Postcard
Notification
|
|
Prescription Drug Program
Update (effective 12/1/03) along with updated EPA List (Pgs F1/F2 and H7-H18 for Rx
Drug Program BIs)
Updated
12/18/03 with correct EPA List. |
10/23/03 |
|
03-82
MAA
Postcard
Notification
|
Superseded |
Involuntary
Treatment Act (ITA) Transportation: HIPAA Implementation
Updated
11/15/04 Fixed DSHS Forms web site link on replacement pg 20.
[Superseded by new Ambulance
and ITA Transportation
Billing Instructions 02/05] |
9/29/03 |
| 03-81
MAA
Postcard
Notification
|
|
Adult
Day Health: HIPAA Procedure Code Conversions |
9/26/03 |
| 03-80
MAA
Postcard
Notification
|
Superseded
|
Neurodevelopmental
Centers: HIPAA Changes
[Superseded by Memo 04-43
MAA.]
|
9/29/03 |
| 03-79
MAA
Postcard
Notification
|
Superseded
|
Physical
Therapy: HIPAA Changes
[Superseded by Memo 04-48
MAA.] |
9/29/03 |
| 03-78
MAA
Postcard
Notification
|
|
Occupational
Therapy: HIPAA Changes |
9/29/03 |
| 03-77
MAA
Postcard
Notification
|
|
Hospice:
HIPAA Implementation |
9/29/03 |
| 03-76
MAA
Email
Notification
|
|
TAKE
CHARGE: HIPAA Changes |
9/29/03 |
| 03-75
MAA
Postcard
Notification
|
|
Oxygen
and Respiratory Equipment: HIPAA Implementation |
9/29/03 |
| 03-74
MAA
Postcard
Notification
|
|
Dental
Procedures billed by Ambulatory Surgery Centers |
9/23/03 |
| 03-73
MAA
Postcard
Notification
|
Superseded |
Billing
Clarification for Detox Services
[Superseded by
04-52 MAA] |
9/25/03 |
| 03-72
MAA
Postcard
Notification
|
|
Wheelchairs,
DME, and Supplies: HIPAA Implementation |
9/22/03 |
| 03-71
MAA
Postcard
Notification
|
|
Nondurable
Medical Equipment and Supplies (MSE): HIPAA Implementation |
9/18/03 |
| 03-70
MAA
Postcard
Notification
|
|
Discontinued
State-Unique Procedure Codes Used in the Rural Health Clinic Program |
9/23/03 |
| 03-69
MAA
Postcard
Notification
|
|
Discontinued
State-Unique Procedure Codes Use for FQHCs |
9/23/03 |
| 03-68
MAA
Postcard
Notification
|
|
Medical
Nutrition: HIPAA Changes
Updated 10/14/03:
Fixed various errors: Boost Breeze
information was updated on F.1; Enlive information was updated on F.2;
Procedure code B9998 information was updated on H.3; and Boost Breeze and
Enlive were removed from the Appendix. |
9/18/03
Updated
10/14/03 |
03-67
MAA
Reissued
10/6/03
Postcard
Notification
|
|
Rx
Drug Program Updates - Addition to Preferred Drug List, Expedited Prior
Authorization Criteria, and Drug Changes to
Prior Auth. (Effective November 1, 2003) |
9/25/03
Updated
10/1/03 |
03-66
MAA
Postcard
Notification |
|
Discontinued
State-Unique Vision Care Procedure & Diagnosis Codes
Updated 10/22/03: Corrected typo on replacement pg. I.4; fixed
language pg. I.2. |
9/19/03
Updated
10/22/03 |
| 03-65
MAA
Postcard
Notification
|
|
Maximum
Allowable Cost Updates - Effective 10/1/03 |
9/15/03 |
| 03-64
MAA
Postcard
Notification
|
|
Billing
Clarification for Tuberculosis Treatment Services (Health Departments) |
9/18/03 |
| 03-63
MAA
Postcard
Notification
|
|
School
Medical
Services: Procedure Code Changes Due to HIPAA Implementation |
8/28/03 |
| 03-62
MAA |
|
Billing
Changes Necessary For Health Insurance Portability and Accountability Act
(HIPAA) Compliance |
9/3/03 |
| 03-61
MAA
Postcard
Notification
|
|
Rx
Drug Program Update
(Rplcment Pgs F.1/F.2 and Section H for Rx Drug Program BIs attached) |
8/21/03 |
| 03-60
MAA
Postcard
Notification
|
|
Discontinued
State-Unique Procedure Codes for Orthotics |
9/18/03 |
| 03-59
MAA
Postcard
Notification
|
Superseded |
Change
in Billing Requirements for Drugs Administered in the Provider's Office
[Superseded by
04-52 MAA) |
9/15/03 |
|
03-58
MAA
Postcard
Notification |
|
Suboxone®
Added to Expedited Prior Authorization List for Rx Drug Program
Corrected with
IC-2005-6 |
8/18/03 |
| 03-57
MAA
Postcard
Notification |
|
Rx
Drug Program Updates to MAC List (9/03) |
8/13/03 |
| 03-56
MAA
Postcard
Notification |
|
Rx
Drug Program Updates to MAC List |
7/17/03 |
| 03-55
MAA
Postcard
Notification |
|
New
Version of Point-of-Sale
Approx. 56 replacement pages are attached to memo for MAA's Rx Drug
Program BIs
Updated 10/6/03
Page E.3 - Corrected language.
Updated 10/21/03
Page J.17 - Corrected 1st bullet.
Page K16 - Added field
|
9/1/03 |
| 03-54
MAA
Postcard
Notification
|
Superseded |
Telehealth
[Superseded by
04-52 MAA] |
9/18/03 |
03-53
MAA
Reissued
4/16/04
Postcard
Notification
|
|
Reinstatement
of Supplemental Payments for Qualified Trauma Services |
7/01/03
Reissued
4/16/04 |
| July
2003 Fee Schedule Updates |
Providers
received the following notification by mail on or around 6/16/03 listing
the 7/03 memos MAA published below:
Click here to read. |
| 03-52
MAA |
Superseded |
Home
Infusion Therapy/Parenteral Nutrition Program
[Superseded by new
Billing Instructions, dated 10/03] |
6/26/03 |
| 03-51
MAA |
Superseded |
Oxygen/Respiratory
Therapy: Billing Instructions and Fee Schedule Updates
Update 7/16/03:
Fixed typo on first page of memo. Effective date in box of memo
was incorrectly typed as August 1, 2003. Changed to correct date of
July 1, 2003.
Update 7/21/03:
Fixed various typos.
Corrections indicated by yellow highlighting.
Update 8/04/03:
Fixed a typo on page
D2. Fee for A4558 changed to $5.45.
[Superseded by
04-33 MAA]
|
07/09/03 |
| 03-50
MAA |
Superseded |
ITA
Transportation: Fee Schedule Changes
[Superseded by new Ambulance
and ITA Transportation
Billing Instructions 02/05] |
6/30/03 |
| 03-49
MAA |
|
Medical
Nutrition: Fee Schedule Changes |
6/30/03 |
| 03-48
MAA |
Superseded |
Kidney
Centers: Fee Schedule Updates
[Superseded by new Kidney Center Srvcs Billing Instructions, dated 8/03.] |
6/30/03 |
| 03-47
MAA |
Superseded |
Audiologist/Speech
Pathologist: Fee Schedule Changes
Update 7/8/03:
Fixed rounding errors in various fees throughout replacement pages.
[Superseded by Memo 04-53
MAA.]
|
6/30/03 |
| 03-46
MAA |
Superseded |
Prenatal
Genetic Counseling: Fee Schedule Changes and Discontinued State
Unique Codes
Update 7/16/03:
Revised memo to reflect changes in the description of, and the fee
schedule pertaining to, confirmatory
consultations.
[Superseded by Memo 04-49
MAA.]
|
7/10/03 |
| 03-45
MAA |
Superseded |
Physical
Therapy Program:
Fee Schedule Changes
Update 7/8/03:
Fixed rounding errors in various fees throughout replacement pages.
[Superseded by Memo 04-48
MAA.]
|
6/30/03 |
| 03-44
MAA |
|
Outpatient
Hospitals Update
9/3/03:
Removed professional
component (-26) of procedure code 89060 from the fee schedule. Also
fixed pagination to match Outpatient Hospital Billing Instructions.
Update
9/30/03:
Page
F.1 of the Fee Schedule was accidentally erased in July 2003 by # Memo
03-44maa. Page F.1 has now been added back to the Fee Schedule.
|
7/10/03 |
| 03-43
MAA |
Superseded |
Occupational
Therapy Program:
Fee Schedule Changes
Update 7/8/03:
Fixed rounding errors in various fees throughout replacement pages.
[Superseded by Memo 04-45
MAA.]
|
6/30/03 |
| 03-42
MAA |
Superseded |
Neurodevelopmental
Centers:
Fee Schedule Changes
Update 7/8/03:
Fixed rounding errors in various fees throughout replacement pages.
[Superseded by Memo 04-43
MAA.]
|
7/01/03 |
| 03-41
MAA |
Superseded |
Medical
Nutrition Therapy:
Fee Schedule Changes
[Superseded by Memo 04-42
MAA.] |
6/30/03 |
| 03-40
MAA |
|
FQHC
Interpreter Services:
Discontinue State Unique Code |
6/30/03 |
| 03-39
MAA |
Superseded |
HIV/AIDS
Case Management:
Fee Schedule Changes and Discontinued State Unique Codes
[Superseded by new HIV/AIDS Case Mgmt BIs, dated 10/03] |
6/30/03 |
| 03-38
MAA |
Superseded |
Family
Planning: Fee Schedule Changes and Discontinue State Unique Codes
[Superseded by Memo 04-37
MAA.] |
6/30/03 |
03-37
MAA
Reissued 1/1/05 |
|
Diabetes
Education Program:
Fee Schedule Changes |
6/30/03
Reissued 1/1/05 |
| 03-36
MAA |
Superseded |
Chiropractic
Services: Fee Schedule Changes
[Superseded by Memo 04-34
MAA.] |
6/30/03 |
| 03-35
MAA |
Superseded |
Ambulatory
Surgery Centers:
Fee Schedule and Technical Changes
Update 7/14/03:
Group 2 maximum allowable fee changed to $332.71.
[Superseded by
03-103 MAA] |
6/30/03 |
| 03-34
MAA
Downloadable
Fee
Schedule
|
Superseded |
Physicians-Related
Services
Update 7/7/03:
EPSDT Screening Fee For Foster Kids updated from incorrect rate of
$140.00 to correct rate of $120.00. Also typo fixed on page 12 of
memo: 5925M changed to 5935M.[Superseded by
04-52 MAA] |
6/30/03 |
| 03-33
MAA |
Superseded |
Psychologists:
Fee Schedule Changes and Discontinued State Unique Codes |
6/16/03 |
| 03-32
MAA |
Superseded |
Vision
Care Program: Fee Schedule Updates
[Superseded by Memo 04-46
MAA.] |
6/16/03 |
| 03-31
MAA |
|
Maternity
Support Services and Maternity Case Management: Fee Schedule Updates |
6/16/03 |
| 03-30
MAA |
Superseded |
Midwives:
Fee Schedule Changes and Discontinued State Unique Procedure Codes
Also Updated:
Births in Birthing Centers
Billing Instructions, dated 7/03
Planned Home Births
Billing Instructions, dated 7/03
[Superseded by Memo 04-40
MAA.]
|
6/16/03
|
| 03-29
MAA
|
Superseded |
EPSDT
Clinics: Fee Schedule Changes and Discontinued State Unique Codes
Update 10/16/03:
Various maximum allowable fees changed. Changes indicated by yellow
highlighting.
Update 7/14/03:
Various maximum allowable fees changed. Changes indicated by yellow
highlighting.
Update 7/1/03:
due
to error in rates on replacement page E.5.
Update
11/17/03: On page
E.8, the row containing procedure code 90718 is available from the HD and
is now shaded.
[Superseded by Memo 04-36
MAA.]
|
6/16/03 |
| 03-28
MAA |
|
Chronic
Pain Management Clinics:
Discontinuation of State Unique Codes |
6/16/03 |
| 03-27
MAA |
|
Chemical
Dependency Treatment Program: Fee Schedule Updates |
6/16/03 |
| 03-26
MAA |
Superseded |
Blood
Banks: Fee Schedule Changes and Discontinue State Unique Codes
Update 7/14/03:
Various maximum allowable fees changed. Changes indicated by
yellow highlighting.
[Superseded by Memo 04-31
MAA.]
|
|
| 03-25
MAA |
Superseded |
Adult
Day Health
[Superseded by
03-81] |
6/24/03 |
| 03-24
MAA |
Superseded
by new Dental BIs dated 10/01/03 |
Dental
Program Fee Schedule Update (eff 7/1/03) and Adult Dental Coverage Changes
(eff 8/1/03)
Update 8/18/03:
Page 5, 5th bullet - reworded.
|
7/3/03 |
| 03-23
MAA |
|
Private
Duty Nursing |
6/24/03 |
|
03-22
MAA |
|
Home
Health: Fee Schedule Update and Discontinued State Unique Revenue
Codes Update
11/03/04 Pg G.8 - Removed language regarding flu shots to match language
on pg 2 of the memo. |
6/30/03 |
| 03-21
MAA |
|
Hearing
Aids: Fee Schedule Update |
6/16/03 |
| 03-20
MAA |
Superseded |
Wheelchairs:
Revised Fee Schedule
[Superseded by 03-72] |
7/1/03 |
| 03-19
MAA |
|
Prosthetic/Orthotics:
Fee Schedule Update
Update 7/14/03:
L4210 maximum allowable fee changed to $17.00. |
7/01/03 |
| 03-18
MAA |
Superseded |
Non-Durable
Medical Supplies and Equipment: Fee Schedule and Authorization
Changes
[Superseded by
04-44 MAA] |
|
| End
of July 2003 Fee Schedule Updates |
| 03-17
MAA
Postcard
Notification |
|
Prescription
Drug Program Update - Maximum Allowable Cost (MAC) List
Effective 7/1/03 |
6/9/03 |
| 03-16
MAA
Postcard
Notification |
|
Psychiatric
Indigent Inpatient (PII) Program |
6/30/03 |
| 03-15
MAA
Postcard
Notification
|
|
Medically
Indigent Program Discontinued |
6/12/03 |
| 03-14
MAA
Postcard
Notification
|
|
Inpatient/Outpatient
Revenue Code Grid Update and Hospital Reporting
Note: Please
continue to bill 3-digit revenue codes until HIPAA
implementation.
See either the Inpatient
of Outpatient Hospital Billing Instructions for updates to the Revenue
Code Grid.
|
5/19/03
Website Update 05/29/03
|
| 03-13
MAA
Postcard
Notification
|
|
HO/BH+/CHIP
Recoupment of Premium Payments for Clients Who Become Eligible for SSI
Retroactively |
5/19/03 |
| 03-12
MAA
|
Superseded |
Updates
to the Nondurable Medical Supplies and Equipment (MSE) Billing
Instructions [Superseded by 03-18 MAA] |
5/19/03 |
| 03-11
MAA
Postcard
Notification
|
|
MAC
Updates and Elimination of Drug Preparation Fees for Compounded Rxs
[See also 03-55 MAA] |
5/9/03 |
| 03-10
MAA
Postcard
Notification
|
|
Clarification
of Revenue and Diagnosis Codes Used to Bill MAA for CUP Women Services |
5/5/03 |
| 03-09
MAA
|
VOID-Never
published |
Clarification
of MAA’s Policies for Home Births and Births in Birthing Centers for HO
Enrollees |
|
| 03-08
MAA
Postcard
Notification
|
Superseded |
Updates
to Prescription Drug Program - Additions to Preferred Drug List,
Modifications to EPA, Additions to EPA, Limitations of Certain Drugs,
Changes to PA.
[Superseded by 03-55 MAA] |
4/1/03 |
| 03-07
MAA
Postcard
Notification
|
|
Updates
to Prescription Drug Program - MAC List |
4/1/03 |
| 03-06
MAA
Postcard
Notification
|
|
Alien
Emergency Medical Program |
4/1/03 |
| 03-05
MAA |
|
MAA
Taking Positive Steps to Contain Escalating Costs of Mass Mailing Provider
Publications |
3/1/03 |
| 03-04
MAA
|
|
Revised
Fee Schedule for "Other" Durable Medical Equipment |
2/1/03 |
03-03
MAA
|
Superseded
|
Updates
to Prescription Drug Program Expedited Prior Authorization Codes and
Criteria
New Rx Drug BIs
[Superseded by 03-55 MAA] |
2/1/03 |
| 03-02
MAA |
|
Prescription
Service By Mail Available to medical Assistance Fee-For-Service Clients
Attach
A - Client Notification
Attach
B - Prescription Fax Form
Attach
C - Home Delivery Form
Attach
D - Medical Questionnaire |
1/15/03 |
| 03-01
MAA |
|
Replacement
Pages for Maternity Support Services Billing Instructions (Pages E.7/E.8) |
1/13/03 |