Memo #
|
Status
|
Description
|
Date
Issued
|
|
05-129 |
|
Alien Emergency Medical (AEM)
Program and Benefit Restrictions.
On
December 22, 20005, HRSA added the following note to this memo:
Note: As required by federal law, organ transplants
and services related to an organ transplant procedure are not
covered under the AEM program. |
12/21/05 |
|
05-128 |
|
Prescription Drug Program:
Maximum Allowable Cost (MAC) Updates |
12/22/05 |
|
05-127 |
|
Outpatient Hospitals:
Year 2006 CPT and HCPCS Codes and Policy Updates |
12/22/05 |
|
05-126 |
|
Home Infusion Therapy/Parenteral
Nutrition Program Updates |
12/22/05 |
|
05-125 |
|
Physician-Related Services:
2006 Changes and Additions to CPT™ and HCPCS Codes, Policies and
Fee Schedules |
12/29/05 |
|
05-124 |
|
Early Periodic Screening,
Diagnosis and Treatment (EPSDT)
Clinics: New EPA Criteria and Immunization Updates |
12/22/05 |
|
05-123 |
|
Planned Home Births and Births
in Birthing Centers: Coding and Fee Schedule Changes |
12/21/05 |
|
05-122 |
|
Neurodevelopmental Centers:
Fee Schedule Changes |
12/19/05 |
|
05-121 |
|
Oxygen and Respiratory Therapy
Program: Fee Schedule Changes |
12/28/05 |
|
05-120 |
|
Medical Supplies and Equipment
(MSE) Program: Fee Schedule Changes |
12/28/05 |
|
05-119 |
|
Wheelchairs and Other Durable
Medical Equipment (DME): Fee Schedule Changes |
12/28/05 |
|
05-118 |
|
Speech/Audiology Program:
Fee Schedule Changes |
12/19/05 |
|
05-117 |
|
Prescription Drug Program: Coding change for Emergency
Contraception (EC) Counseling |
12/22/05 |
|
05-116 |
|
Blood Bank
Services: Coding and Fee Schedule Changes |
12/15/05 |
|
05-115
|
|
Physical Therapy Program:
Fee Schedule Changes |
12/19/05 |
|
05-114
|
|
Occupational Therapy Program:
Fee Schedule Changes |
12/19/05 |
|
05-113
|
|
Psychologist Billing
Instructions: 2006 Changes and Additions to Current
Procedural Terminology (CPT) Codes, Policies and Fee Schedules |
12/19/05 |
|
05-112 |
|
Family Planning Provider:
Fee Schedule and Program Changes |
12/21/05 |
|
05-111 |
|
Prescription Drug Program: Eligibility Criteria and
Authorization Requirements for Administering Synagis®. |
12/14/05 |
|
05-110 |
|
Ambulatory
Surgery Centers: Additions and Deletions to Current Procedural
Terminology and Healthcare Common Procedural Coding System Codes
and Updates to Expedited Prior Authorization Criteria. |
12/13/05 |
|
05-109 |
|
Year 2006
Healthy Options, Basic Health Plus, Maternity Benefit Program,
Primary Care Case Management, and SCHIP Updates |
12/15/05 |
|
05-108 |
|
Prosthetic
and Orthotic Devices: Fee Schedule Changes |
12/14/05 |
05-107
Postcard Notification |
|
Prescription Drug Program: Additions to Expedited Prior
Authorization Codes and Criteria and Changes to Washington
Preferred Drug List |
12/13/05 |
05-106
Postcard Notification |
|
Prescription Drug Program: Maximum Allowable Cost (MAC) Updates |
12/12/05 |
05-105
Postcard
Notification |
|
Modifier Change and Updated
Billing Instructions for Family Practice Physicians in Rural
Counties, Who Perform Fee-For-Service Maternity Deliveries. |
12/1/05 |
05-104
Postcard
Notification |
|
Prescription Drug Program: Changes to Prior Authorization and
Expedited Prior Authorization (EPA) |
11/30/05 |
05-103
Postcard
Notification |
|
Enteral Nutrition:
Healthcare Common Procedure Code System (HCPCS) Product
Description Change |
12/1/05 |
05-102
Postcard
Notification |
|
Prescription Drug Program: The
Medicare Prescription Drug Program (Medicare Part D) |
11/28/05 |
05-101
Postcard
Notification |
|
Disease Management Program-
Clarification
Note: HRSA Changed Medical ID
Card Correction from December to January |
12/1/05 |
|
05-100 |
|
January 1,
2006 Program and Fee Schedule Changes and Procedure Code Updates |
12/6/05 |
05-99
Postcard
Notification |
|
Change in Billing Requirements
for Synagis |
12/1/05 |
05-98
Postcard
Notification |
|
Prescription Drug Program:
Payment for Flu and Pneumonia Vaccine Administrations |
10/1/05 |
05-97
Postcard Notification |
|
Prescription Drug Program:
Expedited Prior Authorization (EPA) Changes |
10/31/05 |
05-96
Postcard
Notification |
|
Hospice Services: Fee
Schedule Changes |
11/1/2005 |
05-95
Postcard
Notification |
|
Prescription Drug Program:
Maximum Allowable Cost (MAC) Updates |
11/1/05 |
05-94
Postcard Notification |
|
Reinstatement of Children's
Health Program; Changes to Medical Identification (ID) Card; &
Clarification of Payment Responsibility for Managed Care
Co-payment & Deductibles for Qualified Medicare Beneficiaries
|
11/1/05 |
05-93
Postcard Notification |
|
Alien Emergency Medical (AEM)
Program - Referral and Tracking Form |
11/1/05 |
05-92
Postcard
Notification |
|
Sign Language Interpreter
Services: Clarification of coverage, clarification of process
for requesting services, and new list of approved providers. |
10/17/05 |
05-91
Postcard Notification |
SUPERSEDED |
Billing Changes
for MAA Inpatient Clients who are eligible for Medicare Part B
Benefits but are not eligible for Medicare Part A Benefits
Superseded by Inpatient Hospital Services Billing
Instructions effective August 1, 2007. |
11/8/05 |
05-90
Postcard
Notification |
|
Prescription Drug Program:
Maximum Allowable Cost
(MAC) Updates |
9/30/05 |
05-89
Postcard
Notification |
|
Enteral Nutrition Program:
Changes to EPA Codes & Criteria, the Product List, and
Recordkeeping Requirements |
9/22/05 |
05-88
Postcard
Notification |
|
School
Medical Services
Effective 9/1/2005 |
10/7/05 |
05-87
Postcard
Notification |
|
Washington Medicaid Integration
Partnership (WMIP)
Project: Expanded Mental Health Benefits
|
9/28/05 |
05-86
Postcard
Notification |
|
Provider Inquiry Phone Number:
New Toll Free Number |
9/20/05 |
05-85
Postcard
Notification |
|
Chemical-Using Pregnant (CUP)
Woman Program: Change of Program Contact Information
|
9/6/05 |
05-84
Postcard Notification |
|
Prescription Drug Program:
Maximum Allowable Cost Updates |
9/6/05 |
05-83
Postcard Notification |
|
Prescription Drug Program:
Changes to the Washington Preferred Drug List (PDL), Prior
Authorization, and the List of Limitations on Certain Drug |
9/1/05 |
05-82
Postcard Notification |
|
MSE: Fee Schedule Correction |
10/27/05 |
05-81
Postcard
Notification |
|
Inpatient Hospital Psychiatric
Services: Fee Schedule Changes
Effective 7/1/2005 VOIDED |
8/25/05 |
05-80
Postcard
Notification |
|
Indian Health Services (IHS)
Dual-Eligible Billing
Effective 9/1/2005
Superseded by
Tribal Health Program Billing Instructions published in June
2006 |
8/30/05 |
05-79
Postcard
Notification |
|
Home Infusion
Therapy/Parenteral Nutrition Program: Fee Schedule Update
Effective 9/1/05 |
8/12/05 |
05-78
Postcard
Notification |
|
Prosthetic & Orthotic (P &
O) Devices:
Fee Schedule Corrections |
8/28/05 |
05-77
Postcard Notification |
|
Early and Periodic Screening,
Diagnosis, and Treatment (EPSDT): Fee Schedule Corrections
Effective 7/1/2005 |
8/25/05 |
05-76
Postcard
Notification |
|
Prescription Drug Program: New Drug Initiative -
Minimize Therapeutic Duplication of Second-Generation
Antidepressants, Additional Information regarding
Antidepressants on the WAPDL, and Changes to EPA
Effective 9/1/05 |
8/1/05 |
05-75
Postcard
Notification |
|
Hearing Aids and Services: Fee
Schedule Changes
Effective 7/1/05 |
8/3/05 |
05-74
Postcard
Notification |
|
Prescription Drug Program:
Maximum Allowable Cost Updates
Effective 9/1/05 |
8/1/05 |
|
05-73
Postcard Notification |
|
Nondurable Medical Supplies and
Equipment (MSE) Fee Schedule Changes
Effective 9/1/05 |
7/27/05 |
05-72
Postcard Notification |
|
Indian Health
Services: Encounter Fee Update
Retroactive: 1/1/05
Superseded by Tribal Health Program Billing Instructions
published in June 2006 |
7/26/05 |
05-71
Postcard Notification |
|
Enteral
Nutrition Program: Fee Schedule Changes
Effective: 9/1/05 |
7/22/05 |
05-70
Postcard Notification |
|
Prescription Drug Program:
Maximum Allowable Cost Update
Effective: 8/1/05 |
7/1/05 |
05-69
Postcard Notification |
|
Prescription Drug Program: Expedited Prior Authorization
(EPA) Updates |
6/30/05 |
05-68
Postcard Notification |
|
"Full Cost" Public Hospital Certified
Public Expenditures (CPE) Payment Program: Update to Hospital
Reimbursement Methods |
6/30/05 |
|
End of July 2005 Fee Schedule Update Memos |
|
05-67 |
|
Vision Care
Services: Fee Schedule Changes and Policy Changes |
6/29/05 |
|
05-66 |
VOID |
Note:
The TAKE CHARGE memo was combined with # Memo 05-44 MAA. |
|
|
05-65 |
|
Speech/Audiology Program: Fee Schedule Changes |
6/28/05 |
|
05-64 |
|
Psychologist
Program: Fee Schedule Changes |
6/28/05 |
|
05-63 |
|
Private Duty
Nursing Services for Children: Fee Schedule Changes |
6/28/05 |
|
05-62 |
|
Prescription
Drug Program: Drug Dispensing Fee Increase |
6/30/05 |
|
05-61 |
|
Prenatal
Diagnosis Genetic Counseling: Fee Schedule Changes |
6/30/05 |
|
05-60 |
|
Planned Home
Births and Births in Birthing Centers: Fee Schedule Changes |
6/28/05 |
|
05-59 |
|
Physician-Related Services: Corrections and Updates |
7/1/05 |
|
05-58 |
|
Physical
Therapy Program: Fee Schedule Changes |
6/30/05 |
|
05-57 |
|
Oxygen and
Respiratory Therapy Program: Fee Schedule Changes |
7/1/05 |
|
05-56 |
|
Outpatient
Hospitals: Program and Fee Schedule Updates |
7/1/05 |
|
05-55 |
|
Orthodontic
Services: Fee Schedule Changes |
6/28/05 |
|
05-54 |
|
Occupational
Therapy Program: Fee Schedule Changes and new CPT codes |
6/28/05 |
|
05-53 |
SUPERSEDED |
Nondurable
Medical Supplies and Equipment (MSE): Fee Schedule Changes
Superseded by 06-52 |
7/1/05 |
|
05-52 |
|
Neurodevelopmental Centers: Fee Schedule Changes |
6/29/05 |
|
05-51 |
|
Medical
Nutrition Therapy: Fee Schedule Changes |
6/30/05 |
|
05-50 |
SUPERSEDED |
Kidney Center
Services: Fee Schedule Changes
Superseded by 06-48 |
6/29/05 |
|
05-49 |
|
Home Infusion
Therapy/Parenteral Nutrition Program: Fee Schedule Changes |
6/30/05 |
|
05-48 |
|
Home Health
Program: Fee Schedule Updates |
6/29/05 |
|
05-47 |
|
HIV/AIDS Case
Management: Fee Schedule Changes |
6/30/05 |
|
05-46 |
|
Hearing Aids
and Services: Fee Schedule Changes |
6/28/05 |
|
05-45 |
|
Family
Practice Physicians: Targeted Vendor Rate Increase for Family Practice
Physicians in Rural Counties Who Perform Maternity Deliveries
Note:
Effective date changed to August 1, 2005. |
7/26/05 |
|
05-44 |
|
Family
Planning Services, Family Planning Only Program, and TAKE CHARGE: Fee
Schedule Changes |
7/1/05 |
|
05-43 |
|
Early and
Periodic Screening, Diagnosis, and Treatment (EPSDT): Fee Schedule Changes |
6/30/05 |
|
05-42 |
|
Enteral
Nutrition Program:
Product List Changes, Change in Implementation Date, and Correction to Billing Instructions
Note:
In # Memorandum 05-32 MAA, the subject for this memo was incorrectly
stated. The above subject is the correct one.
Attention:
MAA has changed the implementation date of the Enteral Nutrition Program
from July 1, 2005 to October 1, 2005. |
7/1/05 |
05-41
Postcard
Notification |
|
Diabetes
Education Program: Fee Schedule Update and Coding Changes |
8/5/05 |
|
05-40 |
SUPERSEDED |
Dental Program
(Adults/Children): Fee Schedule Changes
Superseded by 06-40 |
6/29/05 |
|
05-39 |
|
Chiropractic
Services for Children: Fee Schedule Changes |
6/29/05 |
|
05-38 |
VOID |
|
|
|
05-37 |
|
Blood Bank
Services: Fee Schedule Changes |
6/30/05 |
|
05-36 |
|
Ambulatory
Surgery Centers (ASC): Additions and Deletions to CPT and HCPC Codes
Allowed in the ASC and Maximum Allowable Grouper Increase |
7/1/05 |
|
05-35 |
|
Ambulance and
Involuntary Treatment Act (ITA) Transportation: Fee Schedule Changes |
6/29/05 |
|
05-34 |
|
Adult Day
Health: Fee Schedule Changes |
6/30/05 |
|
05-33 |
SUPERSEDED |
Access to Baby
and Child Dentistry (ABCD): Fee Schedule Changes
Superseded by new ABCD Dental Billing
Instructions |
6/29/05 |
|
05-32 |
|
July 1, 2005 Fee Schedule Changes, Procedure
Code Updates, & Program Changes
No Postcard Notifications were sent out for Rate
Memos 05-33 through 05-67
Attention! The phone number and fax number for the Department of
Printing Fulfillment Center were incorrectly listed on this memo. The
correct numbers are below:
(360) 586-6361
(360) 586-6360 (fax) |
6/17/05 |
05-31
Postcard
Notification |
|
Maternity Support
Services/Infant Case Management: Fee Schedule Changes |
6/9/05 |
|
Start of July 2005 Fee Schedule Update Memos |
05-30
Postcard
Notification |
|
Prescription Drug Program:
Maximum Allowable Cost Update |
6/9/05 |
05-29
Postcard
Notification |
|
Prescription Drug Program: Additions and
Changes to the Washington Preferred Drug List and Changes to Expedited Prior
Authorization Criteria |
6/1/05 |
05-28
Postcard
Notification |
|
Supplemental Payments for Qualified Trauma
Cases: Reduction in the Enhancement Percentage for Physician-Related
Services |
5/6/05 |
05-27
Postcard
Notification |
|
Prescription Drug Program: Maximum
Allowable Cost Updates |
5/9/05 |
05-26
Postcard
Notification |
|
Prescription Drug Program: Prior Authorization
and Expedited Prior Authorization Changes and Corrections to Fax Numbers
Please see # Memo 05-29
MAA for changes made to the EPA criteria for NSAIDs listed in # Memo 05-26
MAA. |
5/2/05 |
05-25
Postcard Notification |
|
Enteral Nutrition Program: Billing Instructions
Implementation Date Change Postcard mailed 4/29/05 |
4/25/05 |
05-24
Postcard Notification |
|
Nondurable Medical Supplies and Equipment (MSE):
Use of Modifier 59 for Procedure Code T4534 Postcard mailed 4/29/05 |
4/25/05 |
05-23
Postcard Notification |
|
Clarification for Billing Outpatient Services
and Additional Procedures Using Place of Service 22 Postcard mailed 4/15/05 |
4/11/05 |
05-22
Postcard
Notification |
|
Ambulatory Surgery Centers: Rescission of
Numbered Memorandum 04-93 MAA, and Ambulatory Surgery Centers Fee Schedule
Updates Postcard mailed 4/11/05 |
4/4/05 |
|
05-21 |
|
VOID |
|
05-20
Postcard
Notification |
|
Prescription Drug Program: Maximum
Allowable Cost Updates Postcard mailed 4/6/05 |
4/1/05 |
05-19
Postcard
Notification |
|
Chemical-Using Pregnant (CUP) Women Program:
Changes to WAC and Billing Instructions Postcard mailed 4/11/05 |
4/5/05 |
05-18
Postcard
Notification |
|
Prescription Drug Program: Prior Authorization
and Expedited Prior A |
