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 Last Updated:  Thursday, June 12, 2008         

Numbered Memoranda Year 2006

Memo #

Status

Description

Date Issued
Start of January 2007 Fee Schedule Update Memos
06-113
Postcard Notification		   The 2005 Deficit Reduction Act – Section 6033 – Employee Education about False Claims Recovery 12/29/2006
06-112
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 12/27/2006
06-110   Wheelchairs, Durable Medical Equipment (DME), and Supplies:  Fee Schedule Changes 12/29/2006
06-109   Vision Care:  2007 Changes and Additions to CPT and HCPCS Codes, Policies and Fee Schedules 12/12/2006
06-108   Physician-Related Services: 2007 Changes and Additions to CPT® and HCPCS Codes, Policies and Fee Schedules

1/3/2007: Fixed typo on page 4.  HCPCS Code L9900 incorrectly typed as L9990.

 12/22/2006
06-107   Prosthetic & Orthotic Devices:  Fee Schedule Changes

01/12/2007:  HRSA fixed a page numbering problem with the pages attached to Numbered Memorandum 06-107.  The replacement pages now have the correct page numbers.  No content of changed.

Updated by DC-2007-4.
Updated by DC-2007-5.

 12/27/2006
06-106   Prenatal Diagnosis Genetic Counseling:  Fee Schedule Changes 12/19/2006
06-105   Planned Home Births and Births in Birthing Centers:  Fee Schedule Changes and Policy Updates 12/12/2006
06-104   Oxygen and Respiratory Therapy Program:  Fee Schedule Changes 12/13/2006
06-103   Outpatient Hospital Services:  Fee Schedule Changes  
06-102   Nondurable Medical Supplies and Equipment (MSE):  Fee Schedule Changes 12/29/2006
06-101

Voided
06-100
Postcard Notification		   Year 2007 Healthy Options, Basic Health Plus, Maternity Benefit Program, Primary Care Case Management, and SCHIP Updates 12/18/2006
06-99   HRSA-Approved Family Planning Provider:  Fee Schedule Changes  
06-98 Superseded Kidney Center Services:  Fee Schedule Changes

[Superseded by new Kidney Center Srvcs Billing Instructions]

 12/29/2006
06-97   EPSDT:  Fee Schedule Changes 12/19/2006
06-96 Superseded Dental-Related Services:  Fee Schedule Changes
 Superseded by new Dental Billing Instructions		 12/29/2006
06-95   Ambulatory Surgery Centers:  Fee Schedule Changes 12/27/2006
Start of January 2007 Fee Schedule Update Memos
06-94
No Postcard		   January 1, 2007 Program and Fee Schedule Changes and Procedure Code Updates 12/5/06
Rural Health Clinics Billing Instructions
Postcard Notification		   Rural Health Clinics 12/15/06
06-93
Postcard Notification		   Hospice Services:  Billing Instructions and Fee Schedule Changes 12/11/2006
06-92
Postcard Notification		   Clarifications Related to Chemical Dependency Billing Instructions 12/6/2006
06-91
Postcard Notification

Reissued

 Prescription Drug Program:  Changes to the Washington Preferred Drug and Expedited Authorization Lists and a Coverage Status Change Reissued:
01/17/07
06-90
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 11/28/06
06-89
Postcard Notification		   Prescription Drug Program:  Reimbursement for Influenza and Pneumonia Vaccine Administrations 11/8/06
06-88
Postcard Notification		   Title XIX Targeted HIV/AIDS Case Management and Deficit Reduction Act 11/7/06
06-87
Postcard Notification		   Prescription Drug Program:  Limitation on Certain Drugs and Prior Authorization Changes 10/30/06
06-86
Postcard Notification		   Washington Medicaid Integration Partnership( WMIP) Project:  Expanded to include Long-Term Care Benefits 11/1/06
06-85
Postcard Notification		   Supplemental Payments for Qualified Trauma Cases:  Increase in the Enhancement Percentage for Physician-Related Services in SFY2007 and Additional Payment to Clinicians for Trauma Care Provided in SFY2007 10/25/06
06-84
Postcard Notification

Reissued

 HRSA to Begin Accepting the New 1500 and UB-04 Claim Forms Reissued:
3/23/2007

Reissued:
5/23/2007
 06-83
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 10/25/06
06-82

Voided
06-81
Postcard Notification

Reissued 03/25/2008
Postcard

   National Provider Identifier (NPI) and Medicaid Provider Number required for electronic and paper claims on and after May 23, 2007 and until ProviderOne is implemented.

2/6/2007: Corrected telephone number for Fox Systems, Inc.  Correct number is 800.465.3203.

2/20/2008: Corrected by DC-2008-2.

03/25/2008: Reissued.

 10/5/06
06-80
Postcard Notification		   New HRSA-Approved Family Planning Provider Billing Instructions 9/29/06
06-79
Postcard Notification		  

Tribal Health Program:  Encounter Rate Increase
 Note: On 10/16/2006 HRSA added the federal register to the memo

 10/1/06
06-78
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update
Effective 11/1/2006		 9/22/06
06-77
Postcard Notification		   Reproductive Health Services, Family Planning Only  Program and TAKE CHARGE Program:  Coverage Table and Fee Schedule Updates 10/3/06
06-76
Postcard Notification		   First Steps Childcare Program is updating billing forms. 10/3/06
06-75 Reissued
Postcard Notification		   Prescription Drug Program:  Additions and Changes to the Washington PDL and EPA List/Criteria and the Addition of Clinical Criteria for PA of Vivitrol® IM
 
HRSA reissued this memo on September 28, 2006, before the effective date.  HRSA added prior authorization information for the drug ActoPlus Met®. 

11/14/06 Attention!  HRSA made an on-line update to this memo.  Seroquel® tablet (quetiapine) was added to the Washington Preferred Drug List on page N.1 of the Prescription Drug Program Billing Instructions. 

The current billing instructions have also been updated to reflect this change. 

This on-line change will be referenced in the upcoming December memorandum.

 8/30/06
06-74
Postcard Notification		   Hospital-based Inpatient Detoxification: Updates to ICD-9-CM Diagnosis Lists 9/12/06
06-73
Postcard Notification

On Hold

 Prescription Drug Program:  Third-Party Liability 8/24/06
06-72
Postcard Notification		  

Enteral Nutrition Products and Supplies:  Billing with Modifier BA

 8/30/06
06-71
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 8/24/06
06-70
Postcard Notification		 Superseded Prosthetic and Orthotic Devices:  Fee Schedule Changes
Superseded by # Memo 06-107		 8/28/06
06-69
Postcard Notification		   Medical Identification (ID) Cards Issued August 1, 2006 May Have Missing Information 8/4/2006
06-68
Postcard Notification		   Prescription Drug Program:  Washington Preferred Drug List and Expedited Prior Authorization Changes
Effective 9/1/2006		 8/1/06
06-67
Postcard Notification		   A New Look to the Medical Identification (ID) Card
Effective 8/4/2006		 8/1/06
06-66
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update
Effective 9/1/2006		 7/25/06
06-65
Postcard Notification		   Significant Changes to the General Assistance Unemployable (GAU) Managed Care Program in King and Pierce Counties
 Effective 9/1/2006		 7/26/06
06-64
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update
 Effective 8/1/2006		 7/3/06
End of July 2006 Fee Schedule Update Memos
06-63
Postcard Notification		   Wheelchairs, Durable Medical Equipment (DME), and Supplies:  Fee Schedule Changes
 Effective 4/1/2006		 6/28/06

06-62
Postcard Notification

 

Vision Care:  Policy and Fee Schedule Updates
Effective 7/1/2006

6/29/06

06-61
Postcard Notification

 

Speech/Audiology Program:  Fee Schedule Changes
Effective 7/1/2006

6/29/06

06-60
Postcard Notification

 

Psychologist Program:  Fee Schedule Changes
Effective 7/1/2006

6/29/06
06-59
Postcard Notification		   Private Duty Nursing Services for Children:  Fee Schedule Changes
Effective 7/1/2006		 6/30/06

06-58
Postcard Notification

 

Prenatal Diagnosis Genetic Counseling:  Fee Schedule Changes
Effective 7/1/2006

6/30/06

06-57
Postcard Notification

 

Planned Home Births and Births in Birthing Centers:  Fee Schedule Changes and Updates 
Effective 7/1/2006

6/30/06

06-56
Postcard Notification

 

Physician-Related Services:  Corrections and Fee Schedule Updates  Effective 7/1/2006

 6/30/06

06-55

Postcard Notification

 

Physical Therapy Program: Policy Clarification and Fee Schedule Changes
Effective 7/1/2006

 6/30/06

06-54
Postcard Notification

 

Oxygen and Respiratory Therapy Program:  Fee Schedule Changes
Effective 7/1/2006 - Corrected by DC 2006-10 on 8/22/2006

6/30/06
06-53
Postcard Notification		  

Occupational Therapy Program: Fee Schedule Changes and new CPT codes
Effective 7/1/2006

 6/30/06
06-52
Postcard Notification		   Nondurable Medical Supplies and Equipment (MSE):  Fee Schedule Changes
 Effective 7/1/2006   - Corrected by DC 2006-11 on 11/12006		 6/29/06
06-51
Postcard Notification		   Neurodevelopmental Centers: Fee Schedule Changes
 Effective 7/1/2006		 6/30/06

06-50
Postcard Notification

 

Medical Nutrition Therapy:  Fee Schedule Changes
Effective 7/1/2006

6/30/06

06-49
Postcard Notification

 

Maternity Support Services/Infant Case Management:  Billing Reminders and Clarification
 Effective 7/1/2006

6/30/06
06-48
Postcard Notification		 Superseded Kidney Center Services:  Fee Schedule Changes
 Effective 7/1/2006

[Superseded by new Kidney Center Srvcs Billing Instructions]

 6/28/06

06-47
Postcard Notification

 

Outpatient Hospital:  Program and Fee Schedule Updates
Effective 7/1/2006  Corrected by DC 2006-8 on 8/2/2006

6/30/06

06-46
Postcard Notification

 

Home Infusion Therapy/Parenteral Nutrition Program:  Fee Schedule Updates
Effective 7/1/2006

6/30/06

06-45
Postcard Notification

 

Home Health Services Program:  Fee Schedule Updates
Effective 7/1/2006

6/30/06

06-44
Postcard Notification

 

Hearing Aids and Services:  Fee Schedule Changes
Effective 7/1/2006  Corrected by DC 2007-3 on 1/31/2007

6/30/06

06-43
Postcard Notification

 

Reproductive Health Services, Family Planning Only Program and TAKE CHARGE Program:  Fee Schedule Changes
Effective 7/1/2006

6/30/06

06-42
Postcard Notification

 

Family Practice Physicians In Rural Counties:  Targeted Vendor Rate Increase for Fee-for-Service Maternity Deliveries
Effective 7/1/2006

6/30/06
06-41
Postcard Notification		   Early and Periodic Screening, Diagnosis, and Treatment (EPSDT):  Fee Schedule Changes  Effective 7/1/2006  
06-40
Postcard Notification		 Superseded Dental Program:  Fee Schedule Changes  Effective 7/1/2006
 Superseded by new Dental Billing Instructions		 6/28/06

06-39
Postcard Notification

 

 Chiropractic Services for Children: Fee Schedule Changes
 Effective 7/1/2006		 6/30/06

06-38
Postcard Notification

 

Blood Banks Services:   Fee Schedule Changes
Effective 7/1/2006
Reissued 8/29/2006

6/30/06

06-37
Postcard Notification

 

Ambulatory Surgery Centers (ASC): Fee Schedule Updates
Effective 7/1/2006

6/30/06

06-36
Postcard Notification

 

Ambulance and Involuntary Treatment Act (ITA) Transportation:  Fee Schedule Changes   Effective 7/1/2006

6/30/06

06-35

Voided
06-34
Postcard Notification		   July 1, 2006 Fee Schedule Changes, Procedure Code Updated and Program Changes 5/26/2006
Start of July 2006 Fee Schedule Update Memos
06-33
Postcard Notification		   Disease Management Program Discontinued – June 30, 2006 6/6/06
06-32
Postcard Notification		   Prescription Drug Program: Washington Preferred Drug List and Expedited Prior Authorization Changes 5/31/2006
06-31
Postcard Notification		   Prescription Drug Program: Validation of Prescriber Identification Numbers 5/26/2006
06-30
Postcard Notification		   New Policies for Rural Health Clinics (RHC) Delivery Enhancement Payments for Managed Care Clients. 6/12/06
06-29
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 5/24/2006
06-28
Postcard Notification		   Medicare Part C 6/1/2006
06-27
Postcard Notification		   Inpatient Hospital Psychiatric Services:  Fee Schedule Changes
Refer to WAC 388-550-2650 		5/31/2006
06-26
Postcard Notification		   2-Digit Place of Service Codes are Mandatory Beginning July 1 5/10/06
 06-25
Postcard Notification		   Prescription Drug Program:  Therapeutic Duplication of ADHD Therapy and Additions to the list of Limitations on Certain Drugs 4/27/06
 06-24
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 4/28/06
06-23
Postcard Notification		   New Medical Identification (ID) Card Coding that Identifies Foster Care Children and increased payment rates 5/5/2006
06-22
Postcard Notification		   WAMedWeb and Interactive Voice Response (IVR) - A Time Saving Benefit for Providers and Managed Care Organizations (MCos) 4/21/06
06-21
Postcard Notification		   Family Planning Providers:  New TAKE CHARGE application 4/24/2006
06-20
Postcard Notification		   Prescription Drug Program: Changes to Expedited Prior Authorization (EPA) and Additions to the List of Limitations on Certain Drugs 4/3/2006
06-19
Postcard Notification		   Childbirth Education 4/19/06
06-18
Postcard Notification		  

Ambulatory Surgery Centers: Added Procedure Codes and Payment Group Corrections		 4/7/2006
06-17
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 3/28/06
06-16
Postcard Notification		   Disenrolling AI/AN Clients from Managed Care Upon Request 4/10/2006
06-15
Postcard Notification		   Prosthetic and Orthotic Devices:  Fee Schedule Changes 3/15/06
06-14
Postcard Notification		   Kidney Center Services: Fee Schedule Change 3/1/2006
06-13
Postcard Notification		   Prescription Drug Program:  Family Planning Only Drugs & Supplies  
06-12
Postcard Notification		   Prescription Drug Program:  Additions and Changes to the Washington PDL, Changes to EPA List, and Additions to the List of Limitations on Certain Drugs 3/1/2006
06-11
Postcard Notification		   Prescription Drug Program:  Maximum Allowable Cost Update 2/28/06
06-10
Postcard Notification		   Hearing Aids and Services:  Clarification and changes to Fee Schedule 2/16/06
06-09
Postcard Notification		   Blood Bank Services: Fee Schedule Change 3/2/06
06-08
Postcard Notification