Health and Recovery Services Administration, Department of Social and Health Services
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Enteral Nutrition

Frequently Asked Questions   LATEST UPDATES

Answers to the most commonly asked questions related to rates for hearing aid services and equipment
  7/1/2008 - The July 1, 2008 Rate Updates are available for download.

7/1/06 - Rates were updated

12/22/05- CMS has made changes to the billing codes for this program.  HRSA is updating our fee schedule to match the codes of CMS.  Revisions will be effective for dates of service on and after January 1, 2006.  Changes may include additions, deletions and changes of descriptions.  Depending on the changes there may also be changes to some rates and policy.

10/1/05 - Effective for dates of service on and after October 1, 2005, the Medical Assistance Administration (MAA) will implemented the following changes to the Enteral Nutrition program:

ΓƒΒΆΓΆβ€šΒ¬Γ‚ΒΆ Expedited prior authorization (EPA) code and criteria changes;
ΓƒΒΆΓΆβ€šΒ¬Γ‚ΒΆ Removal of the Product List; and
ΓƒΒΆΓΆβ€šΒ¬Γ‚ΒΆ Updates to the recordkeeping requirements.

9/1/05 - Effective for dates of service on and after September 1, 2005, the Medical Assistance Administration (MAA) updated the maximum allowable fees for the Enteral Nutrition Program.



 

 
Rates Reimbursement Contact

Melissa Usitalo:  USITAML@dshs.wa.gov

Melissa is the contact for the actual reimbursement rates.  

For questions regarding the actual amounts paid, billing questions, or policy questions click here.
   
Related WAC (Washington Administrative Code)
 Click here
 

The WAC provides information on policy, parameters of the program, as well as the methodology used to determine reimbursement rates.
 
   
Billing Instructions
 Click here
 

The BI includes policy related to the program and the process for billing services.

 
   
Fee Schedule
 Click here

The fee schedule is a spreadsheet of billing codes and maximum reimbursement amounts.
 		  
Page modified: November 2009       

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