Prosthetics and Orthotics

Frequently Asked Questions
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LATEST UPDATES

Answers to the most commonly asked questions related to rates for Prosthetics and Orthotics

12/11/07 - The January 1, 2008 Rate Updates will be available for download this week.

1/1/07 - Code updates will be effective

7/1/06 - Rates were updated. Rates for this program will now be updated every July.

03/08/06- CMS has made changes to the billing codes for the Prosthetic and Orthotics program. HRSA has updated our fee schedule to match the fees of CMS. Revisions will be effective for dates of service on and after April 1, 2006.

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)
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The WAC provides information on policy, parameters of the program as well as the methodology to determine reimbursement rates.

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

Fee Schedule
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The fee schedule is a spreadsheet of billing codes and maximum reimbursement amounts.

For comments or questions regarding P&O, email contact us

Page modified: November 2009

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