New Releases (Year 2009)

Information recently sent to providers is found here. These items are also listed under their appropriate pages (Billing Instructions or Numbered Memoranda).

If you have any questions, e-mail Provider Inquiry. We will be happy to help!

See also the archived page for New Releases (Year 2008)

Date Effective	Title	Subject
11/18/2009	09-71 Postcard Notification	Prescription Drug Program: Synagis® (2009 - 2010 Respiratory Syncytial Virus (RSV) Season):Administration and Authorization Requirements
11/01/2009	Nursing Facilities Billing Instructions Postcard Notification	Nursing Facilities Billing Instructions
12/01/2009	09-69 Postcard Notification	Prescription Drug Program: Additions to the Covered Over-the-Counter Drug List, Changes to the Washington PDL, Changes and Additions to EA List, and Additions to Drugs Requiring Prior Authorization
12/01/2009	09-68 Postcard Notification	Alien Emergency Medical (AEM) Program, Nursing Facility Program, and Alien Medical Program: Changes in Medical Eligibility and Benefits
12/01/2009	09-70 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
11/01/2009	Outpatient Hospital Services Billing Instructions Postcard Notification	Outpatient Hospital Services Billing Instructions
08/01/2009	09-67 Postcard Notification	Home Infusion Therapy/Parenteral Nutrition Program: Coverage Changes
11/01/2009	09-66 Postcard Notification	Outpatient Hospital Services: Policy, and Procedure Code Updates
11/01/2009	DC-2009-6 Postcard Notification	Revises # Memo 09-63
07/01/2009	DC-2009-5 Postcard Notification	Revises Physician-Related Services Billing Instructions
07/01/2009	DC-2009-4 Postcard Notification	Revises # Memo 09-21
12/06/2009	ProviderOne Billing and Resource Guide	New ProviderOne System
11/01/2009	09-65 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
11/01/2009	09-64 Postcard Notification	General Assistance-Unemployable (GA-U) Program: Managed Care Enrollment Requirement
11/01/2009	09-63 Postcard Notification	General Assistance-Unemployable (GA-U): Managed Care Enrollment Required Note: Updated by Document Correction DC-2009-6
10/01/2009	09-62 Postcard Notification	Enteral Nutrition: Update and Clarify Several Sections
10/01/2009	09-61 Postcard Notification	Prescription Drug Program: Generics First for New Starts, Changes to the Washington PDL, Changes to the EA List, and New Alien Emergency Medical Billing Requirements
10/01/2009	09-60 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
09/01/2009	09-58 Postcard Notification	Prescription Drug Program: Restriction on Coverage of OTC Drugs and Drugs that Treat Cough and Colds and Revision to the Current Narcotic Review Program
09/01/2009	09-59 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
08/01/2009	09-57 Postcard Notification	Nondurable MSE: Limitations on Diabetic Supplies, Incontinent Supplies, and Gloves; Discontinued Coverage of Bathroom Equipment, Compression Garments, and Blood Pressure Monitoring Devices
7/1/2009	DC-2009-4 Postcard Notification	Prescription Drug Program: Document Correction amends # memo 09-21 and Expedited Authorization List
08/01/2009	09-56 Postcard Notification	Tribal Health Program: Increase in IHS/OMB Encounter Rate and Changes to the State Match for Non-Native Chemical Dependency Services
07/01/2009	09-55 Postcard Notification	Maternity Support Services/Infant Case Management: Updating and Clarifying Policy and Billing Instructions
08/01/2009	09-54 Postcard Notification	Prescription Drug Program: Limitations on Blood Glucose Test Strips and Lancets
07/01/2009	09-20 Postcard Notification	Federal Health Care Program Participation: Using the Federal Exclusion Database for Screening Employees and Contractors
07/01/2009	Hearing Aids and Services Billing Instructions Postcard Notification	Hearing Aids and Services
07/01/2009	09-40 Postcard Notification	Physician-Related Services: Vendor Rate Decrease for Adult and Children E&M and Laboratory Services; Fee Schedule and Policy Updates; and New Timelines for Resubmitting, Modifying, or Adjusting Initial Claims
07/01/2009	09-50 Postcard Notification	Outpatient Hospital Services: Fee Schedule, and Policy Changes, and New Timelines for Resubmitting, Modifying, or Adjusting Initial Claims
07/01/2009	09-52 Postcard Notification	Inpatient Hospital Services: Policy Updates
07/01/2009	09-51 Postcard Notification	Ambulatory Surgery Centers (ASC): Prior Authorization Changes; Change in the Timeframe Allowed to Resubmit, Modify, or Adjust Initial Claims; Billing Reminders; and Policy Clarifications
07/01/2009	09-44 Postcard Notification	Psychologist Program: Fee Schedule Updates and Change in Billing Timelines for Resubmitting, Modifying, or Adjusting Initial Claims
07/01/2009	09-27 Postcard Notification	Dental Program: Fee Schedule and Coverage Changes and New Timelines for Resubmitting, Modifying, or Adjusting Initial Claims
07/01/2009	09-49 Postcard Notification	Chemical Dependency: Fee Schedule Updates and New Timelines for Resubmitting, Modifying, or Adjusting Claims
07/01/2009	09-47 Postcard Notification	Vision Care: Fee Schedule Updates and New Timelines for Resubmitting, Modifying, or Adjusting Claims
07/01/2009	09-45 Postcard Notification	School-Based Healthcare Services for Children in Special Education: Fee Schedule Updates and New Timelines for Resubmitting, Modifying, or Adjusting Claims
07/01/2009	09-41 Postcard Notification	Planned Home Births and Births in Birthing Centers: Fee Schedule, Policy Updates and New Timelines for Resubmitting, Modifying, or Adjusting Claims
07/01/2009	09-38 Postcard Notification	Oxygen Program: Updates to Fee Schedule, Coverage Table, Rental Policy, EPA and HCPCS Codes, and Billing Timelines
07/01/2009	09-34 Postcard Notification	Medical Nutrition Therapy: Fee Schedule Update
07/01/2009	09-32 Postcard Notification	Reproductive Health Services, Family Planning Only Services, and TAKE CHARGE Services: Fee Schedule Updates
07/01/2009	09-33 Postcard Notification	Kidney Center Services: Fee Schedule Changes and New Timelines for Resubmitting, Modifying, or Adjusting Claims
07/01/2009	09-26 Postcard Notification	Chiropractic Services for Children: Fee Schedule Changes
07/01/2009	09-53 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
07/01/2009	09-48 Postcard Notification	Nondurable MSE: Fee Schedule Changes, Reminder of Billing Requirement for Destination-Based Sales Tax, and Change in Billing Timelines
07/01/2009	09-30 Postcard Notification	Enteral Nutrition: Fee Schedule Updates and Policy Changes
07/01/2009	09-24 Postcard Notification	July 1, 2009 Program and Fee Schedule Changes and Procedure Code Updates; and Change in the Timeframe Allowed to Resubmit, Modify, or Adjust Initial Claims
07/01/2009	09-23 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
07/01/2009	09-22 Postcard Notification	Prescription Drug Program: Increase in Discount Applied to the Average Wholesale Price (AWP) of Drugs Paid for by DSHS
07/01/2009	09-21 Postcard Notification	Prescription Drug Program: Minimum Dose Limits for Seroquel, Changes to the List of Limitations on Certain Drugs, the Washington PDL, and the EA List
05/29/2009	09-19 Postcard Notification	Discontinuation of Paper Remittance Advices (RA) with Implementation of Provider One
04/29/2009	09-18 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
4/28/2009	09-17 Postcard Notification	Hospice Services: Fee Schedule Updates
4/10/2009	09-16 Postcard Notification	Prescription Drug Program: Numbered Memorandum 09-09 Rescinded
4/1/2009	09-15 Postcard Notification	Ambulatory Surgery Centers: 2009 Fee Schedule and Policy Updates
4/1/2009	09-14 Postcard Notification	Outpatient Hospital Services: Fee Schedule, Policy, and Revenue Code Updates
5/1/2009	09-13	Paper Copies of Billing Instructions, # Memos, and Document Corrections No Longer Available
5/1/2009	09-11 Postcard Notification	Prescription Drug Program: Implementation of Step Therapy for Inhaled Long-Acting Beta Agonist/Corticosteroid Combination Drugs
5/1/2009	09-10 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update.
4/4/2009	School-Based Healthcare Services Program Postcard Notification	School-based Healthcare Services for special education students may be diagnostic, evaluative, habilitative, or rehabilitative in nature and must be based on the student medical needs.
~~4/1/2009~~ rescinded	#Memo 09-09 Postcard Notification This memo has been rescinded	Prescription Drug Program: Increase in Discount Applied to the Average Wholesale Prices (AWP) of Drugs Paid for by DSHS.
4/1/2009	#Memo 09-08 Postcard Notification	Prescription Drug Program: New Limits on Duration of Use for All Proton Pump Inhibitors and Changes to the Washington Preferred Drug List and Expedited Authorization List
4/1/2009	#Memo 09-07 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update.
1/1/2009	#Memo 09-06 Postcard Notification	Wheelchairs, Durable Medical Equipment (DME), and Supplies and Nondurable Medical Supplies and Equipment (MSE): Fee Schedule and Coverage Table Updates
3/1/2009	#Memo 09-05 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update.
3/1/2009	#Memo 09-04 Postcard Notification	Prescription Drug Program: Additions to the List of Limitations on Certain Drugs and Changes to the Washington PDL and Expedited Authorization List
1/1/2009	#Memo 09-03 Postcard Notification	Early and Periodic Screening, Diagnosis, and Treatment (EPSDT): Modifier Change and Update to No Cost Immunizations from DOH List
3/1/2009	#Memo 09-02 Postcard Notification	General Information Booklet: Update to the Medicare Part C Payment Methodology
2/1/2009	#Memo 09-01 Postcard Notification	Prescription Drug Program: Maximum Allowable Cost Update
1/1/2009	DC-2009-3 Postcard Notification	DSHS made the following housekeeping changes to the Physician-Related Services Billing Instructions.
1/1/2009	DC-2009-2 Postcard Notification	Revises Inpatient Hospital Billing Instructions
1/1/2009	DC-2009-1 Postcard Notification	Revises # Memo 08-85 and Prosthetic and Orthotic Devices Billing Instructions

Page modified: November 2009

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