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Numbered Memoranda Year 2005

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 Authorization Changes Postcard mailed 4/11/05	4/1/05
05-17 Postcard Notification		Physician-Related Services: Corrections and Updates Corrected by IC-2005-3 Postcard mailed 4/7/05	3/25/05
05-16 Postcard Notification	Superseded	Dental Program (Adults/Children): Billing Policy for Oral and Maxillofacial Surgery Postcard mailed 4/8/05 Superseded by new Dental Billing Instructions	3/30/05
05-15 Postcard Notification		Early and Periodic Screening, Diagnosis, and Treatment (EPSDT): Policy Clarifications and Technical Corrections Postcard mailed 4/6/05	3/30/05
05-14 Postcard Notification		Medicare Medicaid Integration Program (MMIP) Implementation date changed to June 1, 2005	3/23/05
05-13 Postcard Notification		Outpatient Hospitals: Updated Fee Schedules and Retroactive Fee Schedule Corrections Postcard mailed 4/6/05	3/30/05
05-12 Postcard Notification		Prescription Drug Program: Maximum Allowable Cost Updates Postcard mailed 3/28/05	3/9/05
05-11 Postcard Notification		Wheelchairs, Durable Medical Equipment (DME), and Supplies: April Fee Schedule Changes and New Hospital Bed Form Corrected by IC-2005-4 Postcard Mailed 3/23/05	3/16/05
05-10 Postcard Notification		Prosthetic and Orthotic Devices (P&O): April Fee Schedule Changes Corrected by IC-2005-7 Postcard mailed 3/23/05	3/16/05
05-09 Postcard Notification		Prescription Drug Program: Washington Preferred Drug List and Prior Authorization Changes *Attention:* MAA accidentally deleted page H.16 when issuing # Memo 05-09 MAA. This has been fixed. Postcard mailed 3/8/05	3/1/05
05-08 Postcard Notification		Nondurable Medical Supplies and Equipment (MSE): Fee Schedule Corrections Note: Page G.26 updated per 05-24 MAA Postcard mailed 3/8/05	3/1/05
05-07 Postcard Notification		Prosthetic and Orthotic Devices (P&O): Fee Schedule Corrections Corrected by IC-2005-7 Postcard mailed 2/28/05	2/22/05
05-06 Postcard Notification		Wheelchairs, Durable Medical Equipment (DME), and Supplies: Fee Schedule Corrections Postcard mailed 2/25/05	2/22/05
05-05 Postcard Notification		New covered medications for sterilizations of TAKE CHARGE and Family Planning Only Clients Postcard mailed 2/25/05	2/18/05
05-04 Postcard Notification		Prescription Drug Program: Maximum Allowable Cost Updates Postcard mailed 2/9/05	2/3/05
05-03 Postcard Notification		New Billing Requirements Regarding Provider Numbers and New Web Site for Accessing Provider Numbers Postcard mailed 2/15/05	2/3/05
05-02 Postcard Notification		Ground and Air Ambulance Medical Transportation Program and Involuntary Treatment Act (ITA) Transportation Program: Policy and Rate Changes [See also MAA's new Ambulance and ITA Transportation Billing Instructions] Postcard mailed 2/4/05	1/11/05
05-01 Postcard Notification		Prescription Drug Program: Expedited Prior Authorization Updates Postcard mailed 1/12/05	1/3/05

Page modified: November 2009

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