Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-543 - Medical equipment, supplies, and appliances
Section 182-543-8000 - Billing general

Universal Citation: WA Admin Code 182-543-8000

Current through Register Vol. 24-18, September 15, 2024

(1) A provider must not bill the medicaid agency for the rental or purchase of medical equipment supplied to the provider at no cost by suppliers or manufacturers.

(2) The agency does not pay a medical equipment provider for medical supplies used in conjunction with a physician office visit. The agency pays the office physician for these supplies when appropriate. Refer to the agency's physician-related professional services billing guide.

(3) The agency does not pay for any prosthetics and orthotics required for surgery or placed during the hospital stay under this chapter. See chapter 182-550 WAC. In this situation, the prosthetics and orthotics are included in the hospital reimbursement rate.

11-14-075, recodified as §182-543-8000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. 11-14-052, § 388-543-8000, filed 6/29/11, effective 8/1/11.

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