Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-552 - Respiratory care
OXIMETERS
Section 182-552-0900 - Respiratory care - Covered - Oximeters
Universal Citation: WA Admin Code 182-552-0900
Current through Register Vol. 24-18, September 15, 2024
(1) The medicaid agency covers the purchase of oximeters for clients eighteen years of age and older with prior authorization as follows:
(a) One standard
oximeter, per client, every twenty-four months; or
(b) One enhanced oximeter, per client, every
thirty-six months.
(2) The medicaid agency covers the purchase of oximeters for clients seventeen years of age and younger, in the home, as follows:
(a) When the client meets one of the
following clinical criteria:
(i) Has chronic
lung disease and is on supplemental oxygen;
(ii) Has a compromised or artificial airway;
or
(iii) Has chronic lung disease
requiring ventilator or bi-level respiratory assist device; and
(b) The following limitations
apply:
(i) One standard oximeter, per client,
every twenty-four months, without prior authorization; or
(ii) One enhanced oximeter, per client, every
thirty-six months, with expedited prior authorization.
(3) The medicaid agency pays for replacement supplies as follows:
(a) Cables
for enhanced oximeter only, limited to two per client per year. Prior
authorization (PA) is required.
(b)
Probes.
(i) Nondisposable, limited to one per
client every one hundred eighty days.
(ii) Disposable, limited to four per client
every thirty days.
Statutory Authority: RCW 41.05.021. 12-14-022, §182-552-0900, filed 6/25/12, effective 8/1/12.
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