Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-554 - Enteral nutrition program
Section 182-554-550 - Covered orally administered enteral nutrition products, equipment and related supplies - Clients with amino acid, fatty acid, and carbohydrate metabolic disorders, and phenylketonuria

Universal Citation: WA Admin Code 182-554-550

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

(1) The medicaid agency covers orally administered enteral nutrition products, equipment and related supplies for clients who have amino acid, fatty acid, and carbohydrate metabolic disorders, including phenylketonuria (PKU), if the client requires a specialized nutrition product.

(2) Providers must use the agency's authorization processes as follows:

(a) Providers must use the expedited prior authorization (EPA) process for clients age twenty and younger.

(b) Providers may use the exception to rule process for clients age twenty-one and older.

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