Wash. Admin. Code § 182-554-800

Current through Register Vol. 24-23, December 1, 2024

Section 182-554-800 - Noncovered - Enteral nutrition products, equipment, and related supplies

(1) The medicaid agency does not cover the following:

(a) Nonmedical equipment, supplies, and related services (for example, backpacks, pouches, bags, baskets, or other carrying containers); and

(b) Orally administered enteral nutrition products for any client age twenty-one and older.

(2) A provider may request an exception to rule under WAC 182-501-0160 for a noncovered service.

(3) When early and periodic screening, diagnosis, and treatment (EPSDT) applies, the agency evaluates a request for a noncovered service, equipment, or related supplies under WAC 182-501-0165. See WAC 182-534-0100 for EPSDT rules.

Wash. Admin. Code § 182-554-800

Amended by WSR 17-08-009, Filed 3/24/2017, effective 5/1/2017

11-14-075, recodified as §182-554-800, filed 6/30/11, effective 7/1/11. Statutory Authority: 2009 c 564 § 1109, RCW 74.04.050, and 74.08.090. 10-01-138, § 388-554-800, filed 12/21/09, effective 1/21/10. Statutory Authority: RCW 74.08.090, 74.09.530 and chapter 74.09 RCW. 05-04-059, § 388-554-800, filed 1/28/05, effective 3/1/05.