2018 MARFS

Updates and Corrections

On this page, view the following:

Updates

Payment policy updates
Payment Policy Updates
Posting date Policy Area Description
11/30/2018 Chapter 18: Modifications: Home, Job and Vehicle; Chapter 30: Vocational Services

Effective 1/1/2019, L&I has made significant changes to Medical Aid Rules and Fee Schedules Chapter 30: Vocational Services. Please see the PDF of Chapter 30 in this table.

Effective 01/01/2019, the payment policy for job modifications and pre-job modifications is being removed from Chapter 18: Modifications: Home, Job and Vehicle and can now be found in the updated Chapter 30: Vocational Services.  Please see the PDF of Chapter 30 in this table.
Chapter 18: Modifications: Home and Vehicle (Revised)
Chapter 30: Vocational Services (Revised)

 


Fee schedules updates
Fee Schedule Updates
Posting date Description Updated Version
12/13/2018 Professional Fee Schedule Updates: New CPT and HCPCS effective January 1, 2019. Adobe PDF file New CPT & HCPCS effective
January 1, 2019
12/13/2018 Ambulatory Surgery Center Fee Schedule Updates: New codes effective January 1, 2019 and deleted codes effective December 31, 2018. Adobe PDF file New ASC codes effective
January 1, 2019 and deleted codes effective December 31, 2018
12/12/2018 DELETED Procedure Codes – Invalid after December 31, 2018 Adobe PDF file January 2019 Deleted Codes
9/4/2018

Q5108 is covered effective October 1, 2018.  The code is paid ‘By Report’ and does not require prior authorization. 

N/A
9/21/2018 1097M - Review of Physical Capacities Evaluation Report (review) was added to the fee schedule effective 07/01/2018.  This code should be used to bill the department when a provider reviews the a Physical Capacities Evaluation rather than 1038M N/A
9/21/2018 1729M - PGAP Coach Mileage was added to the fee schedule effective 11/21/2017 and is payable at the State Rate for mileage. N/A
9/21/2018 1728M – PGAP Coach Travel Time was added to the fee schedule effective 11/21/2017 and has a non-facility fee of $7.08 and a facility fee of $6.96. N/A
9/21/2018 Errors were found on the fee schedule and are being corrected as follows:

Codes 27412, 81539, J7330 is not covered
Codes 28800, 28805, 29844, 29845, 47544 require Utilization review.
Code 2014M has a non-facility fee of $1.60 and a facility fee of $1.60

N/A

Corrections

Payment policies corrections
Payment Policy Corrections
Posting Date Policy Area Description
     

Fee schedule corrections
Fee Schedules Corrections
Posting Date Description Updated Version
12/14/2018

Errors were found on the 2018 fee schedule and are being corrected as follows:
1001M has a maximum fee of $127.08.
2050A has a maximum fee of $44.73.

N/A

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