PDFWAC 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.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-08-009, § 182-554-800, filed 3/24/17, effective 5/1/17. WSR 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. WSR 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. WSR 05-04-059, § 388-554-800, filed 1/28/05, effective 3/1/05.]