MAA Web Page Header

    PHYSICIAN FEE SCHEDULE REQUEST


Complete this form and select "Send Request" (below).  If you are a registered
provider for Washington Medicaid, or authorized to receive the information
you selected, it will be sent to you within the next two working days via your
e-mail
address.  If you do not receive your request within three working days
it may not have reached us so please send another request.

  Provider Name:                     Provider Number:
      

  Person to Contact:                Phone Number W/Area Code:
      

 Postal Address:                      City:
      

  Fax Number w/Area Code:    State:      Zip Code:
          

 Your E-Mail Address:

What fee schedule you are requesting?

Just Check Off The Fee Schedule You Want.  It
Will Be Sent To You In A Text Delimited Format :


    The Entire RBRVS Fee Schedule - Does Not Include Anesthesia
      The Entire Fee Schedule July 1, 1999
   
January 1, 2000 New Codes To The July 1, 1999 Fee Schedule 
      January 2000 Entire Fee Schedule File All Files July 1, 2000

     Anesthesia Fee Schedule
   
Anesthesia July 1, 1999
    January 1, 2000 New Codes To The July 1, 1999 Anesthesia Fee Schedule  
    Anesthesia July 1, 2000    
    Audiologists, July 1, 1999
    Audiologists, July 1, 2000
    Blood Banks July 1, 1999
   
Blood Banks July 1, 2000
    Chiropractors July 1, 1999
    Chiropractors July 1, 2000
    Chronic Pain July 1, 2000 - New This Year
    Dentists (Oral Surgery CPT Codes) July 1, 1999
    January 1, 2000 Oral Surgery CPT New Codes for Dentists July 1, 1999
    Dentists (Oral Surgery CPT Codes) July 1, 2000
    EPSDT (Healthy Kids) Clinics July 1, 1999
    EPSDT (Healthy Kids) Clinics July 1, 2000
   
Family Planning July 1, 1999
   
Family Planning July 1, 2000
    Licensed Midwives July 1, 1999
    Licensed Midwives July 1, 2000
    Neurodevelopmental Centers July 1, 1999
    Neurodevelopmental Centers July 1, 2000
    Occupational Therapists July 1, 1999
    Occupational Therapists July 1, 2000
    Opticians July 1, 1999
    Opticians July 1, 2000
    Optometrist July 1, 1999
    Optometrist July 1, 2000
    Outpatient Hospital (Lab., Radiology, PT, OT, ST) July 1, 1999
    January 1, 2000 New Codes To Outpatient Hospital July 1, 1999
    Outpatient Hospital (Lab., Radiology, PT, OT, ST Selected
            Medicine) July 1, 2000
    Physical Therapy July 1, 1999
    Physical Therapy July 1, 2000
    RN Assist At C-Section July 1, 1999.  For July 1, 2000 These Codes
            Are Contained Within The All Fees File.

    Speech Pathologists July 1, 1999
    Speech Pathologists July 1, 2000

Any information you submit is insecure and could be observed by a third party
while in transit. If you are submitting client names, passwords, credit card numbers
or other information you would like to keep private, it would be safer for you
to cancel the submission.

The American Medical Association has required DSHS to post the following agreement:

LICENSE FOR USE OF "Physicians' CURRENT PROCEDURAL
TERMINOLOGY", FOURTH EDITION ("CPT")


CPT codes and descriptions are copyright 1999 by the American Medical
Association. All Rights Reserved.

You, your employees and agents are authorized to use CPT internally within
your organization within the United States for the sole use by yourself, employees
and agents. You agree to take all necessary steps to insure that your employees
and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of
illustration and not by way of limitation, making copies of CPT for resale
and/or license, transferring copies of CPT to any party not bound by this
agreement, creating any modified or derivative work of CPT, or making any
commercial use of CPT. You should contact Paul A. Markowski at the American
Medical Association, CPT Intellectual Property Services, American Medical
Association, 515 N. State Street, Chicago, Illinois 60610 or at telephone
number 312-464-5943 or at facsimile number 312-464-5762, should you wish to
make additional uses of CPT.

Applicable FARS/DFARS Restrictions Apply to Government Use.
Please click
here to see all U.S.Government Rights Provisions.

Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or
implied, including but not limited to, the implied warranties of
merchantability and fitness for a particular purpose.
  AMA warrants that
due to the nature of CPT, it does not manipulate or process dates, therefore there
is no Year 2000 issue with CPT.  AMA disclaims responsibility for any errors
in CPT that may arise as a result of CPT being used in conjunction with
any software and/or hardware system that is not Year 2000 compliant. No fee
schedules, basic unit, relative values or related listings are included in CPT. The
American Medical Association (AMA) does not directly or indirectly practice
medicine or dispense medical services. The responsibility for the content of
this file/product is the State of Washington, Department of Social and Health
Services, Medical Assistance Administration and no endorsement by the AMA
is intended or implied. The AMA disclaims responsibility for any consequences
or liability attributable to or related to any use, non-use, or interpretation of
information contained or not contained in this file/product.

This Agreement will terminate upon notice if you violate its terms. The
AMA is a third party beneficiary to this Agreement.


Should the foregoing terms and conditions be acceptable to you, please
indicate your agreement and acceptance by clicking below on the button
labeled "Send Request".


 

 

Hit Counter