Wash. Admin. Code § 182-531-0900 – Neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU) physician-related services

(1) The medicaid agency reimburses a provider for one neonatal intensive care unit (NICU) or pediatric intensive care unit (PICU) service per client, per day.
(2) The agency pays for NICU and PICU physician-related services when the billing physician or other qualified health care professional (QHCP) follows standard current procedural terminology (CPT) coding guidelines.
(3) The agency pays for NICU services in addition to prolonged services and newborn resuscitation when the physician or QHCP is present at the delivery.

[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 25-18-049, s 182-531-0900, filed 8/27/25, effective 9/27/25. WSR 11-14-075, recodified as § 182-531-0900, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 10-19-057, § 388-531-0900, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 01-01-012, § 388-531-0900, filed 12/6/00, effective 1/6/01.]