1. (1) Refer to the medicaid agency's published physician-related services/health care professional services billing guide for a list of:

   1. (a) Supplies that are a routine part of office or other outpatient procedures and that cannot be billed separately; and
   2. (b) Supplies that can be billed separately and that the medicaid agency considers nonroutine to office or outpatient procedures.
2. (2) The agency reimburses at actual acquisition cost certain supplies under $50 that do not have a maximum allowable fee listed in the fee schedule. The provider must retain invoices for these items and make them available to the agency upon request.
3. (3) Providers must submit invoices for items costing $50 or more.
4. (4) The agency reimburses for sterile tray for certain surgical services only. Refer to the fee schedule for a list of covered items.

[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 24-08-061, § 182-531-1200, filed 3/29/24, effective 5/1/24. WSR 11-14-075, recodified as § 182-531-1200, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 10-19-057, § 388-531-1200, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 01-01-012, § 388-531-1200, filed 12/6/00, effective 1/6/01.]