AGING AND DISABILITY SERVICES ADMINISTRATION

2006 NH "Dear Administrator" Letters

August 29, 2006

ADSA NH #2006-020
Update to change in policy regarding Third Party Liability
Payments on Behalf of Medicaid Residents

Dear Nursing Facility/Home Administrator:

This letter is an update to Dear Administrator Letter #2006-013 and is informational only. Additional letters related to this subject will be sent regularly until this process is completed. Enclosed is an updated list of frequently asked questions (FAQ’s) and responses. We expect that many people will have similar questions, so we will continue to add questions to this list. This format should help to answer many of the questions that you have. If you have any questions about the general process that you would like to have added to the FAQ list, please e-mail your question to me, Bonnie Hawkins, at hawkibm@dshs.wa.gov, or call me at (360) 725-2499.

The next group of insurance carriers will be changed to the new procedures effective September 1, 2006. These carriers are:

• AARP
• Blue Cross
• Blue Shield
• Blue Cross/Blue Shield
• Regence
• United Healthcare
• All county insurance

You should have an updated copy of the Cost Avoidance Suggestions and Helpful Hints that was mailed in May. This updated packet will assist you in determining the best way to proceed in this endeavor. If you would like an additional copy or have specific questions on billing particular carriers, please call toll free (800) 562-6136. For patients with the last name beginning with letters A through G call Cyndy Mills at Ext. 51936 or for patients with the last name beginning with letters H through Z call Susan Pemberton at Ext. 51164.

Sincerely,

Bonnie Hawkins, Acting Chief
Office of Rates Management
Aging and Disability Services Administration

Andy Renggli, Chief
Coordination of Benefits Office
Health and Recovery Services Administration