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News & Press: Federal Legislation

Physician Signature Required on Prescriptions for Medical Equipment

Thursday, January 3, 2019   (1 Comments)
Posted by: Janet Anderson
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From: Washington Apple Health 


Effective January 1, 2019, the Health Care Authority (HCA) will align with federal regulations published by the Centers for Medicare and Medicaid services (CMS) to require prescriptions for home health services and medical equipment be signed by a physician. Advanced nurse practitioners (ARNPs) or physician assistants (PAs) ordering home health services or medical equipment must have a physician's signature on their requested order. This applies to medical equipment (Chapter 182-543 WAC) dispensed at a pharmacy and includes but is not limited to: diabetic supplies (glucose monitors, glucose test strips, lancet devices, lancets, pen needles, and syringes) as well as inhalation masks and spacers. Pharmacy Claims will not reject or stop for a physician's signature; however, pharmacies will be held accountable for compliance with this requirement. 

For questions please contact 


See more Washington Apple Health announcements and additional pharmacy resources at:


Judy A. Williams says...
Posted Wednesday, January 9, 2019
Does this refer to all prescriptions for these items, or just to those covered by a federally-funded payment program, such as Medicare or Medicaid? Also, will there be any effect on such items that can currently be purchased OTC (such as syringes, in the state of Washington) as long as they are being sold for a legal purpose?

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