What is a Limitation Extension?

Limitation extension (LE) is authorization for cases when a provider can verify that it is medically necessary to provide more units of service than allowed in HRSA’s
Washington Administrative Code (WAC) and billing instructions.
How do I get LE authorization?
LE authorization may be obtained by using the written/fax authorization process. See
address and fax number below.


Your request must include the following:

Name of agency and provider number;
Client’s name and PIC number;
Copy of the plan of care; and
Explanation of client-specific medical necessity to exceed limitation.

How do I obtain written/fax authorization?
Authorization may be obtained by sending a request, along with any required forms, to:
HRSA – Division of Healthcare Services
Home Health Services Program Manager
PO Box 45506
Olympia, WA 98504-5506
360.725.1570
FAX: 360.586.1471