Provider Alert

Dear Provider,  

Retroactive for claims with dates of service on and after January 1, 2016, the Health Care Authority has removed the expedited prior authorization (EPA) requirements for developmental and autism screenings for young children.  

For further details, see the What has changed tables in the following provider guides:

• Early Periodic Screening, Diagnosis and Treatment (EPSDT) Program Provider Guide
• Physician-Related Services/Health Care Professional Services Provider Guide  

Please do not reply directly to this message. If you have feedback or questions, please visit the HCA website for contact information.

About Washington State Health Care Authority
HCA oversees the state’s top two health care purchasers — Washington Apple Health (Medicaid) and the Public Employee Benefits Board Program. We work with partners to help ensure Washingtonians have access to better health and better care at a lower cost. For more information, visit www.hca.wa.gov.