Provider Alert

Dear DME provider, 

Retroactive for claims with dates of service on and after July 1, 2015, Washington Apple Health (Medicaid), administered by the Health Care Authority (the agency), requires prior authorization for HCPCS code E0190, positioning cushion.  

The agency updated the Durable Medical Equipment (Other) and Non-CRT Wheelchairs provider guide and the Other DME Fee Schedule to reflect this change. 

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.