Apple Health (Medicaid): Provider Alert

The agency was recently notified of an error in the July 2015 Outpatient Hospital Services Provider Guide regarding EPA #870001370 (services rendered in ER to an MCO client).

EPA #870001370 should not have been listed in the guide, as it was discontinued for dates of service on and after January 1, 2015. The agency has updated the online .pdf guide to reflect this correction.

Providers should refer to the current Outpatient Hospital Services billing guide for instructions on billing for emergency room visits that occurred on or after January 1, 2015, for managed care clients. 

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.