Apple Health Rule Making Notice

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Apple Health (Medicaid): Provider Alert

Preproposal - Notice of Intent (CR101)
182-531-0050 Physician-related services definitions,
182-531-0950 Office and other outpatient physician-related services,
182-531-1850 Payment methodology for physician-related services - general and billing modifiers.

Purpose: The agency is revising these rules to align with the Centers for Medicare and Medicaid Services (CMS) covered outpatient drug rule, CMS-2345-FC. Specifically, the agency will replace estimated acquisition cost with actual acquisition cost.  (WSR 17-13-071)