Apple Health (Medicaid) Provider Alert: Hospital Inpatient Special Claims Indicator - Correction

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Apple Health (Medicaid) Provider Alert

Dear Inpatient Hospital Provider,

The Health Care Authority (agency) corrected an error in the instructions for identifying twins on a claim in the agency’s Inpatient Hospital Billing Instructions. Do not use SCI=A.

When billing for twins, enter twin identifying information in the Comments or Remarks area as follows:

“SCI=B, Twin A” for the first child; and
“SCI=B, Twin B” for the second child

For more details, see the Newborn on mother’s ID section in the agency’s Inpatient Hospital Billing Guide, dated July 11, 2017.