Prescription Drug Program Billing Guide update

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Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) updated the Prescription Drug Program Billing Guide, effective March 1, 2018.

What has changed?

  • Listed professionally administered drugs that are reimbursed through fee-for-service for managed care clients.
  • Added a reference for information on Alpha Hydroxyprogesterone (17P) and Makena. Referred readers to HCA’s Physician Related Services/Health Care Professional Services Billing Guide.
  • Added a telephone phone number extension for information on lost or stolen prescriptions.