Physician-Related Services/Health Care Professional Services Billing Guide update

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Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) has published a new Physician-Related Services/Health Care Professional Services Billing Guide, effective April 15, 2018. 

Changes include information about how HCA now requires multiple services to undergo a Qualis Health medical necessity review.  

Other changes can be found on the “What Has Changed” table on pages 3 and 4 of the billing guide.