Apple Health (Medicaid) Provider Alert
Effective for dates of services on and after February 16, 2019, the Health Care Authority (the agency) published an updated Physician-Related Services Billing Guide. The updated guide is available on the agency’s Provider billing guides webpage.
What has changed?
The agency:
- Added a listing of drug-related and respiratory supplies that do not require a physician signature/co-signature when being ordered
- Changed CPT code 81299 to 81229 to fix a typographical error
- Corrected the agency’s fax number providers must use when requesting prior authorization
- Changed or removed HCPCS codes from the table under Drugs dispensed to managed care clients but reimbursed through fee-for-service
See the What has changed table in the revised guide for a list off all changes, including specific details.
|
