Inpatient Hospital Billing Guide, Effective 3/1/19

Having trouble viewing this email? View it as a Web page.

Health Care Authority (HCA) logo

Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) revised the Inpatient Hospital Services Billing Guide, effective for claims with dates of service on and after March 1, 2019.

What has changed?

The agency removed the single case rate payment methodology and related references to the per case rate, fixed case rate, and bariatric case rate throughout the guide.

For specific details on these changes, see the “What has changed” table inside the updated guide. The updated billing guide is located on HCA’s Provider billing guides and fee schedules webpage.