Medical Equipment & Supplies Billing Guide Update, 8/1/2019

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Apple Health (Medicaid) Provider Alert

Attention Medical Equipment and Supplies Providers:

The Health Care Authority (HCA) revised the Medical Equipment and Supplies Billing Guide, published July 2019.

What has changed?

HCA fixed the following errors in the July 2019 published billing guide:

  • Place of service 14 (group home) was missing from the list for billing and is added back to the list under billing claims electronically.

  • Retroactive to dates of service on and after April 1, 2019, prior authorization (PA) is required for procedure codes E0163, E0167 and E0168.

For specific details on these changes, see the What is Changed table inside the updated guide, dated August 1, 2019. The updated guide is available on HCA’s Provider billing guides and fee schedules webpage.