Apple Health Billing Guide Updates, Effective 10/1/19

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Apple Health (Medicaid) Provider Alert

Effective October 1, 2019, the Health Care Authority (HCA) is publishing quarterly updates to several of the Apple Health billing guides. Billing guides are located on HCA’s Provider billing guides and fee schedules webpage. Check the webpage often. HCA is loading the revised billing guides as soon as they are finalized for publishing.

Note: Beginning January 1, 2020, Apple Health will expand integrated managed care to include the remaining three regions: Thurston-Mason, Great Rivers, and Salish.

  • Thurston-Mason region includes Thurston and Mason counties.
  • Great Rivers region includes Cowlitz, Grays Harbor, Lewis, Pacific, and Wahkiakum counties.
  • Salish region includes Clallam, Jefferson, and Kitsap counties.

See HCA’s Apple Health managed care webpage for details and the map of Changes coming to Washington Apple Health.