Substance Use Disorder Billing Guide Updates

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Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) revised the Substance Use Disorder (SUD) Billing Guide dated August 1, 2020.

What has changed?


  • Revised the formatting throughout the entire guide.
  • Added clarifying information regarding eligibility criteria for fee-for-service SUD services.
  • Added coverage limitations for family therapy services.

For specific details, see the What has changed table in the revised guide. The SUD billing guide is located on HCA’s Provider billing guides and fee schedules webpage.