School-Based Health Care Services - Billing Guide Updates

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Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) revised the School-Based Health Care Services (SBHS) Billing Guide dated August 1, 2020 to reflect recent changes to Chapter 182-537 WAC.

What has changed?

HCA added:

  • Information on telemedicine and COVID-19
  • New eligible provider types and allowable place of service
  • Clarifying instructions regarding:
    • Supervision requirements
    • The provider back-date process
    • The role of SBHS coordinators
    • Participation requirements for SBHS providers

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