Revised policy for monoclonal antibodies

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Apple Health (Medicaid) Provider Alert

What changed?

The Health Care Authority (HCA) has revised the Apple Health (Medicaid) Monoclonal Antibody Treatment for COVID-19 clinic policy to add in-home infusion HCPCS codes M0244 and M0246 to the list of monoclonal antibody doses and their specific administration codes. These procedure codes are effective for claims with dates of service on and after May 6, 2021.

COVID-19 Fee Schedule

HCA also revised the Emergency COVID-19 fee schedule to reflect this change. See HCA’s Provider billing guides and fee schedules, under COVID-19.