Apple Health (Medicaid) Provider Alert
Attention providers
What changed? The Health Care Authority (HCA) has made the following updates to its COVID-19 therapies policy with information regarding COVID-19 monoclonal antibodies:
Procedure codes no longer covered by HCA Retroactive for dates of service on and after January 24, 2022, HCA no longer covers the following procedure codes due to the Food and Drug Administration (FDA) revoking their emergency use authorization (EUA):
* M0240 * M0241 * M0243 * M0244 * M0245 * M0246 * Q0240 * Q0243 * Q0244 * Q0245
Retroactive for dates of service on and after April 5, 2022, HCA no longer covers the following procedure codes due to the FDA revoking their EUA:
* M0247 * M0248 * Q0247
See Therapies for COVID-19, under COVID-19 resources, Testing and Treatment for more information regarding the policy and procedure codes involved.
COVID-19 Fee Schedule HCA revised the COVID-19 Fee Schedule. See HCA’s Provider billing guides and fee schedules, under COVID-19.
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