Attention physicians/health care professionals and home birth and birth center providers

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Apple Health (Medicaid) Provider Alert

Attention physicians/health care professionals and home birth and birth center providers:

The Health Care Authority (HCA) has published revised versions of the following billing guides, effective June 11, 2022:

 

What has changed?

  • HCA updated the billing information for office visits during the 6-week postpartum period, including the comprehensive postpartum visit usually done at 6 weeks postpartum
  • HCA added information regarding the new After Pregnancy Coverage (APC) 12-month Medicaid extension for clients who have been recently pregnant.

 

View the What has changed table in each guide for more information.

The APC program goes into effect on June 11, 2022. Visit HCA’s APC webpage for more information on APC coverage.