Telehealth and telemedicine updates - Billing Guides and Fees Schedules webpage

Washington State Health Care Authority sent this bulletin at 08/01/2022 09:05 AM PDT

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Apple Health (Medicaid) Provider Alert

Effective August 1, 2022, the Health Care Authority (HCA) clarified its telehealth and telemedicine policy and created audio-only procedure code lists, consolidating them on HCA’s website. Due to these updates, HCA has created and revised many documents on its website.

HCA published the following on HCA’s Provider Billing Guides and Fee Schedules webpage, under Telehealth:

A new Telemedicine policy and billing
An updated Clinical policy and billing for COVID-19
An updated Behavioral health policy and billing during COVID-19 pandemic (FAQ)
Audio-only procedure code lists

HCA also revised the following Apple Health billing guides, clarifying its telehealth and telemedicine policy. Several of these guides had minor changes not related to telehealth or telemedicine. For specifics, see the “What has changed” table in each of these billing guides:

Applied Behavior Analysis (ABA)
Dental-Related Services
Federally Qualified Health Centers (FQHCs)
Habilitative Services
Maternity Support Services/Infant Case Management
Medical Nutrition Therapy
Mental Health Services
Neurodevelopmental Centers
Outpatient Hospital Services
Outpatient Rehabilitation
Physician-Related Services/Health Care Professional Services
Respiratory Care
Rural Health Clinics (RHCs)

Billing guides are located on HCA’s Provider billing guides and fee schedules webpage.

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.

Telehealth and telemedicine updates - Billing Guides and Fees Schedules webpage

Apple Health (Medicaid) Provider Alert

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About the Health Care Authority (HCA)

Disclosure notice

Nondiscrimination