Apple Health (Medicaid) Provider Alert
The Centers for Medicare and Medicaid Services (CMS) released the updated version of the sterilization consent form. The form is available in English, Spanish, and large print (English and Spanish).
The updated form is available in the following places:
1) The U.S. Department of Health & Human Service’s website, under Key Resources for Title X Grantees | HHS Office of Population Affairs; and
2) The Health Care Authority’s website, on the Provider billing guides and fee schedule webpage, under the Sterilization dropdown.
Effective immediately, use the updated form when obtaining initial consent for sterilization procedures. If the client has already provided initial consent (completion of Sections I, II, and III) on the expired version of HHS-687, it is not necessary to start the process over with a new form. HHS-687 forms with expiration date April 30, 2022, will be accepted for sterilization claims with a date of service on or before February 28, 2023.
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