Apple Health (Medicaid) Provider Alert
What changed?
Retroactive for claims with dates of service on and after July 26, 2022, the Health Care Authority (HCA) covers the Monkeypox test and vaccine. HCA added coverage for the following codes:
CPT® Code Short Description
87593 MONKEYPOX TEST
90611 SMALLPOX&MONKEYPOX VAC 0.5ML
90622 VACCINIA VRS VAC 0.3 ML PERQ
Fee Schedule
For more information, including maximum allowable fees, see HCA’s updated Professional administered drug, Physician-related services/Professional healthcare services, and Outpatient prospective payment system (OPPS) fee schedules on HCA’s Provider billing guides and fee schedules webpage.
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