Revised policy for therapies for COVID-19

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Apple Health (Medicaid) Provider Alert

What changed? 

The Health Care Authority (HCA) has made the following updates to its COVID-19 monoclonal antibody policy concerning HCPCS code Q0222:

  • Do not bill using HCPCS code Q0222 if the product was received free of charge through the United States Government (USG)-purchased inventory.
  • Bill HCA for commercially purchased products only.

See Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, under COVID-19, Policies and billing guidance 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.