Reimbursement now available for opioid overdose reversal medication for uninsured individuals

Washington State Health Care Authority sent this bulletin at 09/02/2022 03:00 PM PDT

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Reimbursement now available for opioid overdose reversal medication for uninsured individuals

In 2021, the Washington State Legislature passed Substitute Senate Bill 5195, which requires the Health Care Authority (HCA) to reimburse hospitals, behavioral health agencies, or pharmacies who dispense opioid overdose reversal medication to uninsured individuals by January 1, 2022.

Beginning today, providers who have dispensed opioid overdose reversal medications to uninsured individuals can access the process for reimbursement.

Providers will either need to have a ProviderOne number or a Statewide Vendor number. Providers will be able to backdate reimbursement requests to January 1, 2022.

Visit our website for instructions, reimbursement forms, and FAQs.

Please email HCA with any questions.

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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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.