New policy coming 10/1 for birthing parents

Washington State Health Care Authority sent this bulletin at 09/30/2022 11:00 AM PDT

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New policy coming 10/1 for birthing parents

Starting 10/1/22, the Health Care Authority (HCA) is implementing a new policy and related daily reimbursement for an administrative day rate for a new population.

This new policy includes birthing parents and their newborn who had an in utero exposure to a substance that may lead to physiologic dependence and non-pharmacologic firstline treatment by the birth parent.

Per WAC 182-550-4550, HCA will provide up to five days of an inpatient hospital stay for the postpartum parent following the parent’s medical discharge when the newborn remains as an inpatient on a hospital claim at the facility. This is the appropriate and evidence-based best care.

This benefit applies to all Apple Health clients (managed care and fee-for-service) who meet the criteria as outlined in the billing guide.

For more information and details see the Inpatient Hospital Services Billing Guide.

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.