New policy coming 10/1 for birthing parents

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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.