Apple Health (Medicaid) Provider Alert
Attention physicians and health care professionals:
Retroactive to dates of service on and after July 1, 2022, the Health Care Authority (HCA) pays for medical respite care (MRC) for certain people. HCA has published a revised version of the Physician-Related/Health Care Professional Services Billing Guide, dated October 14, 2022.
What has changed?
HCA added a new section for MRC for people experiencing homelessness who are too ill or frail to recover from a physical illness or injury while living on the streets, but who no longer require a hospital stay. Payment for these services is authorized under Engrossed Substitute Senate Bill 5693 (67th Legislature, 2022 Regular Session).
View the What has changed table in this billing guide for more information.
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