Revised policy for therapies for COVID-19

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Apple Health (Medicaid) Provider Alert

Attention providers

What changed? 

Retroactive for claims with dates of service on and after December 1, 2022, the Health Care Authority (HCA) no longer reimburses for COVID-19 monoclonal antibodies when billed using procedure codes Q0222, M0222, or M0223.

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