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Attention respiratory care providers:
What is changing?
Effective for dates of service on and after August 1, 2023, the Health Care Authority (HCA) has updated the Respiratory Care Billing Guide to align with recent changes to WACs 182-552-0005, 182-552-0200, and 182-552-0800. Revisions to the billing guide include the following:
- Clarification regarding prior authorization for multiple respiratory assist devices
- Updated coverage criteria for Group I and Group II oxygen clients
- Added coverage criteria for Group III oxygen clients
- Updated requirements for oxygen prescriptions
- Additional updates for client eligibility verification, Apple Health Foster Care, and telemedicine
For more details, refer to the What has changed table inside the updated guide, which is located on HCA’s Provider billing guides and fee schedules webpage.
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