Attention providers
What is changing?
Retroactive to dates of service on and after January 1, 2025, the Health Care Authority (HCA) revised the Drug testing for substance use disorder section in HCA’s Physician-Related Services/Health Care Professional Services Billing Guide. HCA removed the limitation of four tests per client, per year and removed “for clients with alcohol use disorder” from the six tests per client, per year limitation from the note box in the section. This change was inadvertently omitted from the last edition of the guide.
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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