EPSDT Well-Child Program Name Change, Effective 10-1-25

Washington State Health Care Authority sent this bulletin at 10/02/2025 04:33 PM PDT

October 2, 2025

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Apple Health (Medicaid) Provider Alert

Attention providers:

Effective October 1, 2025, HCA published a revised EPSDT Well-Child Program Billing Guide, located on HCA’s Provider billing guides and fee schedules webpage. For information about these updates, please see the “What has changed?” table in this guide.

Please see the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Well-Child Program FAQ for information about the program name change, updated policies, and related materials.

For questions regarding the EPSDT Well-Child Program Billing Guide or the EPSDT Well-Child Program, please contact the Apple Health Clinical Inbox.

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.