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Prenatal substance exposure, defined as the exposure of a fetus to alcohol or drugs during pregnancy, can impact a range of infant health outcomes and lead to long-term negative effects on child development. This report summarizes recent trends in prenatal substance exposure among infants in Washington’s Medicaid program (Apple Health); in maternal substance use during pregnancy; and in access to treatment during pregnancy and postpartum. Opportunities to supplement treatment with additional supports are also discussed.
Join global leaders, families, and professionals at the 10th International Conference on Adolescents and Adults with Fetal Alcohol Spectrum Disorders (FASD 2026) — Integrating Research, Practice, and Policy Around the World.
This unique event, hosted by FASD United, takes place April 18-21, 2026, at the Hyatt Regency in Seattle, WA. It’s the only international conference dedicated to improving real-world outcomes for adolescents and adults with FASD.
Submit your abstract by December 4, 2025 to present your work and help bridge the gap between science and lived experience. Presenters receive reduced registration rates and the opportunity to connect their research to real-world impact.
This message is shared on behalf of FASD United in partnership with the Washington State Health Care Authority (HCA).
Service Encounter Reporting Instructions (SERI) and the Mental Health Billing Guides are meant to offer instructions for billing and encountering behavioral health services for managed care organizations (MCOs), Behavioral Health Administrative Service Organizations (BH-ASOs), and Apple Health providers. These instructions and guides are updated on a regular basis. Several of the recent updates may be particularly applicable to prenatal – five behavioral health services:
- Language in the Mental Health Billing Guide was updated to clarify that a mental health assessment is required before initiation of mental health treatment services.
- Guidance in both the Mental Health Billing Guide and SERI was updated to clarify that providers can use ICD-10 code Z03.89 when a completed mental health assessment indicates there is no mental health condition.
- Names and descriptions in SERI were updated for Individual Psychotherapy codes (90832, 90834, 90837), to clarify that this service is primarily provided to the client, not their family, and that the identified client must be present for all or most of the service.
For the most recent SERI, visit the Service Encounter Reporting Instructions (SERI) webpage. For the most recent Mental Health Billing Guide, visit HCA’s Provider Billing Guides webpage. Providers should refer to their individual BH-ASO and MCO contracts for billing direction, if the individual/client is assigned to an MCO or is BH-ASO funded.
During MHAYC Provider Spotlights, providers share about the steps they took to put infant-early childhood mental health (IECMH) services into practice. In the most recent Spotlight, three different providers shared about their experience with IECMH intake forms.
Recordings and slides from other Provider Spotlights are also available on our IECMH webpage.
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