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Attention Nursing Facility providers:
Effective for claims with dates of service in January 2026, the Health Care Authority (HCA) experienced a system error with patient participation causing HCA to put a temporary hold on all nursing home claims.
Unfortunately, approximately 20 claims were denied before HCA realized the system error and halted all remaining claims.
The larger system error has been resolved and all held claims have been released and scheduled to be paid this week.
The remaining 20 claims that were denied will be reprocessed by HCA with payment expected to occur next week.
If you have any questions or concerns, contact the Nursing Home Claims Unit at 1-800-562-3022, ext. 16820 from 8:00 a.m. to 12:00 p.m., or you can email them at HCA Nursing Home Claims.
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