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Effective for claims with dates of service on and after May 1, 2026, Washington Apple Health (Medicaid), administered by the Health Care Authority, has added the following to the Pharmacy Expedited Authorization (EA) Codes and Criteria list.
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EA code 153 End Stage Renal Disease (ERSD) therapy: Client is enrolled in an ERSO/AEM program and has End Stage Renal Disease (ERSD) or kidney transplant
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EA code 154 Immunosuppressives for the prevention of organ rejection post-transplant: Client is enrolled in an ERSO/AEM program and has had an organ transplant (kidney, heart, lung, or liver)
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EA code 300 Professional administration: Product will be administered by a licensed health care professional in a clinical setting (office, facility, etc.) OR through home health services.
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