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Effective July 1, 2026, the Health Care Authority (HCA) is publishing quarterly updates to many of the Apple Health billing guides. Billing guides are located on HCA’s Provider billing guides and fee schedules webpage. Check the webpage often. HCA is loading the revised billing guides as soon as they are finalized for publishing.
Vaccine coverage update Several of the revised billing guides include updates to the vaccines/toxoids (immunization) coverage policy for Apple Health (Medicaid) clients. HCA is aligning its coverage policy with ESHB 2242, 2026 Regular Session to include the Washington State Department of Health’s immunization recommendations and guidance. Refer to your program’s billing guide(s) for specific details. If you have questions, submit your questions by email to: hcaapplehealthclinicalpolicy@hca.wa.gov.
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