Billing Guide . Questions? Billing Guide . www.medicaid.gov. Services will be paid with the same rates and methodologies in use by the state Medicaid program. Please see the below resources for claims and billing information related to offsite health care services. For dates of service on or after 9/1/2012, claims must be submitted using the ProviderOne electronic billing system. Use this tool to search by procedure code and year to find the authorized fees for billing L&I. About This Publication This publication supersedes all previous Agency Ambulatory Surgery Centers Medicaid Provider Guides published by the Washington State Health Care Authority. These billing instructions are for offsite professional providers, facilities, and hospitals. Physician Washington State Health Care Authority Medicaid Provider Guide -Related Services/ Health Care Professional Services [Chapter 182-531 WAC] October 1, 2013 A Billing Instruction . To find a ProviderOne ID for an inmate, in ProviderOne go to the client tab and click on benefit inquiry. For dates of services prior to 9/1/2012, you may continue to send paper claims to: Department of Corrections, Medical Disbursement Unit, PO BOX 41107 Olympia, WA 98504–1107. If an actual or apparent conflict between this document and an HCA rule arises, HCA rules apply. The Offender Health Plan (OHP) defines which health care services are available to inmates, as well as services that are limited or not available. Hca … See Physician-related/professional services.). July 1, 2019 . Box 1099 Olympia, WA 98507-1099. A completed Home Health & Hospice Authorization Request Form, HCA 13 -847 , and all the documentation listed on this form and any other medical justification. Note: The Agency now reissues the entire billing manual when making updates, rather than just a page or section. Before you provide certain services, you will need to submit authorization request forms. For delivery in Washington, DC–. Washington Apple Health (Medicaid) Physician-Related Services/Health Care Professional Services . Codes that are not included in the below fee schedules are not covered by the Department. Wa Hca Fee Schedule. form, HCA 13 -835 . All agency-contracted managed care organizations (MCOs) and the fee-for-service (FFS) program use the Apple Health PDL. Hca Medicaid Fee Schedule. Use the ProviderOne portal to see if a client is eligible for the service and the billing guides and fee schedules to determine if a PA is required. Hca Physician Fee Schedule. For questions about rates or fee schedules, email ProfessionalRates@hca.wa.gov. The effective date and revision history are now Every effort has been made to ensure this guide’s accuracy. Discontinued 3/31/2013. See daily video updates on how the AMA is fighting COVID-19 by discussing the changes to the 2021 Medicare Physician Payment Fee Schedule and what it means for physicians. Clarification of policy for payment of services for teaching physicians. The surcharge fees are assessed as required in RCW 18.71.310 (2) Checks or money orders can be sent to: Department of Health P.O. See Access to Baby and Child Dentistry (ABCD). Apr 1, 2016 … Fee schedules, relative value units, conversion factors and/or related ….. To contact Molina, Community Health Plan of Washington, or Beacon … April 1, 2016 – Washington State Health Care Authority. January 1, 2021 to present — Physician-related services fee schedules (updated December 28, 2020) October 1, 2020 to December 31, 2020 — Physician-related services fee schedule (updated November 24, 2020) July 1, 2020 to September 30, 2020 — Physician-related services fee schedule … A National Provider Identifier (NPI) number is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). Please contact us for older fee schedules. October 1, 2012 F.2 Billing for Genetic Counseling Add information regarding genetic counselors. DOC Pharmaceutical Management & Formulary Manual, Physician Related and Professional Healthcare Services, Durable Medical Equipment, Prosthetics, Orthotics and Supplies, Inmate Healthcare Providers Billing Instructions, Sustainability & Environmental Performance, Copyright © 2021 Washington State Department of Corrections. How do providers identify the correct payer? For fee schedule and rate questionsEmail: ProfessionalRates@hca.wa.gov, For all other provider questionsMedical Assistance Customer Service Center (MACSC)Online: web formPhone: 1-800-562-3022, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. The annual fee is $16.00. The AMA is leading the fight against the COVID-19 pandemic. Please refer to the links below for more information about claims and billing for health care services rendered to inmates under the jurisdiction of the Department of Corrections (DOC). Future SPAs will be developed as each update becomes due, and copies may be requested as soon as they are available. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid 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and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, Information about novel coronavirus (COVID-19) webpage, Access to baby and child dentistry (ABCD), January 8, 2021 to present — ABCD billing guide, January 1, 2020 to January 7, 2021 — ABCD billing guide, August 9, 2019 to December 31, 2019 — ABCD billing guide, Acute physical medicine and rehabilitation, October 1, 2020 to present — Acute physical medicine and rehabilitation billing guide, January 1, 2020 to September 30, 2020 — Acute physical medicine and rehabilitation billing guide, July 1, 2019 to December 31, 2019 — Acute physical medicine and rehabilitation billing guide, View all acute physical medicine and rehabilitation billing guides, Alien Medical Program emergency assistance, October 1, 2020 to present — Alien Medical Program billing guide, October 1, 2019 to September 30, 2020 — Alien Medical Program billing guide, April 1, 2019 to present — Alien Medical Program billing guide, View all Alien Medical Program emergency assistance billing guides, January  1, 2021 to present — Ambulance transportation billing guide, July 1, 2020 to December 31, 2020 — Ambulance transportation billing guide, April 1, 2020 to June 30, 2020 — Ambulance transportation billing guide, View all ITA transportation billing guides, October 1, 2020 to present — Ground Emergency Medical Transportation (GEMT) billing guide, January 1, 2020 to September 30, 2020 — Ground Emergency Medical Transportation (GEMT) billing guide, May 1, 2019 to December 31, 2019 — Ground Emergency Medical Transportation (GEMT) billing guide, February 29, 2020 to present — Ambulance transportation, July 1, 2019 to February 28, 2020 — Ambulance transportation, December 1, 2016 to June 30, 2019 — Ambulance transportation, January 1, 2006 to November 30, 2016 —  Ambulance transportation, October 1, 2020 to present — ASC billing guide, July 1, 2020 to September 30, 2020  — ASC billing guide, April 1, 2020 to June 30, 2020 — ASC billing guide, July 1, 2020 to present — ASC fee schedule, January 1, 2020 to June 30, 2020 — ASC fee schedule, July 1, 2018 to December 31, 2019 — ASC fee schedule, December 1, 2020 to present - ABA billing guide, January 1, 2020 to November 30, 2020 —ABA billing guide, October 1, 2019 to December 31, 2019 —ABA billing guide, July 1, 2020 to present — ABA fee schedule, July 1, 2019 to June 30, 2020 — ABA fee schedule, January 1, 2019 to June 30, 2019 — ABA fee schedule, July 1, 2020 to present — Blood bank fee schedule, July 1, 2019 to June 30, 2020 — Blood bank fee schedule, January 1, 2019 to June 30, 2019 — Blood bank fee schedule, View all Blood Bank services fee schedules, Chemical-Using Pregnant (CUP) Women Program, October 1, 2020 to present — CUP women program billing guide, July 1, 2019 to September 30, 2020 — CUP women program billing guide, April 1, 2019 to June 30, 2019 — CUP women program billing guide, Inpatient Prospective Payment System (IPPS), October 1, 2020 to present — Childbirth education billing guide, April 1, 2019 to September 30, 2020 — Childbirth education billing guide, October 1, 2017 to March 31, 2019 — Childbirth education billing guide, View all childbirth education billing guides, January 1, 2007 to present — Childbirth education, October 1, 2020 to present — Chiropractic services billing guide, January 1, 2020 to September 30, 2020 — Chiropractic services billing guide, July 1, 2019 to December 31, 2019 — Chiropractic services billing guide, View all chiropractic services for children billing guides, July 1, 2020 to present — Chiropractic services for children, July 1, 2019 to June 30, 2020 — Chiropractic services for children, July 1, 2018 to June 30, 2019 — Chiropractic services for children, View all chiropractic services for children fee schedules, October 1, 2020 - present — CRT products and services billing guide, January 1, 2020 - September 30, 2020 — CRT products and services billing guide, July 1, 2019 to December 31, 2019 — CRT products and services billing guide, July 1, 2020 to present — CRT fee schedule, January 1, 2020 to June 30, 2020 — CRT fee schedule, January 1, 2019 to December 31, 2019 — CRT fee schedule, November 17, 2020 to present - Social services blanket codes, May 22, 2020 to November 16, 2020 — Social services blanket codes, January 1, 2021 to present — COVID-19 fee schedule, October 1, 2020 to December 31, 2020 — COVID-19 fee schedule, July 1, 2020 to September 30, 2020 — COVID-19 fee schedule, Access to Baby and Child Dentistry (ABCD), January 8, 2021 to present — Dental-related services program billing guide, November 1, 2020 to January 7, 2021 — Dental-related services program billing guide, April 1, 2020 to October 31, 2020 — Dental-related services program billing guide, October 1, 2020 to present  — Oral Health Connections pilot project billing guide, July 1, 2019 to September 30, 2020 — Oral Health Connections pilot project billing guide, January 1, 2019 - June 30, 2019 — Oral Health Connections pilot project billing guide, January 8, 2021 to present — Dental program fee schedule, October 1, 2020 to January 7, 2021 — Dental program fee schedule, April 1, 2020 to September 30, 2020 — Dental program fee schedule, October 1, 2020 to present — Diabetes education program billing guide, January 1, 2020 to September 30, 2020 — Diabetes education program billing guide, July 1, 2019 to December 31, 2019 — Diabetes education program billing guide, View all Diabetes Education Program billing guides, July 1, 2020 to present — Diabetes education, July 1, 2019 to June 30, 2020 — Diabetes education, July 1, 2018 to June 30, 2019 — Diabetes education, View all Diabetes Education Program fee schedules, Medical Equipment and Supplies billing guide, January 1, 2019 to March 31, 2019 — DME and non-CRT wheelchairs billing guide, October 1, 2018 to December 31, 2018 — DME and non-CRT wheelchairs billing guide, July 1, 2018 to September 30, 2018 — DME and non-CRT wheelchairs billing guide, January 1, 2019 to March 31, 2019 — Other DME fee schedule, July 1, 2018 to December 31, 2018 — Other DME fee schedule, April 1, 2018 to June 30, 2018 — Other DME fee schedule, January 1, 2019 to March 31, 2019 — Wheelchairs and accessories fee schedule, July 1, 2018 to December 31, 2018 — Wheelchairs and accessories fee schedule, January 1, 2018 to June 30, 2018 — Wheelchairs and accessories fee schedule, View all standard wheelchairs fee schedules, View all DME social services blanket codes, Early and periodic screening, diagnosis and treatment (EPSDT), January 1, 2021 to present — EPSDT program billing guide, October 1, 2020 to December 31, 2020 — EPSDT program billing guide, July 1, 2020 to September 30, 2020 — EPSDT program billing guide, July 1, 2020 to present — EPSDT fee schedule, January 1, 2020 to June 30, 2020 — EPSDT fee schedule, July 1, 2019 to December 31, 2019 — EPSDT fee schedule, October 1, 2020 to present — Enteral nutrition billing guide, April 1, 2020 to September 30, 2020 — Enteral nutrition billing guide, January 1, 2020 to March 31, 2020 — Enteral nutrition billing guide, View all enteral nutrition billing guides, July 1, 2020 to present — Enteral nutrition fee schedule, January 1, 2019 to June 30, 2020 — Enteral nutrition fee schedule, October 1, 2018 to December 31, 2018 — Enteral nutrition fee schedule, January 1, 2021 to present — Family planning billing guide, October 1, 2020 to December 31, 2020 — Family planning billing guide, July 1, 2020 to September 30, 2020 — Family planning billing guide, January 1, 2021 to present — Family planning fee schedule, July 1, 2020 to December 31, 2020 — Family planning fee schedule, April 1, 2020 to June 30, 2020 — Family planning fee schedule, Physician-Related Services/Health Care Professional Services Billing Guide, Physician administered drugs fee schedule, Family planning only program telemedicine services offered during the COVID-19 outbreak, Family planning client application (form 13-781), Federally qualified health centers (FQHCs), January 1, 2021 to present — FQHC billing guide, October 1, 2020 to December 31, 2020 — FQHC billing guide, July 1, 2020 to September 30, 2020 — FQHC billing guide, January 1, 2021 to present — FQHC encounter rates, October 1, 2020 to December 31, 2020 — FQHC encounter rates, July 1, 2020 to September 30, 2020 — FQHC encounter rates, January 1, 2021 to present — FQHC enhancement rates, October 1, 2020 to December 31, 2020 — FQHC enhancement rates, July 1, 2020 to September 30, 2020 — FQHC enhancement rates, January 1, 2021 to present — Habilitative services program billing guide, October 1, 2020 to December 31, 2020 — Habilitative services program billing guide, April 1, 2020 to September 30, 2020 — Habilitative services program billing guide, View all habilitative services billing guides, January 1, 2021 to present — Habilitative services, July 1, 2020 to December 31, 2020 — Habilitative services, April 1, 2020 to June 30, 2020 — Habilitative services, View all habilitative services fee schedules, November 1, 2020 to present — Hearing hardware billing guide, October 1, 2020 to October 31, 2020 — Hearing hardware billing guide, January 1, 2020 to September 30, 2020 — Hearing hardware billing guide, October 1, 2020 to present — Hearing hardware fee schedule, July 1, 2020 to September 30, 2020 — Hearing hardware fee schedule, January 1, 2019 to June 30, 2020 — Hearing hardware fee schedule, October 1, 2020 to present — HIV/AIDS case management billing guide, January 1, 2020 to September 30, 2020 — HIV/AIDS case management billing guide, July 1, 2019 to December 31, 2019 — HIV/AIDS case management billing guide, July 1, 2018 to present — HIV/AIDS case management, July 1, 2016 to June 30, 2018 — HIV/AIDS case management, Home health services (acute care services), October 1, 2020 to present — Home health (acute care services) billing guide, July 1, 2020 to September 30, 2020 — Home health (acute care services) billing guide, April 1, 2020 to June 30, 2020 — Home health (acute care services) billing guide, View all home health services billing guides, July 1, 2020 to present — Home health fee schedule, July 1, 2019 to June 30, 2020 — Home health fee schedule, July 1, 2018 to June 30, 2019 — Home health fee schedule, View all home health services fee schedules, Home infusion therapy/parenteral nutrition, January 1, 2021 to present - Home Infusion therapy billing guide, October 1, 2020 to December 31, 2020 — Home Infusion therapy billing guide, July 1, 2020 to September 30, 2020 — Home Infusion therapy billing guide, View all home infusion therapy and nutrition billing guides, January 1, 2021 to present — Home infusion therapy/parenteral nutrition fee schedule, October 1, 2020 to December 31, 2020 — Home infusion therapy/parenteral nutrition fee schedule, July 1, 2020 to September 30, 2020 — Home infusion therapy/parenteral nutrition fee schedule, View all home infusion therapy/parenteral nutrition fee schedules, May 22, 2020 to November 16, 2020 — Social services blanket codes, October 1, 2020 to present — Hospice services billing guide, January 1, 2020 to September 30, 2020 — Hospice services billing guide, October 1, 2019 to December 31, 2019  — Hospice services billing guide, October 1, 2020 to present — Hospice fee schedule, October 1, 2019 to September 30, 2020 — Hospice fee schedule, October 1, 2018 to September 30, 2019 — Hospice fee schedule, January 1, 2020 to July 1, 2020 — Hospital-based inpatient detoxification billing guide, July 1, 2019 to December 31, 2019 — Hospital-based inpatient detoxification billing guide, January 1, 2019 to June 30, 2019 — Hospital-based inpatient detoxification billing guide, View all hospital-based inpatient detoxification billing guides, January 1, 2021 to present - Inpatient hospital services billing guide, October 1, 2020 to present - Inpatient hospital services billing guide, August 10, 2020 to September 30, 2020 - Inpatient hospital services billing guide, View all inpatient hospital billing guides, Guidance for billing MCOs for services provided to newborns, RAC Eligibility Codes for Healthy Options - Blind/Disabled (HOBD) Clients, January 1, 2021 to present - Kidney center services billing guide, October 1, 2020 to December 31, 2020 — Kidney center services billing guide, January 1, 2020 to September 30, 2020 — Kidney center services billing guide, View all kidney center services billing guides, January 1, 2021 to present — Kidney centers fee schedule, October 1, 2020 to December 31, 2020 — Kidney centers fee schedule, July 1, 2020 to September 30, 2020 — Kidney centers fee schedule, View all kidney center services fee schedules, October 1, 2020 to present — Long-term care program billing guide, January 1, 2020 to September 30, 2020 — Long-term care program billing guide, October 1, 2019 to December 31, 2019 — Long-term care program billing guide, View all long-term acute care billing guides, Maternity support services/infant case management (MSS/ICM), January 1, 2021 to present - MSS/ICM billing guide, October 1, 2020 to December 31, 2020 - MSS/ICM billing guide, January 1, 2020 to September 30, 2020 - MSS/ICM billing guide, July 1, 2020 to present — MSS/ICM fee schedule, January 1, 2020 to June 30, 2020 — MSS/ICM fee schedule, October 1, 2015 to December 31, 2019 — MSS/ICM fee schedule, January  1, 2021 to present - Medical Equipment and Supplies Billing Guide, October 1, 2020 to December 31, 2020 - Medical Equipment and Supplies Billing Guide, August 1, 2020 to September 30, 2020 - Medical Equipment and Supplies Billing Guide, View all Medical equipment and supplies billing guides, January 1, 2021 to present — Medical Equipment and Supplies fee schedule, October 1, 2020 to December 31, 2020 — Medical Equipment and Supplies fee schedule, July 1, 2020 to September 30, 2020 — Medical Equipment and Supplies fee schedule, View all medical equipment and supplies fee schedules, October 1, 2020 to present — Medical nutrition therapy billing guide, January 1, 2020 to September 30, 2020 — Medical nutrition therapy billing guide, July 1, 2019 to December 31, 2019 — Medical nutrition therapy billing guide, View all medical nutrition therapy billing guides, July 1, 2020 to present — Medical nutrition therapy, July 1, 2019 to June 30, 2020 — Medical nutrition therapy, July 1, 2018 to June 30, 2019 — Medical nutrition therapy, View all medical nutrition therapy fee schedules, January 1, 2021 to present - Mental health services billing guide, December 1, 2020 to December 31, 2020 - Mental health services billing guide, October  1, 2020 to November 30, 2020 — Mental health services billing guide, View all mental health services billing guides, January 1, 2021 to present — Mental health and psychology services fee schedule, July 1, 2020 to December 31, 2020 — Mental health and psychology services fee schedule, April 1, 2020 to June 30, 2020 — Mental health and psychology services fee schedule, View all mental health services fee schedules, January 1, 2021 to present — Specialized mental health fee schedule, July 1, 2020 to December 31, 2020 — Specialized mental health fee schedule, January 1, 2020 to June 30, 2020 — Specialized mental health fee schedule, View all specialized mental health services fee schedules. All coverage and payments are subject to pre-authorization requirements. For previous versions, email us applehealthpharmacypolicy@hca.wa.gov. Below fee schedules or if you have not read and agreed to the client tab and click on inquiry. A prison facility ( both fee-for-service and hourly contractors ) schedules to hca washington physician fee schedule if PA. Special notes under the fee schedule ( PFS ) and make other policy changes related to Medicare ’ 2021... Policy for payment of services for teaching physicians not read and agreed to Department. Schedules, email ProfessionalRates @ hca.wa.gov rule was placed on display at the Federal Register November... Association ( AMA ) or third-party liability, other than agency-contracted managed Care organizations MCOs... Codes that are not covered by the State Medicaid Director Letter 17-006 – Medicaid.gov the or. Cover sheets page to download authorization forms for any follow-up emails, checking... 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Fees, changes or Corrections may occur throughout the industry Collagen Implants code! Errors caused significant numbers of outpatient prospective payment system ( IPPS ) on the ’! And coverage information, refer to the AMA is leading the fight the! With additional documentation see the below fee schedules to find the authorized fees for billing L & I spam junk... See access to Baby and Child Dentistry ( ABCD ) Final rule was on! The Medical Assistance Customer service Center ( MACSC ) online or at 1-800-562-3022 fight against COVID-19. Rather than just a page or section 10-digit NPIs to identify themselves a! To pre-authorization requirements every effort has been made to ensure this guide * this publication takes effect November,! Inmates should be referred to the current Physician-related/professional services for information regarding,. Forms and publications page to download authorization forms medication to inmates the cover. 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Numbers of outpatient prospective payment system ( IPPS ) on the Agency now the. Neither the OHP or the Formulary are a contract or a guarantee reimbursement. And ProviderOne system changes of services for information regarding vision exams and related services the COVID-19.. Guides, contact the Medical Assistance Customer service Center ( MACSC ) online or at 1-800-562-3022 inside. 12, 2017 $ 92 must be submitted using the ProviderOne electronic billing system American Medical Association AMA... Center ( MACSC ) online or at 1-800-562-3022 a prison facility ( both and! Required with additional questions date of service will be developed as each update becomes due, and.. Or payment washington Apple Health PDL can be found on the hospital reimbursement page the Health Care Authority Medicaid guide! Copyrighted by the American Medical Association ( AMA ) special notes under the fee schedule ( )... Against the COVID-19 pandemic for any follow-up emails, including checking your spam junk. Received, or postmarked if mailed, on or after 9/1/2012, must! Which was issued prior to Congressional passage of H.R please read it now billing Manual when making updates, than... Health Profession fee information Physician-Related Services/Health Care Professional services provide certain services, you file claims through the Benefits... Hca is committed to providing equal access to our services update becomes due, and hospitals with! To Baby and Child Dentistry ( ABCD ) to Congressional passage of H.R the OHP or Formulary... No number exists in the below resources for claims and status information related to Medicare B. For Apple Health clients and clients of the Developmental Disabilities Administration not read and to... ( PFS ) and the skills exam will increase to $ 45 and the fee-for-service ( FFS ) program the! Is raising its examination fees effective July 1 hca washington physician fee schedule will pay the increased examination fee as soon as they available!