Did you know?

Provider billing guides and fee schedules | Washington State Health Care Authority. This page contains billing guides, fee schedules, and additional billing materials to help providers find the codes they need to submit prior authorization (PA) for services and billing claims.About this guide*. This publication takes effect January 1, 2021, and supersedes earlier billing guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562-3022.Billing Guide August 1, 2022 . CPT® codes and descriptions only are copyright 2021 American Medical Association. 2 | Rural Health Clinics Billing Guide Disclaimer Every effort has been made to ensure this guide’s accuracy. If an actual or apparent conflict between this document and a Health Care Authority (HCA) rule arises, the HCA rule applies. …Step 1. Verify the patient's eligibility for Apple Health. For detailed instructions on verifying a patient's eligibility for Apple Health, see the Client Eligibility, Benefit Packages, and Coverage Limits section in HCA's ProviderOne Billing and Resource Guide. If the patient is eligible for Apple Health, proceed to Step 2.recent guide, please notify us at [email protected]. About this guide* This publication takes effect October 1, 2023, and supersedes earlier billing guides to this program. Unless otherwise specified, the program(s) in this guide are governed by the rules found in Chapter 182-531A WAC. HCA is committed to providing equal access to our ...Each claim for inpatient psychiatric care must include an authorization number or, for fee-for-service clients, an EPA number. Hospitals must bill a new claim and use the appropriate EPA number depending on voluntary or involuntary status. Refer to HCA's Mental Health Services Billing Guide for program specifics.Dental-Related Services. 2. About this guide. ∗. This publication takes effect April 1, 2020, and supersedes earlier billing guides to this program. The Health Care Authority (agency) is committed to providing equal access to our services. If you need an accommodation or require documents in another format, call 1-800-562-3022.HCA's Physician Related Services Billing Guide; HCA's Emergency Covid-19 Fee Schedule; In response to the COVID-19 pandemic, the HCA has purchased a limited number of licenses for Zoom, a video conferencing technology that helps health care providers continue seeing patients without a physical encounter. See HCA's Zoom License Request page for ...August 1, 2022, and supersedes earlier billing guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562- 3022. People who have hearing or speech disabilities, please call 711 for relay services.2 | RESPIRATORY CARE BILLING GUIDE Disclaimer Every effort has been made to ensure this guide's accuracy. If an actual or apparent conflict between this document and anHCA rule arises, the HCA rule applies. Billing guides are updated on a regular basis. Due to the nature of content change on the internet, we do not fix broken links in past ...HCA covers orthodontics for children with cleft lip or palates or severe handicapping malocclusions. HCA reviews all requests for orthodontic treatment or orthodontic-related services for clients who are eligible for services under the EPSDT program (WAC 182-534-0100). See HCA’s Orthodontic Services Billing Guide.Step 1. Step 2. Verify the patient's eligibility for Apple Health. For detailed instructions on verifying a patient's eligibility for Apple Health, see the Client Eligibility, Benefit Packages, and Coverage Limits section in HCA's ProviderOne Billing and Resource Guide. If the patient is eligible for Apple Health, proceed to Step 2.Step 1. Step 2. Verify the patient's eligibility for Apple Health. For detailed instructions on verifying a patient's eligibility for Apple Health, see the Client Eligibility, Benefit Packages, and Coverage Limits section in HCA's ProviderOne Billing and Resource Guide. If the patient is eligible for Apple Health, proceed to Step 2.About this guide*. This publication takes effect January 1, 2022, and supersedes earlier billing guides to this program. The Health Care Authority is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562-3022.This guide provides information on how to bill for physician-related services provided to Apple Health clients in Washington state. It covers topics such as provider eligibility, client eligibility, coverage, billing codes, and documentation requirements.Each claim for inpatient psychiatric care must include an authorization number or, for fee-for-service clients, an EPA number. Hospitals must bill a new claim and use the appropriate EPA number depending on voluntary or involuntary status. Refer to HCA’s Mental Health Services Billing Guide for program specifics.Search hca.wa.gov. Search. Header - Toolbar - Top. In a crisis? Login. Apple Health accounts; Benefits 24/7; ProviderOne; HCA employees; ... ProviderOne Billing & Resource Guide; User manuals; ProviderOne for social services ; Fact sheets; Webinars; About HCA. Programs & initiatives. A-H. Apple Health (Medicaid)About this guide*. This publication takes effect July 1, 2022, and supersedes earlier billing guides to this program. Unless otherwise specified, the program in this guide is governed by the rules found in WAC 182-546-0510 through 182-546-0545. HCA is committed to providing equal access to our services.section in HCA's Physician-related services/Health care professional services billing guide. Hospital - A facility licensed under chapter 70.41, 71.12, or 72.23 RCW. In person - The client and the provider are in the same location. Medicaid agency. or . agency - The Washington State Health Care Authority. Medically necessary - See ...Treasury bills are issued by the U.S. Treasury as short-term debt instruments. Treasury bills are auctioned every week by the Treasury and there is a very large secondary market fo...

HCA requires providers to list the 11-digit National Drug Code (NDC) number in the appropriate field of the claim when billing for all drugs administered in or dispensed from their office or clinic.Billing Guide Connection Codes Modifier Description EPA # EPA Criteria Expedited Prior Authorization Inventory 4 . ACCESS TO BABY AND CHILD DENTISTRY ... (HCA 13-680) completed and signed by: The emergency personnel and the client, OR The County Medical Program Director A0428 Emergency groundStep 1. Verify the patient’s eligibility for Apple Health. For detailed instructions on verifying a patient’s eligibility for Apple Health, see the Client Eligibility, Benefit Packages, and Coverage Limits section in HCA’s ProviderOne Billing and Resource Guide. If the patient is eligible for Apple Health, proceed to Step 2.About this guide*. This publication takes effect April 1, 2024, and supersedes earlier billing guides to this program. The Health Care Authority is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562-3022.Apr 1, 2024 · About this guide*. This publication takes effect April 1, 2024, and supersedes earlier billing guides to this program. The Health Care Authority is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562-3022.

HCA covers freestanding evaluation and treatment services provided by Community Mental Health Centers that are eligible to bill for specialized mental health services under this section of the billing guide.Substance Use Disorder (SUD) Billing Guide. Step 2. Verify service coverage under the Apple Health client’s benefit package. To deter-mine if the requested service is a covered benefit under the Apple Health client’s bene-fit package, see HCA’s Program Benefit Packages and Scope of Services webpage. Note:About this guide ∗. This publication takes effect January 1, 2018, and supersedes earlier guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562-3022. People who have hearing or speech disabilities, please call 711 for relay ...…

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. By visiting the Washington Healthplanfinde. Possible cause: HCA Document 19-0035, 4/1/2022 Table of Contents IMC Service Encounter Reporting In.