Apple Health Medicaid Billing Guidelines

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Provider billing guides and fee schedules Washington State …

(Just Now) WEBThis 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. Apple Health Medicare Connect; Hospital Presumptive Eligibility; Medicaid …

https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules

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Apple Health (Medicaid) clinical policy and billing for COVID-19

(7 days ago) WEBIn response to the COVID-19 pandemic, the Health Care Authority (HCA) and the Apple Health (Medicaid) managed care organizations are allowing the use of a …

https://www.hca.wa.gov/assets/billers-and-providers/apple-health-clinical-policy-and-billing-COVID19-faq-20220201.pdf

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Physician-Related Services/Health Care Professional Services …

(8 days ago) WEBWashington Apple Health (Medicaid) Physician-Related Services/Health Care Professional Services . April 1, 2023

https://www.dev.hca.wa.gov/assets/billers-and-providers/Physician-related-services-bg-20230401.pdf

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Apple Health (Medicaid) clinical policy and billing for

(5 days ago) WEBIn this time of the COVID-19 pandemic, the Health Care Authority is aware that usual and customary ways of providing and billing/reporting services may not be …

https://www.staging.hca.wa.gov/assets/billers-and-providers/apple-health-clinical-policy-and-billing-COVID19-faq-20200501.pdf

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Outpatient Hospital Services Billing Guide - Washington

(5 days ago) WEBStep 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, …

https://www.staging.hca.wa.gov/assets/billers-and-providers/outpatient-hospital-bg-20220401.pdf

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EPSDT Program Billing Guide

(1 days ago) WEBStep 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, …

https://www.staging.hca.wa.gov/assets/billers-and-providers/EPSDT-bg-20210101.pdf

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Provider Manual - Molina Healthcare

(8 days ago) WEBApple Health (Medicaid) 2022 The Provider Manual is customarily updated annually but may be updated more frequently as policies or regulatory requirements …

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/manual/2022-Medicaid-Provider-Manual.pdf

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Health Care Authority - Apple Health (Medicaid) Manual DSHS

(4 days ago) WEBHealth Care Authority - Apple Health (Medicaid) Manual. Revised December 11, 2014. Due to implementation of the Affordable Care Act (ACA), medical WAC’s and clarifying …

https://www.dshs.wa.gov/esa/eligibility-z-manual-ea-z/health-care-authority-apple-health-medicaid-manual

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PROVIDER MANUAL Molina Healthcare of Washington Apple …

(8 days ago) WEBNational Provider Identifier (NPI) HCA Billing and Non -Billing Enrollment Requirements . Per federal regulation (42.C.F.R. 455.410(b)) providers who have a contract with the …

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/manual/2021-Medicaid-Provider-Manual.pdf

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Apple Health (Medicaid) COVID-19 vaccine clinical policy

(9 days ago) WEBThe vaccines and vaccine administration codes listed in the table below, are covered by Apple Health (Medicaid). HCA is now allowing template billing for COVID-19 mass …

https://www.hca.wa.gov/assets/billers-and-providers/apple-health-covid-vaccine-policy.pdf

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Molina Healthcare Provider Manual Apple Health (Medicaid) …

(2 days ago) WEBMolina’s Health Management programs will be incorporated into the Member’s treatment plan to address the Member’s health care needs. Phone: (866) 891-2320 . Behavioral …

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/manual/2023WAMedicaidProviderManual_508c.pdf

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Apple Health (Medicaid) UnitedHealthcare Community Plan

(3 days ago) WEBMedicaid. Our plan offers a range of physical and behavioral health benefits. View the benefits below to see all that it offers. It's for people who meet income and eligibility …

https://www.uhc.com/communityplan/washington/plans/medicaid/imc

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Department of Health Primary Care and Rural Health Federally

(7 days ago) WEBFederally Qualified Health Centers (FQHCs) New Jersey’s Federally Qualified Health Centers (FQHCs) deliver high quality health care to all people …

https://www.nj.gov/health/fhs/primarycare/fqhc/

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Qualified Medicare Beneficiary (QMB) Program CMS

(9 days ago) WEB09/06/2023 04:57 PM. Help with File Formats and Plug-Ins. SPOTLIGHT & RELEASES The Qualified Medicare Beneficiary (QMB) program provides Medicare …

https://www.cms.gov/medicare/medicaid-coordination/qualified-medicare-beneficiary-program

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Incident-to and Shared Services: Demystifying Billing for Care

(5 days ago) WEB• The NPC must be enrolled in Medicare, whether billing directly or incident to the physician, according to U.S. Department of Health and Human Services guidance. 1 …

https://www.aafp.org/pubs/fpm/issues/2024/0500/shared-services-billing.html

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Apple Health (Medicaid) home health services billing and …

(1 days ago) WEBApple Health (Medicaid) FAQ for home health providers during the COVID-19 pandemic ***Effective 10/1/2023—See changes in red font*** The Health Care …

https://www.staging.hca.wa.gov/assets/billers-and-providers/apple-health-home-health-faq-20230701.pdf

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Financial Assistance Policy Hackensack Meridian Health

(1 days ago) WEBSelf-Pay after Medicare (patient responsibility as defined by Medicare). For those patients without insurance a statement is mailed approximately four days after discharge or date …

https://www.hackensackmeridianhealth.org/en/pay-bill/financial-assistance/financial-assistance-policy

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Apple Health (Medicaid) telemedicine & telehealth brief

(6 days ago) WEBIntroduction. In response to the COVID-19 pandemic, the Health Care Authority (HCA) and the Apple Health (Medicaid) managed care organizations are allowing the use of a …

https://www.hca.wa.gov/assets/billers-and-providers/apple-health-telemedicine-telehealth-brief-COVID19.pdf

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New billing policies posted to the Provider Manual - Priority Health

(3 days ago) WEBAddition: Billing and coding guidelines that align with CMS. Evaluation and management (E/M) policy: All plans: N/A - standard billing practices that are already …

https://www.priorityhealth.com/provider/manual/news/billing-and-payment/05-06-2024-new-billing-policies-posted-to-the-provider-manual

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Apple Health (Medicaid) Washington - Molina Healthcare

(5 days ago) WEBApple Health (Medicaid) Molina Healthcare's Apple Health (Medicaid) health plan covers all your physical and behavioral health (mental health and …

https://www.molinahealthcare.com/members/wa/en-us/hp/medicaid/medicaid.aspx

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NEW YORK STATE MEDICAID OBSTETRICAL DELIVERIES PRIOR …

(8 days ago) WEBInsurance Programs at (518) 473-2160. Policy questions regarding Medicaid FFS may be directed to the Office of Health Insurance Programs (OHIP), Division of Program …

https://www.emedny.org/ProviderManuals/communications/OBSTETRICAL_DELIVERIES_PRIOR_TO_39_WEEKS_GESTATION.pdf

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Mental Health Services Billing Guide - Washington State …

(3 days ago) WEBWashington Apple Health (Medicaid) Mental Health Services Billing Guide . January 1, 2024 . CPT® codes and descriptions only are copyright 2023 American …

https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-20240101.pdf

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Medicaid Program; Medicaid and Children's Health Insurance …

(1 days ago) WEBCenters for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: Final rule. SUMMARY: This final rule will advance …

https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance

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EPSDT Program Billing Guide - Washington

(1 days ago) WEBStep 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 …

https://www.staging.hca.wa.gov/assets/billers-and-providers/EPSDT-bg-20220701.pdf

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Apple Health (Medicaid) Behavioral Health Policy and Billing

(8 days ago) WEBApple Health (Medicaid) policies require usage of the appropriate audio-only modifiers (93 or FQ). Information related to specific service areas and billing guidelines …

https://www.hca.wa.gov/assets/billers-and-providers/behavioral-health-policy-and-billing-telemedicine-faq-20230907.pdf

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