The Health Care Authority sent the following alert to dental Medicaid providers.
Apple Health (Medicaid) Provider Alert
Attention provider:
The Health Care Authority (HCA) revised the Apple Health (Medicaid) clinical policy and billing for COVID-19 Frequently Asked Questions.
What changed?
The following changes were made:
- Clarified billing requirements for providers who usually receive an enhanced rate for services.
- Added billing for services provided via email to HCPCS code G2012.
- Expanded the services allowed to be billed with GE modifier to include CPT® codes 99421-23, 99441-43, and HCPCS code G2012.
- Added CPT code 86413 SARS-CoV2/COVID-19 antibody, quantitative to the list.
- Ended coverage of CPT code 99001 for drive up/drive through COVID-19 specimen collection, effective 10/15/2020. Added HCPCS codes G2023, G2024, and C9803 to align with Medicare when billing for specimen collection.
- Added information that aligns with CMS guidance regarding payment for counseling patients at the time of the COVID-19 testing.