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Provider billing guides and fee schedules
This page contains billing guides, fee schedules, and additional billing materials to help you submit:
- Prior authorization (PA) for services
- Claims
Notice: Billing guides with dates prior to October 1, 2016, will have broken links. If this occurs, please refer to the most recent guide.
Stay up-to-date with rate and billing changes, and ProviderOne system changes.
Prior authorization (PA)
Before you provide certain services, you will need to submit authorization request forms. 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.
For step-by-step instructions on completing a PA, visit our Prior authorization (PA) page.
Do you need a PA form? Visit our Forms and publications page to download authorization forms.
Claims
After you complete a service, you file claims through the ProviderOne portal. Use the billing guides and fee schedules to find rate information and the ProviderOne Billing and Resource Guide to walk through the claims process.
Do you need a barcode cover sheet? Visit our Document submission cover sheets page to find the barcode cover sheets required with additional documentation.
Billing guides and fee schedules
Use our billing guides and fee schedules to determine if a PA is required and assist in filing claims.
Questions? For questions about billing guides, contact the Medical Assistance Customer Service Center (MACSC) online or at 1-800-562-3022. For questions about rates or fee schedules, email ProfessionalRates@hca.wa.gov.
The following items are found in other guides and no longer listed separately:
- Audiology Program (see Physician-related/professional services)
- Chemical dependency (see Substance Use Disorder Program)
- Children’s mental health services (see Mental health services)
- Injectable drugs (see Professional administered drugs)
- Interpreter services (no billing guide, see our Interpreter services page)
- Occupational Therapy Program& (see Outpatient Rehabilitation Program)
- Oxygen (see Respiratory care)
- Physical Therapy Program (see Outpatient Rehabilitation Program)
- Psychology (see Mental health services)
- Speech/Audiology Program (see Outpatient Rehabilitation Program)
Jump to the first list item for each letter: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Billing guides
- April 1, 2018 - present
- January 1, 2018 - March 31, 2018
- November 3, 2017 - December 31, 2017
- View all ABCD billing guides
Fee schedules
See Dental Program.
Billing guides
- April 1, 2018 - present
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2107
- View all ITA transportation billing guides
Fee schedules
- January 1, 2006 - present (Updated October 4, 2016)
Additional materials
Billing guides
- July 3, 2018 - present
- January 1, 2018 - June 30, 2018
- October 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all ABA billing guides
Fee schedules
- July 1, 2018 - present (Updated June 29, 2018)
- July 1, 2017 - June 30, 2018 (Published June 29, 2017)
- July 1, 2016 - June 30, 2017 (Published June 28, 2016)
- View all ABA fee schedules
Billing guides
Discontinued 4/1/2013. Refer to the current Physician-related/professional services for information regarding blood, blood products, and related services.
Fee schedules
- July 1, 2018 - present (Published June 26, 2018)
- July 1, 2017 - June 30, 2018 (Published June 29, 2017)
- October 1, 2016 - June 30, 2017 (Published September 26, 2016)
- View all Blood Bank services fee schedules
Billing guides
- July 1, 2018 - present
- January 1, 2017 - June 30, 2018
- October 1, 2016 - December 31, 2016
- October 1, 2015 - September 30, 2016
- View all CUP billing guides
Fee schedule (reimbursement/rates)
See Inpatient Prospective Payment System (IPPS) on the Hospital reimbursement page.
Additional information
Billing guides
- October 1, 2017 - present
- January 1, 2017 - September 30, 2017
- October 1, 2016 - December 31, 2016
- View all childbirth education billing guides
Fee schedules
- January 1, 2007 - present (Updated June 23, 2010)
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all chiropractic services for children billing guides
Fee schedules
- July 1, 2018 - present (Published June 26, 2018)
- July 1, 2017 - June 30, 2018(Published June 29, 2017)
- July 1, 2016 - June 30, 2017 (Published June 28, 2016)
- View all chiropractic services for children fee schedules
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all CRT billing guides
Fee schedules
- July 1, 2018 - present (Published July 2, 2018)
- April 1, 2018 - June 30, 2018 (Updated April 12, 2018)
- January 1, 2018 - March 31, 2018 (Updated December 28, 2017)
- View all CRT fee schedules
Additional materials
- Social services supplement (Updated August 7, 2015)
- Social services blanket codes (January 1, 2017 - present)
- Social services blanket codes (August 7, 2015 - December 31, 2016)
Billing guides
Access to Baby and Child Dentistry (ABCD)
See Access to Baby and Child Dentistry (ABCD).
Dental-related services
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- November 3, 2017 - December 31, 2017
- View all dental services billing guides
Fee schedules
- July 1, 2018 - present (Updated July 2, 2018)
- April 1, 2018 - June 30, 2018(Updated May 10, 2018)
- January 1, 2018 - March 31, 2018 (Updated February 26, 2018)
- View all dental services fee schedules
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all Diabetes Education Program billing guides
Fee schedules
- July 1, 2018 - present (Published June 26, 2018)
- July 1, 2017 - June 30, 2018 (Published June 29, 2017)
- July 1, 2016 - June 30, 2017 (Published June 28, 2016)
- View all Diabetes Education Program fee schedules
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all DME billing guides
Fee schedules
Other DME
- July 1, 2018 - present (Published July 2, 2018)
- April 1, 2018 - June 30, 2018 (Published April 6, 2018)
- January 1, 2018 - March 31, 2018 (Published December 29, 2017)
- View all Other DME fee schedules
Standard wheelchairs and accessories
- July 1, 2018 - present (Published July 2, 2018)
- January 1, 2018 - June 30, 2018 (Published January 3, 2018)
- April 1, 2016 - December 31, 2017 (Published March 11, 2016)
- View all standard wheelchairs fee schedules
Additional materials
- Social services supplement ( Updated August 7, 2015)
- Social services blanket codes (April 28, 2017-present)
- Social services blanket codes (January 1, 2017-April 27, 2017)
- Social services blanket codes (August 7, 2015 - December 31, 2016)
Billing guides
- April 1, 2018 - present
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all EPSDT billing guides
Fee schedules
- July 1, 2018 - present (Published June 26, 2018)
- January 1, 2018 - June 30, 2018 (Updated January 3, 2018)
- July 1, 2017 - December 31, 2017 (Published June 29, 2017)
- View all EPSDT fee schedules
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all enteral nutrition billing guides
Fee schedules
- July 1, 2015 - present (Published June 23, 2015)
- January 1, 2015 - June 30, 2015 (Updated March 16, 2015)
- View all enteral nutrition fee schedules
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all family planning billing guides
Fee schedules
- July 1, 2018 - present (Updated July 10, 2018)
- April 1, 2018 - June 30, 2018 (Updated April 20, 2018)
- January 1, 2018 - March 31, 2018 (Updated January 23, 2018)
- View all family planning fee schedules
Additional Materials
- Sterilization Supplemental Billing Guide
- Physician-Related Services/Health Care Professional Services Billing Guide
- Physician administered drugs fee schedule
- Prescription Drug Program Billing Guide
Take Charge
- Take Charge program (family planning non-Medicaid)
- Take Charge provider directory
- Take Charge Client Application (form 13-781)
- Take Charge SSN referral (form 13-823)
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all FQHC billing guides
Encounter rates
- July 1, 2018 - present (Published June 29, 2018)
- April 1, 2018 - June 30, 2018 (Updated June 20, 2018)
- January 1, 2018 - March 31, 2018 (Updated April 23, 2018)
- View all encounter rates
Enhancement rates
- July 1, 2018 - present (Published June 29, 2018)
- April 1, 2018 - June 30, 2018 (Updated May 2, 2018)
- January 1, 2018 - March 31, 2018 (Uploaded January 3, 2018)
- View all enhancement rates
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all habilitative services billing guides
Fee schedules
- July 1, 2018 - present (Published June 26, 2018)
- January 1, 2018 - June 30, 2018 (Updated January 19, 2018)
- July 1, 2017 - December 31, 2017 (Published June 29, 2017)
- View all habilitative services fee schedules
For Apple Health clients age 20 and younger and DDA clients age 21 and older.
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all hearing hardware billing guides
Fee schedules
- January 1, 2018 - present (Published December 27, 2017)
- July 1, 2015 - December 31, 2017 (Published June 23, 2015)
- January 1, 2015 - June 30, 2015 (Published December 22, 2014)
- View all hearing hardware fee schedules
Additional materials
- Social services blanket codes (Updated April 13, 2018)
- Social services blanket codes (Updated April 28, 2017)
- Social services blanket codes (Updated January 1, 2017)
- Social services blanket codes (Updated August 7, 2015)
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all HIV/AIDS program billing guides
Fee schedules
- July 1, 2018 - present (Published June 26, 2018)
- July 1, 2016 - June 30, 2018 (Published June 28, 2016)
- April 1, 2016 - June 30, 2016 (Published March 25, 2016)
- View all HIV/AIDS program fee schedule
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all home health services billing guides
Fee schedules
- July 1, 2018 - present (Published June 29, 2018)
- April 1, 2018 - June 30, 2018 (Published April 2, 2018)
- January 1, 2018 - March 31, 2018 (Published February 15, 2018)
- View all home health services fee schedules
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all home infusion therapy and nutrition billing guides
Fee schedules
- January 1, 2018 - present (Published December 29, 2017)
- July 1, 2017 - December 31, 2017 (Updated July 31, 2017)
- January 1, 2017 - June 30, 2017 (Published July, 31, 2017
- View all home infusion therapy and nutrition fee schedules
Additional materials
- Social services supplement (Updated August 7, 2015)
- Social services blanket codes (January 1, 2017 - present)
- Social services billing codes (Updated August 7, 2015)
Billing guides
- May 1, 2018 - present
- October 1, 2017 - April 30, 2018
- July 1, 2017 - September 30, 2017
- View all hospice billing guides
Fee schedules
- October 1, 2017 - present (Published October 2, 2017)
- October 1, 2016 - September 30, 2017 (Published September 21, 2016)
- January 1, 2016 - September 30, 2016 (Published August 18, 2016)
- View all hospice fee schedules
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all inpatient hospital billing guides
Fee schedule (reimbursement/rates)
See Inpatient Prospective Payment System (IPPS) on the Hospital reimbursement page.
Additional information
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all kidney center services billing guides
Fee schedules
- July 1, 2018 - Present (Updated June 27, 2018)
- April 1, 2018 - June 30, 2018(Published March 19, 2018)
- January 1, 2018 - March 31, 2018 (Published December 19, 2017)
- View all kidney center services fee schedules
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- December 18, 2017 - December 31, 2017
- View all MSS/ICM billing guides
Fee schedules
- October 1, 2015 - present (Published October 7, 2015)
- July 1, 2015 - September 30, 2015 (Published June 15, 2015)
- View all MSS/ICM fee schedules
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all medical nutrition therapy billing guides
Fee schedules
- July 1, 2018 - present (Published June 26, 2018)
- July 1, 2017 - June 30, 2018 (Published June 29, 2017)
- July 1, 2016 - June 30, 2017 (Published June 28, 2016)
- View all medical nutrition therapy fee schedules
Additional materials
- Social services supplement (Updated January 1, 2017)
- Social services supplement (Updated August 7, 2015)
- Social services blanket codes (April 28, 2017-present)
- Social services blanket codes (January 1, 2017 - April 27, 2017)
- Social services billing codes (August 7, 2015-December 31, 2016)
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all mental health services billing guides
Fee schedules
Mental health services
- July 1, 2018 - present (Published June 26, 2018)
- January 1, 2018 - June 30, 2018 (Updated December 29, 2017)
- July 1, 2017 - December 31, 2017 (Published June 29, 2017)
- View all mental health services fee schedules
Specialized mental health services
- July 1, 2018 - present (Published June 29, 2018)
- January 1, 2018 - June 30, 2018 (Published December 27, 2017)
- July 1, 2017 - December 31, 2017 (Published June 29, 2017)
Billing guides
- July 1, 2018 - present
- January 1, 2017 - June 30, 2018
- October 1, 2016 - December 31, 2016
- October 1, 2015 - September 30, 2016
- View all neurodevelopmental centers billing guides
Fee schedules
- July 1, 2018 - present (Published June 29, 2018)
- January 1, 2018 - June 30, 2018 (Updated January 19, 2018)
- July 1, 2017 - December 31, 2017 (Published June 29, 2017)
- View all neurodevelopmental centers fee schedules
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all nondurable medical supplies and equipment billing guides
Fee schedules
- January 1, 2018 - present (Published December 29, 2017)
- January 1, 2017 - December 31, 2017 (Published December 28, 2016)
- April 1, 2016 - December 31, 2016 (Updated July 8, 2016)
- View all nondurable medical supplies and equipment fee schedules
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all nursing facilities billing guides
Additional information
Billing guides
- July 1, 2018 - present
- April 26, 2018 - June 30, 2018
- April 1, 2018 - April 25, 2018
- January 1, 2018 - March 31, 2018
- View all outpatient billing guides
Fee schedules
- July 1, 2018 - present (Updated July 11, 2018)
- April 1, 2018 - June 30, 2018 (Updated April 24, 2018)
- January 1, 2018 - March 31, 2018 (Updated February 12, 2018)
- View all outpatient fee schedules
Additional information
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- August 14, 2017 - September 30, 2017
- View all Outpatient Rehabilitation Program billing guides
Fee schedules
- July 1, 2018 - present (Published June 29, 2018)
- January 1, 2018 - June 30, 2018 (Updated January 19, 2018)
- July 1, 2017 - December 31, 2017 (Published June 29, 2017)
- View all Outpatient Rehabilitation Program fee schedules
Additional materials
- Social services supplement (Updated January 1, 2017)
- Social services supplement (Updated August 7, 2015)
- Social services blanket codes (April 28, 2017-present)
- Social services blanket codes(January 1, 2017 - April 27, 2017)
- Social services blanket codes (August 7, 2015 - December 31, 2016)
Fee schedules
- July 1, 2018 - Present (Published June 21, 2018)
- January 1, 2018 - June 30, 2018 (Updated March 14, 2018)
- October 1, 2017 - December 31, 2017 (Published March 14, 2018)
- View all pharmacy special services fee schedules
Billing guides
- July 1, 2018 - present
- May 1, 2018 - June 30, 2018
- April 15, 2018 - April 30, 2018
- March 1, 2018 - April 14, 2018
- View all physician-related/professional services billing guides
Fee schedules
- July 1, 2018 - present (Updated July 19, 2018)
- April 1, 2018 - June 30, 2018 (Updated April 16, 2018)
- January 1, 2018 - March 31, 2018 (Updated March 9, 2018)
- View all physician-related/professional services fee schedules
Audiology services fee schedules (Prior to January 1, 2017)
- July 1, 2016 - December 31, 2016 (Updated July 21, 2016)
- April 1, 2016 - June 30, 2016 (Published April 27, 2016)
- View all Audiology Program fee schedules
Conversion factors
- July 1, 2018 - present (Published June 29, 2018)
- July 1, 2017 - June 30, 2018 (Published June 29, 2017)
- July 1, 2016 - June 30, 2017
- View all conversion factors
Additional materials
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all planned home births billing guides
Fee schedules
- July 1, 2018 - present (Published June 29, 2018)
- March 1, 2018 - June 30, 2018 (Published February 15, 2018)
- July 1, 2017 - February 28, 2018 (Updated July 18, 2017)
- View all planned home births fee schedules
Billing guides
(Effective October 1, 2015 this guide was merged into the physician-related services/health care professional services billing guide. See Physician-related/professional services.)
Previous prenatal diagnosis genetic counseling billing guides
- April 1, 2014 - September 30, 2015
- March 8, 2013 - March 31, 2014
- July 1, 2011 - March 7, 2013
- May 9, 2010 - June 30, 2011
- January 1, 2007 - May 8, 2010
Fee schedules
- July 1, 2017 - present (Published June 29, 2017)
- July 1, 2016 - June 30, 2017 (Published June 28, 2016)
- July 1, 2015 - June 30, 2016 (Posted March 25, 2016)
- View all prenatal diagnosis genetic counseling fee schedules
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- March 1, 2018 - March 31, 2018
- January 19, 2018 - February 28, 2018
- View all billing guides
Apple Health (Medicaid) expedited authorization (EA) lists
- July 1, 2018 - present
- February 1, 2018 - June 30, 2018
- January 1, 2018 - January 31, 2018
- November 1, 2017 - December 31, 2017
- View all EA lists
For previous versions, email us applehealthpharmacypolicy@hca.wa.gov.
Apple Health (Medicaid) preferred drug lists (PDLs)
Managed care plans
Fee-for-service (FFS)
- July 1, 2018 - present
- January 10, 2018 - June 30, 2018
- January 1, 2018 - January 9, 2018
- November 1, 2017 - December 31, 2017
- View all FFS PDLs
For previous versions, email us applehealthpharmacypolicy@hca.wa.gov.
FFS state maximum allowable cost (SMAC) list
To request an FFS change in reimbursement
Download thePharmacy Information Authorization form (13-835A). Fax the request to: 866-668-1214.
For children
Billing guides
- July 1, 2018 - present
- October 1, 2017 - June 30, 2018
- July 1, 2017 - September 30, 2017
- January 1, 2017 - June 30, 2017
- View all private duty nursing for children billing guides
Fee schedules
- July 1, 2016 - present (Published June 22, 2016)
- July 1, 2007 - June 30, 2016 (Updated June 23, 2010)
Additional materials
For adults
- Social services supplement for adults (Published January 1, 2017)
- Social services supplement for adults (Published January 15, 2015)
Fee schedules
- July 1, 2018 - present (Published July 2, 2018)
- April 1, 2018 - June 30, 2018 (Updated May 15, 2018)
- January 1, 2018 - March 31, 2018 (Updated March 6, 2018)
- View all professional administered drugs fee schedules
Fee schedules (prior to July 1, 2016)
- April 1, 2016 - June 30, 2016 (Published March 25, 2016)
- January 1, 2016 - March 31, 2016 (Updated February 12, 2016)
- View all injectables fee schedules
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all prosthetic and orthotics billing guides
Fee schedules
- July 1, 2018 - present (Published June 29, 2018)
- April 1, 2018 - June 30, 2018(Published April 2, 2018)
- October 1, 2017 - March 31, 2018 (Published September 26, 2017)
- View all prosthetic and orthotics fee schedules
Additional materials
- Social services supplement (Updated August 7, 2015)
- Social services blanket codes (January 1, 2017 - present)
- Social services billing codes (Updated August 7, 2015)
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all respiratory care billing guides
Fee schedules
- July 1, 2018 - present (Published June 29, 2018)
- January 1, 2018 - June 30, 2018 (Updated January 4, 2018)
- January 1, 2017 - December 31, 2017 (Updated March 20, 2017)
- View all respiratory care fee schedules
Additional materials
- Social services supplement (Updated August 7, 2015)
- Social services blanket codes (January 1, 2017 - present)
- Social services billing codes (Updated August 7, 2015)
Billing guides
- July 1, 2018 - present
- April 1, 2018 - June 30, 2018
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all RHC billing guides
Encounter rates
- July 1, 2018 - present (Published June 29, 2018)
- April 1, 2018 - June 30, 2018 (Updated June 19, 2018)
- January 1, 2018 - March 31, 2018 (Updated March 21, 2018)
- View all encounter rates
Enhancement rates
- July 1, 2018 - present (Published June 29, 2018)
- January 1, 2018 - June 30, 2018 (Uploaded January 3, 2018)
- October 1, 2017 - December 31, 2017
- View all enhancement rates
Billing guides
- January 1, 2018 - present
- January 1, 2017 - December 31, 2017
- October 1, 2016 - December 31, 2016
- View all SBHS billing guides
Fee schedules
- July 1, 2018 - present (Updated July 11, 2018)
- January 1, 2018 - June 30, 2018 (Published December 27, 2017)
- July 1, 2017 - December 31, 2017 (Published June 29, 2017)
- View all SBHS fee schedules
Billing guides
- January 1, 2018 - present
- October 1, 2017 - December 31, 2017
- July 1, 2017 - September 30, 2017
- View all sterilization billing guides
Fee schedules
See Physician-related/professional services
Additional materials
Billing guides
- July 1, 2018 - present
(Fee-for-service benefits provided outside of the BHO process) - April 1, 2018 - June 30, 2018
(Fee-for-service benefits provided outside of the BHO process) - January 1, 2018 - March 31, 2108
(Fee-for-service benefits provided outside of the BHO process) - October 1, 207 - December 31, 2017
(Fee-for-service benefits provided outside of the BHO process) - View all SUD (FFS outside BHO process) billing guides
- View all SUD (outpatient) billing guides
Fee schedules
- July 1, 2018 - present (Published June 29, 2018)
- July 1, 2017 - June 30, 2018 (Published June 29, 2017)
- April 1, 2016 - June 30, 2017 (Updated June 13, 2016)
Fee schedules (prior to July 1, 2015)
- July 1, 2014 - March 31, 2015 (Published June 26, 2014)
- July 1, 2013 - June 30, 2014 (Published July 1, 2013)
Billing guides
- April 1, 2018 - present
- January 1, 2018 - March 31, 2018
- October 1, 2017 - December 31, 2017
- View all Tribal Health Program billing guides
Fee schedules
- July 1, 2018 - present (Updated July 18, 2018)
- January 1, 2018 - June 30, 2018 (Published December 31, 2017)
Billing guides
- July 1, 2018 - present
- January 1, 2018 - June 30, 2018
- October 1, 2017 - December 31, 2017
- July 30, 2017 - September 30, 2017
- View all vision hardware billing guides
Fee schedules
See Physician-related/professional services for information regarding vision exams and related services.
Vision hardware fee schedule is available through the ESD contract.
Contact
For fee schedule and rate questions
Email: ProfessionalRates@hca.wa.gov
For all other provider questions
Medical Assistance Customer Service Center (MACSC)
Online: Web form
Phone: 1-800-562-3022
