Individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage - and those accessing behavioral health services - will not experience a disruption in care due to the federal government shutdown. In addition, health care providers will continue to be paid for the services they provide. We will continue to monitor the situation closely and share updates if anything changes.
Emails relevant to rules, Medicaid provider guides, and policies.
| Date | Provider Alert |
|---|---|
| 01/09/2025 | MES and CRT – removal of prior authorization for certain HCPCS codes |
| 01/21/2025 | Applied Behavior Analysis (ABA) billing guide updates – Effective February 1, 2025 |
| 01/28/2025 | Enhanced payments for trauma care |
| 01/29/2025 | Home Health providers – Electronic Visit Verification (EVV) update |
| 02/19/2025 | Kidney Center Services Billing Guide, Effective 02/19/2025 |
| 02/28/2025 | Birth doula billing guide updates eff. February 28, 2025 |
| 02/28/2025 | Physicians billing guide updates |
| 03/10/2025 | New taxonomies for licensed mental health associates |
| 03/20/2025 | Quarterly Billing Guide Updates, Effective 4/1/2025 |
| 03/20/2025 | Medical Equipment and Supplies – Compression garments and bathroom equipment |
| 03/28/2025 | Apple Health (Medicaid) Physical Health Audio-Only Procedure Code List update for April 1, 2025 |
| 04/04/2025 | Home Health Providers – Electronic Visit Verification (EVV) Update |
| 04/10/2025 | PM&R and LTAC prior authorization (PA) requests |
| 04/10/2025 | New Community Health Worker (CHW) Services Billing Guide |
| 04/23/2025 | Reminder EPSDT Well-Child Program billing requirements take effect July 1, 2025 |
| 04/24/2025 | New Reentry Targeted Case Management (rTCM) Billing Guide, eff. July 1, 2025 |
| 04/25/2025 | Home Health Providers – Electronic Visit Verification (EVV) Webinar Update |
| 05/15/2025 |
Apple Health (Medicaid) Physical Health Audio-Only Procedure Code List update for May 1, 2025 |
| 05/20/2025 |
Medical Equipment and Supplies – Discontinued DME email inbox, effective June 1, 2025 |
| 05/22/2025 |
Discontinued EPA Number 870 for Evidence-Based Practice; effective July 1, 2025 |
| 06/03/2025 |
Reminder - PM&R and LTAC prior authorization (PA) requests |
| 06/16/2025 |
Community Health Worker (CHW) Services Billing Guide updates, Eff 7/1/2025 |
| 06/16/2025 |
Quarterly Billing Guide Updates, Effective 7/1/2025 |
| 06/17/2025 | EPSDT billing guide reminder |
| 06/25/2025 | Final reminder EPSDT Well-child program billing requirements take effect 7/1/25 |
| 06/26/2025 | Changes to Apple Health (Medicaid) Audio-Only Procedure Code Lists, eff. 7/1/25 |
| 07/01/2025 | Apple Health recognizes certified anesthesiologist assistants as servicing providers, effective July 1, 2025 |
| 07/23/2025 | Hospital ancillary services |
| 08/19/2025 | Interpreter Services Billing Guide update eff August 15, 2025 |
| 08/27/2025 | Hospice Services Billing Guide Update, Effective September 1, 2025 |
| 09/03/2025 | Private Duty Nursing - Overtime clarification |
| 09/22/2025 | Quarterly Billing Guide Updates, Effective 10/1/2025 |
| 09/26/2025 | New Health-Related Social Needs (HRSN) Services Billing Guide effective 10/1/2025 |
| 10/1/2025 | New Reentry Services Billing Guide, eff. October 1, 2025 |
| 10/2/2025 |
EPSDT Well-Child Program Name Change, Effective 10-1-25 |
