MedicaidAdministrativeMedium impact
New EPSDT Billing Guide published, including new section on stand-alone vaccine counseling
Washington Apple Health·WA · Pediatrics, Family Medicine·Billing Guide
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Washington State Health Care Authority has published a revised EPSDT Billing Guide effective July 1, 2022, which includes a new section on billing for stand-alone vaccine counseling services. The guide also contains updated information on developmental screening, anticipatory guidance, and referral processes for pediatric providers serving Medicaid patients.
Action Required
By July 1, 2022: Pediatric providers and billing staff must review the updated EPSDT Billing Guide, particularly the new stand-alone vaccine counseling billing section. Update billing procedures and staff training to reflect new guidance on developmental screening documentation and anticipatory guidance requirements. Access the revised guide at the Provider billing guides and fee schedules webpage.