MedicaidCoverageMedium impact
Attention physicians/health care professionals and home birth and birth center providers
Washington Apple Health·WA · OB-GYN, Family Medicine, General Practice·Provider Alert
Effective date
Jun 11, 2022
We identified it
Jun 20, 2026
Summary
Washington State Health Care Authority updated billing guides for postpartum care, including new billing information for 6-week postpartum office visits and comprehensive postpartum visits. A new After Pregnancy Coverage (APC) program provides 12-month Medicaid extension for recently pregnant clients.
Action Required
By June 11, 2022: Billing team must review updated Physician-Related/Health Care Professional Services Billing Guide and Planned Home Births & Births in Birth Centers Billing Guide for new postpartum visit billing procedures. Update billing system to accommodate new After Pregnancy Coverage (APC) 12-month Medicaid extension for recently pregnant clients. Providers should verify APC eligibility when scheduling postpartum visits.