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MedicaidAdministrativeMedium impact

Reentry Billing Guide Update, eff. May 1st 2026

Washington Apple Health·WA · Family Medicine, Internal Medicine, Psychiatry +1 more·Billing Guide
Effective date
May 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Washington State updated the Reentry Services Billing Guide effective May 1, 2026, clarifying how Naloxone (Narcan) is reimbursed by Medicaid, removing provider taxonomy lists for rTCM services, and adding requirements for warm handoff participants. This affects providers serving incarcerated individuals transitioning back to the community.

Action Required

Action needed
Before May 1, 2026: Providers serving reentry populations must review the updated Reentry Services Billing Guide to understand new Naloxone reimbursement procedures and warm handoff participant requirements. Update billing workflows to use the state standing order for Naloxone prescriptions for incarcerated individuals. Reference the 'What has changed' table in the most recent guide for complete implementation details.