MedicaidAdministrativeHigh impact

Ambulatory Surgery Center (ASC) providers

Q: Who is affected by this change?

This affects Washington Apple Health General Surgery, Orthopedics, Ophthalmology, ENT (Ear, Nose & Throat), Urology, OB-GYN +3 more providers in WA on Medicaid plans.

Washington Apple Health·WA · General Surgery, Orthopedics, Ophthalmology +6 more·Provider Alert

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Washington State Medicaid (Apple Health) requires Ambulatory Surgery Centers to use specific taxonomy code 261QA1903X on claims to receive facility payments. ASCs must be enrolled with HCA and use this taxonomy to be eligible for reimbursement.

Action Required

Action needed

Immediately: ASC billing teams must verify taxonomy code 261QA1903X is being used on all Apple Health (Medicaid) facility claims. Update billing system settings to ensure this taxonomy is applied to ASC claims. Verify ASC enrollment status with HCA. Claims without proper taxonomy will not receive facility payment.

Related policy hubs

Washington Apple Health policies WA policy changes General Surgery Orthopedics Ophthalmology ENT (Ear, Nose & Throat)Urology OB-GYN Plastic Surgery Gastroenterology Pain Management