MedicaidCoverageMedium impact
Family Planning Billing Guide Updates
Washington Apple Health·WA · Family Medicine, OB-GYN, Internal Medicine·Billing Guide
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Washington State Apple Health (Medicaid) now covers chlamydia/gonorrhea testing retroactive to January 1, 2026, and HPV testing (including self-collection) retroactive to March 1, 2026. The Family Planning Billing Guide has been updated with specific billing codes effective April 1, 2026.
Action Required
By April 1, 2026: Billing team must obtain the updated Family Planning Billing Guide to identify specific codes for newly covered chlamydia/gonorrhea and HPV testing services. Update billing system to allow claims submission for these services with dates of service from January 1, 2026 (chlamydia/gonorrhea) and March 1, 2026 (HPV testing) for Washington Apple Health patients. Review the 'What has changed?' table in the April 1, 2026 guide publication for exact billing codes and requirements.