MedicaidAdministrativeMedium impact
Updated Rural Health Clinics (RHC) Billing Guide
Washington Apple Health·WA · Family Medicine, Internal Medicine, General Practice·Billing Guide
Effective date
Jan 24, 2026
We identified it
Jun 20, 2026
Summary
Washington State Health Care Authority updated the Rural Health Clinics (RHC) Billing Guide effective January 24, 2026, aligning with changes to three Washington Administrative Code (WAC) sections covering definitions, reimbursement, limitations, and scope of service rate adjustments. This affects billing for Apple Health (Medicaid) claims at Rural Health Clinics.
Action Required
Immediately: Billing teams at Rural Health Clinics must download and review the updated RHC Billing Guide from the HCA Provider billing guides and fee schedules page. Review the 'What has changed' table in the January 24, 2026 publication for specific updates to definitions, reimbursement rates, limitations, and scope of service rate adjustments that affect Apple Health (Medicaid) claims.