MedicaidCoverageLow impact
Updated Prosthetic and Orthotic Devices Billing Guide
Washington Apple Health·WA · Orthopedics, PM&R (Physical Medicine & Rehab), Neurology +1 more·Billing Guide
Effective date
Jan 30, 2026
We identified it
Jun 20, 2026
Summary
Washington State Health Care Authority corrected an error in the Prosthetic and Orthotic Devices Billing Guide regarding cranial remolding for torticollis. The policy now correctly states that cranial remolding for torticollis alone is 'not the standard of care' and is not considered medically necessary.
Action Required
Immediately: Review cranial orthosis billing practices to ensure cranial remolding for torticollis alone is not billed as medically necessary. Update any internal documentation or protocols that reference cranial remolding coverage criteria for Washington State Apple Health (Medicaid) patients.