MedicaidAdministrativeMedium impact
Updated January 1, 2026 Complex Rehabilitation Technology (CRT) and Prosthetics & Orthotics (P&O) Billing Guides
Washington Apple Health·WA · PM&R (Physical Medicine & Rehab), Orthopedics, Physical Therapy·Provider Alert
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Washington State Medicaid updated billing guides for Complex Rehabilitation Technology (CRT) and Prosthetics & Orthotics (P&O) effective January 1, 2026. Key changes include adding status code BR (By Report) to HCPCS E1033 for wheelchair headrests and removing outdated photo/x-ray submission sections from both guides.
Action Required
Immediately: CRT providers must update billing systems to use status code indicator BR (By Report) for HCPCS code E1033 wheelchair hardware headrest claims. Review updated CRT and P&O billing guides on HCA's Provider billing guides webpage for current prior authorization submission processes, as previous photo/x-ray submission guidance has been removed.