MedicaidAdministrativeMedium impact
FQHC and RHC revised billing guides effective 1/1/2023
Washington Apple Health·WA · Family Medicine, Internal Medicine, General Practice +1 more·Provider Alert
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Washington State Health Care Authority updated billing guides for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) effective January 1, 2023. Key changes include revised definition of 'encounter' to include telehealth and audio-only telemedicine, clarified enrollment documentation requirements, and updated language for billing multiple encounter-eligible services per day.
Action Required
Immediately: FQHC and RHC billing teams must review the revised billing guides effective January 1, 2023. Update billing procedures to include telehealth and audio-only telemedicine as billable encounters. Review new site/clinic enrollment documentation requirements and ensure compliance. Update policies for billing multiple encounter-eligible services per day according to revised language in the guides.