MedicaidDocumentationMedium impact
Revised Telemedicine Policy and Billing Guide, effective 11/2/2022
Washington Apple Health·WA·Billing Guide
Effective date
Nov 2, 2022
We identified it
Jun 20, 2026
Summary
Washington State Health Care Authority revised their telemedicine billing guide with new documentation requirements for provider locations and service duration, clarified billing for nonfacility providers using place of service codes 02 or 10, and removed the requirement for associated office visits under Store and Forward telemedicine services.
Action Required
Immediately: Billing team must update telemedicine billing procedures to document provider location and service duration for both originating and distant sites. Update EMR templates to capture required location information. Train providers to explain to patients that personal health information may be disclosed during telehealth services. Review Store and Forward billing to remove associated office visit requirements.