MedicaidBilling CodesMedium impact
Revised policy for therapies for COVID-19
Washington Apple Health·WA·Medical Policy
Effective date
Aug 25, 2022
We identified it
Jun 20, 2026
Summary
Washington State Health Care Authority updated its COVID-19 monoclonal antibody billing policy for Apple Health (Medicaid). Providers must not bill HCPCS code Q0222 for products received free from the US Government and should only bill for commercially purchased products.
Action Required
Immediately: Billing team must update system to prevent billing HCPCS code Q0222 for COVID-19 monoclonal antibodies received free from US Government inventory. Only bill Q0222 for commercially purchased products. Review current claims to ensure compliance with revised policy and fee schedule.