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Expedited Prior Authorization (EPA) List

Washington Apple Health (Medicaid) Expedited Prior Authorization (EPA) List October 20, 2021 Every effort has been made to ensure this guide s accuracy. If an actual or apparent conflict between this document and an agency rule arises, the agency rules apply. Please see corresponding billing guides for the most current EPA criteria as this list may not be as up to date. Clinical Quality and Care Transformation, Authorization Services TABLE OF CONTENTS What is Expedited Prior Authorization (EPA).. 4 Access to Baby and Child Dentistry .. 5 Ambulance and ITA 6 Dental-Related Services .. 7 Enteral nutrition .. 9 Habilitative Services .. 13 Hearing Hardware .. 14 Home Infusion Therapy/Parenteral nutrition .

Metabolic Disorder-Oral Enteral Nutrition EPA Worksheet (Children), HCA 13-101 The agency requires Medical Equipment and pharmacy providers to keep legible, accurate, and complete records to justify the medical necessity of the items provided. See the Record Keeping chart in the Enteral Nutrition billing guide.

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