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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 .. 15 Hospice 16 Inpatient Hospital Services .. 17 Medical inpatient WITHDRAWAL MANAGEMENT .. 17 Kidney Center Services .. 19 Maternity Support Services and Infant Case Management .. 20 Medical Equipment AND Supplies (MES).

Thickeners for Children from 1 – 20 years old – Expedited Prior Authorization (EPA) (HCA 13-112) Enteral Nutrition Products Prescription Form (HCA 13-961) Dietitian Worksheet – Oral Enteral Nutrition Assessment (HCA 13-109) Medical equipment and …

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