74.09.557  <<  74.09.559 >>   74.09.565

Long-acting injectable buprenorphineBilling codesReimbursement.

(1) The authority shall establish appropriate billing codes for hospitals and psychiatric hospitals that administer long-acting injectable buprenorphine on an outpatient basis to use for billing patients enrolled in a medical assistance program.
(2) Upon initiation or renewal of a contract with the authority to administer a medicaid managed care plan, a managed care organization must reimburse a hospital or psychiatric hospital that bills for the administration of long-acting injectable buprenorphine on an outpatient basis as a separate reimbursable expense.
(3) Beginning January 1, 2025, for individuals enrolled in a medical assistance program that is not a medicaid managed care plan, the authority must reimburse a hospital or psychiatric hospital that bills for the administration of long-acting injectable buprenorphine on an outpatient basis administered as a separate reimbursable expense.
(4) Reimbursements provided under this section must be separate from any bundled payment for outpatient hospital or emergency department services.

NOTES:

FindingsIntent2024 c 366: See note following RCW 71.24.847.
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