Provider Training
Welcome to Coordinated Care. We thank you for being part of our network of participating physicians, hospitals and other healthcare professionals.
To view the full list of upcoming trainings we are offering, please navigate to the Provider Events section.
Pharmacy Presentations
Infant Early Childhood Mental Health Services (IECMH Services)
Information to help providers, billers, and partners deliver IECMH services to children enrolled in Apple Health (Medicaid)
The Washington State Legislature passed 2HB1325, a bill that has changed Apple Health’s policies for mental health evaluations for children from birth to age 5, now known as the Mental Health Assessment for Young Children (MHAYC).
Changes include:
Enhanced reimbursement, including:
- Reimbursement for up to five sessions for assessment
- Reimbursement of provider travel costs for assessments conducted in home or community settings
Requirement to use the DC:0-1TM diagnostic classification system, Apple Health Community Informed DC 0-5 Crosswalk (PDF)
When is a provider eligible for travel reimbursement?
A provider is eligible for travel reimbursement under a specific and limited set of circumstances. The provider must be traveling for:
- The purpose of conducting a mental health assessment (CPT code 90791, 90792, or H0031 ONLY)
- For a child from birth through the age of five (up until their 6th birthday)
- For a session that is conducted in the child family’s home or in a community setting (POS 03/School; 04/Homeless Shelter; 12/Home; or 99/Other Place of Service ONLY)
How will MHAYC provider travel be reimbursed for providers serving children enrolled with Coordinated Care?
Providers will need to use the State of Washington HCA A19 form.
To complete the A19 form, each line/entry must include:
- The Service Date of the diagnostic assessment
- The ProviderOne client ID
- Addresses of starting and ending point
- Miles from starting point to ending point
- Mileage rate (prepopulated on A19)
- Submit invoices to CoordinatedCareFinance@coordinatedcarehealth.com
All invoices will be validated to claims per eligibility requirements for reimbursement as outlined here. No invoice will be paid without an adjudicated claim.
Invoices must be submitted no later than 60 days from an adjudicated supporting claim.
More information & resources
Resource Guidance for Infant Early Childhood Mental Health Services
Infant Early Childhood Mental Health Workforce Collaborative - IECMH WC webpage