Molina HealthCare Washington policies, page 4

Search Molina HealthCare Washington's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

373 public policies Substrate tracks for Molina HealthCare Washington, by title.

Molina HealthCare Washington policies
PolicyDetailsCodesSource
Implantable Shock Absorbers for Knee OsteoarthritisCommercial2Original policy ↗
Implanted Tibial Nerve Stimulation for Urinary IncontinenceCommercial, Medicaid8Original policy ↗
Implanted Tibial Nerve Stimulation for Urinary Incontinence MEDICARE8Original policy ↗
Incarceration Diagnosis CodeCommercial, Medicaid—Original policy ↗
Infertility Evaluation and Treatments476 · Commercial, Medicaid162Original policy ↗
Inhaled Nitric Oxide iNO for Neonatal Hypoxic Respiratory FailureCommercial, Medicaid4Original policy ↗
Injections and Nerve Blocks for Neck and Back Pain468 · Effective Apr 8, 2026 · Commercial, Medicaid25Original policy ↗
Inpatient services billed on Outpatient bill typesMedicaid1Original policy ↗
Interspinous Decompression and Interlaminar Stabilization Devices for Spinal StenosisCommercial, Medicaid5Original policy ↗
Interspinous Process Fixation Devices for Spinal FusionCommercial, Medicaid1Original policy ↗
Intervertebral Stabilization DevicesCommercial, Medicaid1Original policy ↗
Intradialytic Parenteral Nutrition and Intraperitoneal Parenteral Nutrition421 · Commercial42Original policy ↗
Intraoperative Neurophysiologic Monitoring (IONM)481 · Effective Apr 8, 2026 · Commercial, Medicaid3Original policy ↗
Itvisma (onasemnogene abeparvovec)Commercial, Medicaid3Original policy ↗
Itvisma (onasemnogene abeparvovec) MEDICARE3Original policy ↗
Kebilidi (eladocagene exuparvovec)Commercial, Medicaid3Original policy ↗
Ketogenic Diet for Treatment of Intractable SeizuresCommercial, Medicaid3Original policy ↗
Kidney Transplantation045 · Commercial15Original policy ↗
Kresladi (marnetegragene autotemcel)Commercial4Original policy ↗
Kymriah (tisagenlecleucel)395 · Effective Apr 8, 2026 · Commercial9Original policy ↗
Lab Codes with Modifiers 59 and 91Commercial, Medicaid—Original policy ↗
Lab PanelCommercial, Medicaid9Original policy ↗
Lab PanelMedicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NY, OH, SC, TX, WA, WI9Original policy ↗
Labs Overlapping with FacilityCommercial, Medicaid—Original policy ↗
Lenmeldy (atidarsagene autotemcel)453 · Commercial, Medicaid3Original policy ↗
Liver Transplantation114 · Commercial15Original policy ↗
Lumbar Artificial Intervertebral Disc ReplacementCommercial9Original policy ↗
Lung TransplantationCommercial13Original policy ↗
Luxturna (voretigene neparvovec-rzyl)318 · Commercial, Medicaid2Original policy ↗
Lyfgenia (lovotibeglogene autotemcel)448 · Commercial, Medicaid3Original policy ↗
Magnetic Resonance Guided Focused Ultrasound (MRgFUS) for Essential TremorCommercial1Original policy ↗
MCP-011 Artificial Intervertebral Disc Replacement (ADR) Surgery (Lumbar and Cervical)MCP-011 · Medicaid · WA9Original policy ↗
MCP-051 Genetic TestingMCP-051 · Medicaid · WA702Original policy ↗
MCP-160 Implanted Intrathecal Pain PumpMCP-160 · Medicaid · WA21Original policy ↗
MCP-161 Robotically Assisted SurgeryMCP-161 · Medicaid · WA1Original policy ↗
MCP-183 Clinical Trials and Rare DiseaseMCP-183 · Medicaid · WA9Original policy ↗
MCP-184 Experimental and Investigational ServicesMCP-184 · Medicaid · WA—Original policy ↗
MCP-216a Gender Affirmation Treatment and Procedures (Medicaid)Medicaid · WA121Original policy ↗
MCP-216c Gender Affirmation Treatment and Procedures (Marketplace)Medicaid · WA121Original policy ↗
MCP-218 Bone Graft Substitutes for Bone FusionMCP-218 · Medicaid · WA2Original policy ↗
MCP-266 Minimally Invasive Sacroiliac Joint FusionMCP-266 · Medicaid · WA4Original policy ↗
MCP-269 Speech TherapyMCP-269 · Medicaid · WA10Original policy ↗
MCP-332 Medically Necessary ServicesMCP-332 · Medicaid · WA—Original policy ↗
MCP-406 Enteral NutritionMCP-406 · Medicaid · WA28Original policy ↗
MCP-468 Injections and Nerve Blocks for Neck and Back PainMCP-468 · Medicaid · WA25Original policy ↗
MCP-469 Radiofrequency Nerve Ablation for Neck and Back PainMCP-469 · Medicaid · WA8Original policy ↗
MCP-700 Foot Surgery: BunionectomyMCP-700 · Medicaid · WA13Original policy ↗
MCP-702 Foot Surgery: Lesser Toe Deformities (Hammer, Mallet, and Claw Toe)MCP-702 · Medicaid · WA7Original policy ↗
Measurement of Carotid Artery Intima ThicknessCommercial, Medicaid1Original policy ↗
Medical Supplies Home Health Consolidated BillingCommercial, Medicaid3Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.