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Washington receives $17.9 million in shared savings for

Details: Washington recently received $17.9 million from the federal Centers for Medicare & Medicaid Services (CMS) as part of our portion of the preliminary savings achieved for the Medicare program during year six of our Health Home demonstration program. The savings are based on meeting cost and quality benchmarks and can be used to reinvest in the program.

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› Url: https://www.hca.wa.gov/about-hca/apple-health-medicaid/washington-receives-179-million-shared-savings-sixth-year-health Go Now

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Health Home Washington State Health Care …

Details: The Health Home program helps clients: Develop a person-centered health action plan. Improve self-management of chronic conditions. Ensure care coordination and care transitions. The Health Home program provides the following specific services: Comprehensive care management. Care coordination. Health promotion. Comprehensive transitional care.

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› Url: https://www.hca.wa.gov/billers-providers-partners/programs-and-services/health-homes Go Now

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Contact HCA Washington State Health Care …

Details: The Health Care Authority's main building is located at: Cherry Street Plaza 626 8th Avenue SE Olympia, WA 98501. From I-5 southbound. Take Exit 105B and merge onto Plum Street. Turn left at 8th Avenue. Go two blocks. HCA is on the right, between Chestnut and Cherry. From I-5 northbound.

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Apple Health account logins Washington State …

Details: Apple Health account logins. If you are an Apple Health (Medicaid) client, you may have logins for several online accounts. This page describes each account based on what it does and what you might need to do. Note: Creating online accounts makes managing your coverage simple. You …

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User account Washington State Health Care Authority

Details: Apple Health outreach staff help spread the word about free and low-cost health insurance. Apple Health and community partners help improve the health of the Latino population in Washington. Apple Health brings stability to lives of young couple. I can’t begin to explain how much Apple Health has helped me.

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› Url: https://www.hca.wa.gov/user/login Go Now

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Public health emergency and Apple Health …

Details: Public health emergency and Apple Health. Revised Date: July 27, 2020. In response to a public health or other emergencies beyond the agency’s control, the Health Care Authority (HCA) may invoke the following options via a State Plan Amendment, Disaster State Plan Amendment, waiver, or other federal regulation in the administration of the

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Paying for benefits Washington State Health …

Details: How to pay for coverage Eligible state agency and higher education institution employees may pay medical premiums and applicable premium surcharges with pretax dollars from their salary under the state’s premium payment plan. The premium payment plan is part of the Salary Reduction Plan under the Internal Revenue Code Section 125. See Washington Administrative Code (WA)

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› Url: https://www.hca.wa.gov/employee-retiree-benefits/public-employees/paying-benefits Go Now

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Metropolitan Life Insurance Company, New York, …

Details: WA State Health Care Authority PEBB Page 1 of 4 EF-RES101M-NW (09/19) Metropolitan Life Insurance Company, New York, NY 10166 . ENROLLMENT • CHANGE FORM . G ROUP CUSTOMER INFORMATION (To be Completed by the Recordkeeper) Name of Group Customer/Employer . WA State Health Care Authority PEBB

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› Url: https://www.hca.wa.gov/assets/pebb/metlife-pebb-employee-enrollment-change-form-2020.pdf Go Now

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COBRA premium subsidy available for eligible …

Details: The Health Insurance Marketplace, if you live outside Washington State. For help, call 1-800-318-2596. Important financial effects. If you enroll in a consumer-directed health plan or high-deductible health plan with a health savings account (HSA), you will not receive employer contributions for your HSA while you are receiving the subsidy.

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› Url: https://www.hca.wa.gov/cobra-premium-subsidy-available-eligible-individuals Go Now

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Medicaid Transformation metrics Washington State …

Details: Medicaid Transformation metrics. Under the Delivery System Reform Incentive Payment (DSRIP) program, Washington State, Accountable Communities of Health, and Medicaid managed care organizations are all accountable for demonstrating improvement toward and attainment of transformation targets. Earning the maximum funding available requires that

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Gender identity information Washington State Health …

Details: Why add gender identity? We are aligning with the Department of Health (DOH) and the Department of Licensing (DOL). As of 2018, DOH allows a person born in Washington State to change their sex designation on their birth certificate from male or female to the new designation of "X” to reflect their gender identity. In late 2019, DOL began allowing Washington drivers to change

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Board members Washington State Health Care …

Details: The Health Care Cost Transparency Board has 14 members. Nine of them, including representatives of consumers and business and labor, are appointed by the Governor. The other members include the Washington State insurance commissioner, administrator of the Health Care Authority, director of Labor and Industries, the chief executive officer of

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About Washington Apple Health (Medicaid)

Details: health care coverage to nearly 2 million residents—adults and children. Washington’s uninsured rate has dropped to an historic 5.4 percent, thanks in part to access to Apple Health made possible through the Affordable Care Act. Covered services Those enrolled in Apple Health have access to many health care services, including:

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› Url: https://www.hca.wa.gov/assets/free-or-low-cost/about-Apple-Health.pdf Go Now

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Home Health Services Billing Guide

Details: • Home health aide services that are not provided in conjunction with skilled nursing or specialized therapy services • Home health care for a medically stable client (e.g., one who does not have an acute episode, a disease exacerbation, or treatment change, unless the client meets the applicable criteria in this guide)

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/Home-Health-Services-bg-20211001.pdf Go Now

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Apple Health COVID testing clinical policy

Details: Apple Health (Medicaid) is aware that there are other non-specific procedure codes that could be used to gain the same information, if those codes are billed to Apple Health (Medicaid) the same criteria listed above will be applied. Limitations • Limited to 1 antibody test per calendar year per client. If …

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/apple-health-covid-testing-clinical-policy.pdf Go Now

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First-timers’ Guide to Washington Apple Health …

Details: First-timers’ Guide to Washington Apple Health (Medicaid) Part 1 of this guide gets you started. It answers some basic questions. Part 2 gives advice about your first visit to a medical provider.(see HCA 19-041) Part 1: After you enroll in Apple Health

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Apple Health (Medicaid) clinical policy and billing …

Details: Apple Health (Medicaid) clinical policy and billing for COVID-19 ***Effective 7/1/2021*** In this time of the COVID-19 pandemic, the Health Care Authority (HCA) is aware that usual and customary ways of providing and billing/reporting services may not be feasible. It is also understood that …

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/apple-health-clinical-policy-and-billing-COVID-19-FAQ.pdf Go Now

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Public Health Emergency FAQ

Details: A public health emergency (PHE) is when the Department of Health and Human Services (HHS), a federal agency, declares a disease or disorder presents a public health emergency or that a PHE otherwise exists due to significant outbreaks of infectious disease. PHEs can last up to …

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› Url: https://www.hca.wa.gov/assets/free-or-low-cost/apple-health-phe-faq.pdf Go Now

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Contact us Washington State Health Care Authority

Details: To protect your privacy and sensitive health information. By using our secure messaging system we can ensure that your data is safeguarded. We realize this is an additional step and inconvenient, but your security is our greatest concern. Visit us in person at the Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501

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Apple Health for Workers with Disabilities

Details: health care. View online information about TWWIIA at: choosework.net. Under HWD, people with disabilities can earn more money and purchase health care coverage for an amount based on a sliding income scale. HWD benefits include: • Apple Health (Medicaid) benefit package • Access to long-term services and supports, if

› Verified 7 days ago

› Url: https://www.hca.wa.gov/assets/free-or-low-cost/22-333.pdf Go Now

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Apple Health Alien Emergency Medical Washington …

Details: Effective March 31, 2014. To qualify for an alien medical program (AMP) a person must: Be ineligible for federally funded Washington apple health (WAH) programs due to the citizenship/alien status requirements described in WAC 182-503-0535; Meet the requirements described in WAC …

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› Url: https://www.hca.wa.gov/health-care-services-supports/program-administration/apple-health-alien-emergency-medical Go Now

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Application for aged, blind, disabled/long-term care …

Details: your eligibility for health coverage, long-term services and supports (LTSS), or a health plan. If you ask for an appeal, your case will be reviewed. For information about appeals for DSHS programs, you may contact DSHS Customer Service Contact Center at 1-877-501-2233 or visit your local Community Services Office.

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› Url: https://www.hca.wa.gov/assets/free-or-low-cost/18-005.pdf Go Now

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Apple Health (Medicaid) telemedicine & telehealth …

Details: health and behavioral health care; patient and professional health-related education; public health, and health administration. HCA is using telehealth modalities to provide assessment, diagnosis, intervention, consultation, supervision and information in lieu of an in-person visit. telehealth allows health care services to …

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/apple-health-telemedicine-telehealth-brief-COVID19.pdf Go Now

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ProviderOne Billing and Resource Guide

Details: Medical Assistance is the general name for Washington Apple Health programs administered by the Health Care Authority (HCA). Washington Apple Health includes Medicaid, mental health programs, chemical dependency and prevention treatment programs, the hildren’s Health Insurance Program (HIP), family planning programs, and other state -

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf Go Now

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Renewing your Apple Health coverage

Details: Apple Health Coverage Apple Health (Medicaid) coverage must be renewed each year to maintain health coverage. You are receiving this flyer because you need to take action to renew coverage for yourself or someone in your household. You may also have just missed …

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› Url: https://www.hca.wa.gov/assets/free-or-low-cost/19-053-renew-apple-health-coverage.pdf Go Now

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Adding a newborn in Washington Healthplanfinder

Details: Washington Apple Health Kids Coverage Start Date 05/15/2021 Renewal Information Coverage End Date 05/14/2022 Alex Larsyn will need to renew coverage by 05/14/2022. We contactyou with more information when it's time to renew. Next Steps for Alex Larsyn Starting 05/15/2021 Washington Apple Health for Kds Coverage will ccwer Alex Larsyn.

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Behavioral Health Advisory Council Washington State

Details: The Washington State Behavioral Health Advisory Council (BHAC) advises and educates the Health Care Authority (HCA) on planning and implementing effective, integrated behavioral health services by promoting individual choice, prevention, and recovery in Washington State.

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Sign language interpreters Washington State Health …

Details: As an Apple Health provider, you are required to ensure language access services are provided to your Apple Health clients according to Title VI of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA). The Health Care Authority’s (HCA) interpreter services (IS) supports you in your efforts by offering sign language interpreter services for Apple Health (Medicaid) health

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› Url: https://www.hca.wa.gov/billers-providers-partners/programs-and-services/sign-language-interpreters Go Now

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Patient decision aids (PDAs) Washington State Health

Details: Health Care Authority (HCA) is currently accepting patient decision aids for the topic of behavioral health (mental health and substance use disorder). There is an application fee of $3,000 for review of each decision aid. Fees will be waived for aids made available to the public at no charge.

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› Url: https://www.hca.wa.gov/about-hca/making-informed-health-care-decisions/patient-decision-aids-pdas Go Now

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Accountable Communities of Health (ACHs) …

Details: ACHs promote health equity and address and coordinate around social determinants of health. They also respond to regional needs and issues, including COVID-19 response and coordination. ACHs, in partnership with health care providers, local health jurisdictions, community …

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Apple Health (Medicaid) Preferred Drug List

Details: The Apple Health PDL has products listed in groups by drug class. Unless otherwise indicated, the authorization criteria is that the client must have tried and failed, or is intolerant to, at least two or more preferred drugs within the drug class unless contraindicated, not clinically appropriate, or only one drug is preferred.

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/Apple_Health_PDL_01012018.pdf Go Now

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Apple Health (Medicaid) behavioral health policy …

Details: Apple Health (Medicaid) behavioral health policy and billing during the OVID-19 pandemic (FAQ) ***Effective 7/1/2021*** In this time of the COVID-19 pandemic, HCA is aware that usual and customary ways of providing and billing/reporting Apple Health (Medicaid) services may not …

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/behavioral-health-policy-and-billing-COVID-19_0.pdf Go Now

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Health Home Tiers for Billing

Details: improved health and well-being, have value for the client and caregivers, and support an active level of care coordination through delivery of the Health Home services. At a minimum, Tier Two includes one fac e-to-face visit between the client and the care coordinator during the month in which qualifying health

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/hh-tiers-for-billing-full.pdf Go Now

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Substance Use Disorder Billing Guide

Details: The Health Care Authority is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562-3022. People who have hearing or speech disabilities, please call 711 for relay services. Washington Apple Health means the public health

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/SUD-FFS-bg-20210401.pdf Go Now

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Advisory committee members Washington State …

Details: Advisory Committee of Health Care Providers and Carriers Patricia C. Auerbach, MD, MBA, FACP Market chief medical officer, United Healthcare Dr. Auerbach serves as the UnitedHealthcare chief medical officer for their commercial line of business in the Pacific Northwest states. She currently works with internal and external stakeholders to develop and implement clinical

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Apple Health Fee for Service ABA Providers

Details: Apple Health Fee for Service ABA Providers *Enrollees in Apple Health Managed Care Plans should contact their plan for providers in network. 7/27/2021 1 Agency Name Area Served Phone Contact Website Ages Served Intensive Day Treatment Ages 2 to 6 yrs. Anna Rogers Kitsap 253- 970- 2414 Anna Rogers [email protected] No

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/medicaid-enrolled-aba-providers.pdf Go Now

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Mental Health Services Billing Guide

Details: Health is the name used in Washington State for Medicaid, the children’s health insurance program (CHIP), and state-only funded health care programs. Washington Apple Health is administered by the Washington State Health Care Authority. Refer also to HCA’s . …

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WAC 182-538-050 Definitions Washington State …

Details: (a) Physical health services funded by medicaid; and (b) Behavioral health services funded by medicaid, and other available resources provided for in chapters 182-538B, 182-538C, and 182-538D WAC. "Managed care" means a comprehensive health care delivery system that includes preventive, primary, specialty, and ancillary services. These services

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The Affordable Care Act (ACA) Notice of Health …

Details: Public Employees Benefits Board (PEBB) health plan coverage offered by your employer and is intended to assist you in evaluating options for you and your family. 1. What is the Health Insurance Marketplace? Under the Affordable Care Act (ACA), every state must have a health insurance Marketplace to help people buy health

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› Url: https://www.hca.wa.gov/assets/perspay/ACA_notice_of_health_insurance_marketplace_template_2021.pdf Go Now

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Apple Health (Medicaid) Applied Behavior Analysis …

Details: Apple Health (Medicaid) Applied ehavior Analysis (A A) policy and billing during the OVID-19 pandemic ***Effective date 7/1/2021*** In this time of the COVID-19 pandemic, Apple Health (Medicaid) is aware that usual and customary ways of providing and billing/reporting services may not be feasible.

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/apple-health-applied-behavior-analysis-policy-and-billing-COVID-19_1.pdf Go Now

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Interpreter services (clients) Washington State Health

Details: Your health care provider is required to provide spoken and sign language access according to Title VI of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA). If your provider refuses to provide language access services, it can be considered discrimination.Learn …

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Apple Health (Medicaid) behavioral health policy …

Details: Apple Health (Medicaid) behavioral health policy and billing during the COVID -19 pandemic (FAQ) In this time of the COVID-19 pandemic, HCA is aware that usual and customary ways of providing and billing/reporting Apple Health (Medicaid) services may not be feasible. It is also understood that different providers will …

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/behavioral-health-policy-and-billing-COVID-19.pdf Go Now

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Outpatient Rehabilitation Billing Guide

Details: The Health Care Authority is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562-3022. People who have hearing or speech disabilities, please call 711 for relay services. Washington Apple Health means the public health

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/op-rehabilitation-bg-20210101.pdf Go Now

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Paper Claim Billing Resource

Details: This resource provides general information that applies to most Apple Health providers. This guide is a resource for the process of billing and submitting claims to the Washington Health Care Authority (HCA). Effective October 1, 2016, HCA will accept only electronic claims for Apple Health (Medicaid) services, except under limited circumstances.

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/paper-claim-billing-resource.pdf Go Now

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Mental Health Services Billing Guide

Details: health services to clients age 18 and younger? Added information regarding the submission of the required mental health attestation form. To clarify billing instructions Outpatient mental health services coverage table; Added “+” to CPT® code 99354 ; To clarify billing instructions. This is an add on code.

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20210401.pdf Go Now

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Amendment to Washington’s Medicaid …

Details: health treatment options is vital to recovery for individuals experiencing mental illness. A continuum of treatment is important to ensure safe, healthy communities and quality outcomes. What’s the value added for the mental health IMD? • Washington State can expand bed capacity. This means more people can …

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Kaiser Permanente WA (PEBB) Consumer Directed …

Details: health, behavioral health, or substance abuse services Outpatient services 10% coinsurance Not covered None Inpatient services 10% coinsurance Not covered Preauthorization required or will not be covered. If you are pregnant Office visits 10% coinsurance Not covered Cost sharing does not apply for preventive services.

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› Url: https://www.hca.wa.gov/assets/pebb/pebb-kpwa-cdhp-sbc-2021.pdf Go Now

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