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Washington State Health Care Authority

Details: Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple Celebrating HCA’s nurses during National Nurses Week, May 6-12 Community based specialists help people with free or low-cost health care coverage dshs washington state apple health

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Medicaid Transformation | Washington State Health Care

Details: The state is leading strategic changes within Medicaid, allowing us to move toward a healthier Washington. The Medicaid Transformation is an agreement with the federal government which allows us to test new and innovative approaches to providing health coverage and care. medicaid application washington state pdf

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› Url: https://www.hca.wa.gov/about-hca/healthier-washington/medicaid-transformation Go Now

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Data dashboards | Washington State Health Care Authority

Details: The Health Care Authority (HCA) envisions the dashboard, as well as data related to the Medicaid transformation, to be used in tandem with other data sources. HCA works with all state partners to continue building a robust, easy-to-use, and consistent reporting and data infrastructure to inform state, regional, and community health decisions. dshs apple health application

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Provider billing guides and fee schedules | Washington

Details: Contact Washington Apple Health (Medicaid) Behavioral health and recovery. American Indians and Alaska Natives (AI/AN) ... General Health Care Authority rulemaking. Apple Health (Medicaid) rulemaking. ... Apple Health (Medicaid) expedited authorization (EA) lists. March 1, 2021 to present - Expedited authorization codes and criteria table ... washington state medicaid

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› Url: https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules Go Now

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How to Apply for Medicaid | DSHS

Details: All Washington residents can apply for Health Care Coverage including institutional Medicaid through the wahealthplanfinder.org For long-term care services you may apply online through the health plan finder. Indicate you are applying for long term care services. health care authority forms

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› Url: https://www.dshs.wa.gov/altsa/home-and-community-services/how-apply-medicaid Go Now

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Health Care Authority - Apple Health (Medicaid) Manual | DSHS

Details: Health Care Authority - Apple Health (Medicaid) Manual Revised December 11, 2014 Due to implementation of the Affordable Care Act (ACA), medical WAC’s and clarifying information can now be found in the Apple Health (Medicaid) Manual. wa health care authority olympia

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› Url: https://www.dshs.wa.gov/esa/eligibility-z-manual-ea-z/health-care-authority-apple-health-medicaid-manual Go Now

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How Medicare and Medicaid work together in Washington state

Details: • Washington Apple Health is an umbrella term or “brand name” for all Washington state medical assistance programs, including Medicaid. o The Health Care Authority (HCA) administers most Washington Apple Health programs. o The Department of Social and Health Services (DSHS) administers the Classic Medicaid programs. Page 12 of 72 washington state medicaid cuts

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In-Home Care for Adults | DSHS - Washington State

Details: You can either pay for care out of pocket yourself (private pay) or through health insurance (Medicare, Medicaid, other insurances) In many cases, it will be both. ALTSA Long-Term Care Services & Information

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› Url: https://www.dshs.wa.gov/altsa/home-and-community-services/home-care-adults Go Now

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Navigators | Washington Health Benefit Exchange

Details: Help individuals and families complete their Washington Healthplanfinder application and enroll in health insurance coverage. Support customers with cultural, linguistic, disability, or other special needs. Explain coverage options and the availability of financial assistance to lower the cost of insurance premiums.

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› Url: https://www.wahbexchange.org/partners/navigators/ Go Now

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Washington State Health Care Authority

Details: Health Care Authority Medicaid Provider Guide . Tribal Health Program . A Billing Instruction . About this Publication . This publication supersedes all previous Agency Tribal Health Program Billing Instructions published by the Washington State Health Care Authority. Note: The Agency now reissues the entire billing manual when making updates,

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Medicaid Fraud FAQ's | Washington State

Details: The Health Care Authority has information on its website, and Washington Health Plan Finder has this calculator available to help review what plans and assistance you might be eligible for. Where can I find Medicaid providers? The Health Care Authority has a hotline that you can use to locate a provider, Medical Assistance Customer

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HCA Find-a-Provider - Washington

Details: Dental - only if you are on an Apple Health program that receives dental coverage Important! If you are receiving Apple Health coverage through a managed care plan (i.e. AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact the plan to find a medical provider.

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› Url: https://fortress.wa.gov/hca/p1findaprovider/ Go Now

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Eligibility overview for Washington Apple Health (Medicaid

Details: Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. The brand name may be shortened to “Apple Health.” The Health Care Authority (HCA) administers most Washington Apple Health programs. (The Department of Social and Health Services administers

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Medicaid funding the top priority for Washington Health

Details: Over 2 million Washingtonians are currently enrolled in Medicaid in the state, and more than 1,300 enroll in the program every week. Washington State Health Care Authority’s Maryanne Lindeblad explained how the state is expanding its services and working with health care providers at the Washington State of Reform Virtual Health Policy conference Wednesday. The […]

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Washington State Health Care Authority | Office of

Details: The Medicaid Quality Improvement Program (MQIP) allows states to design quality improvement programs for the Medicaid population in ways that support the state's quality goals. In Washington, the MQIP will be used to support the Medicaid Transformation Waiver implemented in the 2017-19 biennial budget.

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› Url: https://ofm.wa.gov/budget/state-budgets/gov-inslees-proposed-2020-supplemental-budget/agency-recommendation-summaries/107 Go Now

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Washington Health Home Program | DSHS

Details: In addition, Washington has been participating in the CMS Medicare-Medicaid Financial Alignment “Demonstration” for individuals who receive both Medicaid and Medicare benefits (commonly referred to as dual eligible).

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› Url: https://www.dshs.wa.gov/altsa/washington-health-home-program Go Now

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Your 1095 Statement | Washington Health Benefit Exchange

Details: The 1095-B is a tax form verifying you or your household member received free or low-cost Washington Apple Health (Medicaid) coverage for one or more months of the last tax year. This form will list all those enrolled in Washington Apple Health coverage. You do not need your 1095-B to file your taxes.

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› Url: https://www.wahbexchange.org/current-customers/your-1095-a-statement/ Go Now

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Washington State, CMS Extend CNSI Contract | WashingtonExec

Details: The Washington State Health Care Authority has extended its ProviderOne Medicaid Management Information Systems contract with CNSI through June 2026. The agency signed the 5-year extension to continue its partnership with CNSI and the ProviderOne system, a modular and scalable system that supports the state’s payment of providers on behalf of ...

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Washington State Health Care Authority

Details: Medicaid Purchasing Administration (MPA) and Department of Health Maternal and Infant Health Washington State Health Care Authority Medicaid Provider Guide Childbirth Education [WAC 388-533-0390] A Billing Instruction

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Performance Audit Health Care Authority’s Oversight of the

Details: Washington’s Medicaid managed care program, jointly funded by the federal and state government, provided health coverage for about 796,000 residents and cost almost $1.4 billion in 2013. Th e Health Care Authority (HCA) expects federal health care reforms starting in January 2014 will expand Medicaid coverage to

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› Url: http://portal.sao.wa.gov/ReportSearch/Home/ViewReportFile?arn=1011450&isFinding=false&sp=false Go Now

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STATE OF WASHINGTON HEALTH CARE AUTHORITY - Medicaid

Details: Washington State Health Care Authority (HCA) received approval from the Centers for Medicare & Medicaid Services (CMS) on July 17, 2018, for the state’s Medicaid Transformation Project 1115(a) demonstration waiver, amendment request dated March 2, 2018. The approved waiver amendment allows the state to maintain and expand access to inpatient

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Dental Medicaid - Washington State Dental Association

Details: Medicaid Transition to Managed Care Cancelled. The 2019 Legislature has directed the Washington State Health Care Authority (HCA) to continue to administer the dental Medicaid program through fee-for-service. The HCA may not proceed with a carved-out or carved-in managed care dental option at this time. Learn More

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Washington and the ACA’s Medicaid expansion

Details: Washington was one of five states that utilized a provision in the ACA that allowed for early expansion of Medicaid, prior to 2014. As of 2011, Washington was using a waiver from CMS to allow for federal funding to cover adults with incomes up to 133 percent of poverty. Prior to 2011, Washington had covered these residents under the state-run Basic Health Plan, which was funded by the state.

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Molina Healthcare of Washington

Details: Providing high-quality, affordable health care to families and individuals covered by government programs for over 30 years in the state of Washington. We use cookies on our website. Cookies are used to improve the use of our website and analytic purposes.

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Helpful information about the law in Washington.

Details: The Health Care Authority (HCA) can approve Washington Apple Health (Medicaid) benefits even if you do not meet all financial requirements. They can also cover necessary medical/dental services that Medicaid normally does not cover. This is an “exception to a rule” or “ETR.” #5105EN.

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› Url: https://www.washingtonlawhelp.org/resource/exception-to-rule-etr-washington-apple-health Go Now

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Module 1 Overview of Washington Apple Health (Medicaid

Details: Health Care Authority’s Medicaid Eligibility and Community Support Division presents a seven module community based training for Washington State community p...

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April 30, 2018 MaryAnne Lindeblad Director Washington

Details: Medicaid Director Washington Health Care Authority 626 8th Avenue, P.O. Box 45502 Olympia, WA 98504-5050 Dear Ms. Lindeblad: This letter is to inform you that the Centers for Medicare & Medicaid Services (CMS) is granting a temporary extension of Washington’s Take Charge section 1115 family planning

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STATE OF WASHINGTON HEALTH CARE AUTHORITY

Details: The State Health Care Innovation Plan, the Healthier Washington Initiative, and E2SSB 6312, enacted by the Legislature in 2014, provided policy direction for the Health Care Authority (HCA) to regionalize Medicaid purchasing by April 1, 2016 and to provide Medicaid beneficiaries with the

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P1 ContactUs! - Washington

Details: Contact us - Apple Health (Medicaid) client Please correct the following errors, or contact the Health Care Authority Customer Service Center at 1-800-562-3022: All fields with a red asterisk is a required field and must be completed in order to submit.

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STATE OF WASHINGTON HEALTH CARE AUTHORITY

Details: This program is known as “Apple Health- Integrated Managed Care” (IMC) and is implemented through contracts between the Health Care Authority (HCA) and Medicaid Managed Care Organizations (MCOs), with MCOs at risk for the full continuum of physical and behavioral health services for Medicaid beneficiaries (RCW 71.24.850).

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Washington State Health Care Authority Medicaid Office

Details: For this reason, it is important that you know how to contact the Washington State Health Care Authority Medicaid Office. This Olympia Medicaid office is located at: Washington State Health Care Authority Medicaid Office 626 8th Ave SE, Olympia, WA 98501, USA hca.wa.gov Monday 8AM-5PM, Tuesday 8AM-5PM, Wednesday 8AM-5PM, Thursday 8AM-5PM ...

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› Url: https://medicaidofficelocations.org/washington-state-health-care-authority-medicaid-office-in-washington/ Go Now

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HCA supports increased telehealth options for Medicaid

Details: The Washington State Health Care Authority (HCA) is committed to whole-person care. HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), Public ...

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Homepage | Qualis Health

Details: Qualis Health names Dan Lessler Physician Executive for Community Engagement and Leadership. Former chief medical officer for Washington State Health Care Authority brings extensive health care transformation expe... [ learn more ]

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This schedule applies to: Health Care Authority

Details: Health Care Authority Records Retention Schedule Version 1.6 (July 2018) Page 2 of 33 REVISION HISTORY Version Date of Approval Extent of Revision 1.0 June 6, 2012 Consolidation of all existing disposition authorities (with some minor revisions to most records series).

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External Quality Review - Washington Medicaid | Qualis Health

Details: As the external quality review organization, Qualis Health's role is to assess the quality of care Medicaid recipients receive. If you have a concern about the care you or a family member has received, please contact the Washington State Health Care Authority. »Washington State Health Care Authority

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Washington State Health Care Authority | Office of

Details: Healthier Washington is a project that allows the Health Care Authority and the Department of Social and Health Services to establish integrated clinical models of physical and behavioral health care, thereby improving the effectiveness of health care purchasing and transforming the health care delivery system.

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HCA takes actions to ensure access to care for Apple

Details: OLYMPIA — The Health Care Authority (HCA) is taking several steps to help ensure Apple Health (Medicaid) clients have access to high-quality physical and behavioral health services during the…

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Washington State Health Care Authority

Details: [Refer to [Chapter 182-547 WAC] Washington State Health Care Authority Medicaid Provider Guide Access to Baby and Child Dentistry WAC 182 -535 1245]

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Office of Financial Recovery | DSHS

Details: OFR recovers correctly paid long-term care services, Medicaid assistance, and related medical charges from the estates of decedents. Recovery may be made from estates of recipients of state-funded long-term care services (without regard to age) and Medicaid services aged 55 and older at the time of death.

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Settlement Agreement between the United States and the

Details: Apple Health is Washington’s Medicaid program. Medicaid is the federally-matched medical aid program under Title XIX of the Social Security Act that provides health care coverage for people with low incomes and disabilities. Through Apple Health, HCA ensures that people in need are provided with access to preventative care and other health ...

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Provider Enrollment :: Washington State Department of Health

Details: If you have questions, please contact your local health department, or contact us at the Washington State Department of Health: 1-866-397-0337 OR [email protected] Back to Top Department of Health

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Washington State Health Care Authority | CNSI

Details: Washington State Health Care Authority. Challenge. The Medicaid system ProviderOne was implemented in 2010 and processes more than $9 billion annually in provider payments with about $2 billion of which are for social service. Payments are processed through a 30 year-old phone and paper billing system and are prone to provider over-payments and ...

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MaryAnne Lindeblad, State Medicaid Director, Washington

Details: MaryAnne Lindeblad brings a broad health care and administrative background to the top position in the Washington State Medicaid program. Lindeblad, has been an active health care professional as well as a leader spanning most aspects of health care including acute care, long-term care, behavioral health care, eldercare and services for people with disabilities.

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Washington State Health Care Authority | Office of

Details: Funding is provided for actuarially adjusted managed care (MC) rates, effective January 2019, for Medicaid-eligible groups. Funding is adjusted for the Apple Health Blind Disabled program base rates including a 7.8 percent increase for the general non-integrated and mid-adopter Apple Health regions and a 17.2 percent increase in the fully integrated southwest and northcentral Washington regions.

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Contact Us | Washington Healthplanfinder

Details: Washington Apple Heath (Medicaid) For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. Eligibility: 1-800-562-3022 or submit questions online; Coverage, Claims & Billing: 1-800-562-3022, submit questions online, or find local help

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Public Health Meaningful Use :: Washington State

Details: All programs listed in the table above are offered by the Department of Health except for the Clinical Data Registry which is under the Health Care Authority. *** Please refer to the Eligibility and Registration page for information regarding Washington State Public Health Meaningful Use eligibility.

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Hearing aids now covered for adults on Washington State

Details: Beginning January 1, 2019, adults on Washington State Medicaid are covered for hearing aids. People with 45 db more more hearing loss in their better ear will be eligible for one hearing aid (plus an ear mold and 3 follow-up visits.) Two hearing aids may be approved under certain circumstances. Interim rules are in effect…

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Coverage Options in Washington State – Northwest Health

Details: The Washington State Health Care Authority offers Family Planning Only for individuals not eligible for full Apple Health coverage, individuals age 18 or younger, and others who need confidential services. The income limit is 260% of the FPL ($2,706/month for an individual in 2019) and there is no resource limit.

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Dental Medicaid Transition to Managed Care: What Providers

Details: In 2017, the Washington State Legislature passed a budget proviso requiring the Health Care Authority (HCA) to contract out the administration of Washington's dental Medicaid program. HCA must contract with at least two licensed health plans or managed health care plans, except in areas where only a single plan is available, to provide carved ...

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