Meet citizen and immigrant requirements. New 2021 health plans are ... Free or low-cost coverage is available year round. Community Health Plan of Washington puts you at the center of your care, so when your needs change, we change too. View the benefits below to see all that it offers. Our Molina Healthcare of Washington Medicare Health Plan provides you with quality care. For more information on Washington Apple Health (Medicaid), please visit the Health Care Authority website Opens in a new tab. A. Effective August 29, 2014. Providers can accept verification of enrollment in Coordinated Care from the REVS system in lieu of the ID card. Molina Healthcare's Integrated Managed Care (IMC) health plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. Find a Doctor. (Classic Medicaid Program), Phone: 1-877-501-2233Business hours: Monday - Friday 8 a.m. to 5 p.m. (Pacific) (except state holidays)Apply for coverage: www.washingtonconnection.orgTRS: 711 through Washington Relay, Washington Recovery Help LinePhone: 1-866-789-1511, Division of Behavioral Health and Recovery Not be incarcerated. Washington Apple Health is health coverage for low-income adults, children and families. What is the Breast, Cervical and Colon Health Program? View your ID card to make check-in easier at your doctor visit or to fill prescriptions. Washington Apple Heath (Medicaid) For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. Behavioral Health and Patient Review & Coordination Numbers. Use this form for help with general questions or information. 7:30 a.m. to 8:00 p.m. Monday – Friday Eligibility Overview Washington Apple Health (Medicaid) Programs April 2018 HCA 22-315 (3/18) 1 What is Washington Apple Health (Medicaid)? We also have phone numbers for brokers, network management, and provider relations. Washington Apple Health (Medicaid) Have you received information asking you to take action so that you can keep getting benefits? WAC 182-505-0115 Washington apple health -- Eligibility for pregnant women. TTY Relay: Dial 711. Learn More > Update Your Information. This home and community based services program provides not only care, but also other supports to enable a successful transition to independent living o… Choosing a Washington Managed Care Plan. Member Eligibility; Behavioral Health; OTHER; Contact Us; Careers; Language Assistance; Last Update Date: July 9, 2020 . See if you qualify for or renew your Apple Health managed care. [Amharic] የቋንቋ እገዛ አገልግሎት፣ አስተርጓሚ እና የሰነዶችን ትርጉም ጨምሮ በነጻ ይገኛል፡፡1-800-562-3022 (TRS: 711) Phone: 1-360-725-1500, Recipient fraud To be eligible you must: Be a Washington resident. Medicare. Select from the following to get help answering your questions. Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or To see if you qualify, go to wahealthplanfinder.org Opens in a new tab or call 1-855-WAFINDER ( 1-855-923-4633 ) TTY/TTD 1-855-627-9604. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, 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, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, Website feedback: Tell us how we’re doing, Apple Health Modified Adjusted Gross Income (MAGI) Medicaid eligibility (families, children, pregnant individuals, and single adults), Post-eligibility case review or reporting changes, Apple Health for Kids premium payment (CHIP), Requesting an appeal for Apple Health programs, Applying for Classic Medicaid, Medicare Savings Program, SSI, 65+, and disabled programs, Requesting an appeal for Classic Medicaid. 7:30 a.m. to 11:59 p.m., Friday, Jan. 15 HCA 65-153 (3/17) [English] Language assistance services, including interpreters and translation of printed materials, are available free of charge. Get help virtually so you can stay home and stay healthy. Welcome to Washington Apple Health. Adults under 65 and not eligible for Medicar… |. 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604. Get Financial Help. Call 1-800-562-3022 - (TRS: 711). We’re here to help you. *This is not a Washington Healthplanfinder customer support resource. For TTY in state dial 711. This system is used by the State of Washington's Department of Social and Health Services. Revised June 26, 2014 Purpose: ACES is an acronym for the Automated Client Eligibility System. You should contact your health or dental insurance company directly for help with: Bridgespan: 1-855-857-9944, 6 a.m. to 6 p.m. Monday – Friday, Community Health Plan of Washington: 1-800-930-0132, 8 a.m. to 5 p.m. Monday – Friday, Coordinated Care: 1-877-687-1197, TTY/TDD: 1-877-941-9238, 8 a.m. to 5 p.m. Monday – Friday, Delta Dental: 1-800-526-8323, 7 a.m. to 5 p.m. Monday – Friday, Dental Health Services: 1-855-495-0906, 8 a.m. to 5 p.m. Monday – Friday, Dentegra: 1-800-471-0284, 7:15 a.m. to 8 p.m. EST Monday – Friday, Kaiser Foundation Health Plan of Washington (formerly Group Health Cooperative): 1-800-290-8900, 8 a.m. to 5 p.m. Monday – Friday, Kaiser Northwest: 1-800-813-2000, 8 a.m. to 6 p.m. Monday – Friday, LifeWise WA: 1-800-592-6804, 8 a.m. to 5 p.m. Monday – Friday, Molina: 1-888-858-3492, 8 a.m. to 5 p.m. Monday – Friday, Premera: 1-800-722-1471, 8 a.m. to 5 p.m. Monday – Friday, Regence: 1-888-344-6347, 6 a.m. to 6 p.m. Monday – Friday. Behavioral health licensing and certification; Department of Health (DOH) Health Systems Quality Assurance Division (HSQA) 1-866-686-9323, TTY 711. Apple Health Plan - Washington State Local Health Insurance - CHPW. Community Health Plan … Health Equity Technical Advisory Committee, Navigator & Certified Application Counselors Technical Advisory Committee, Role of Agents & Brokers Technical Advisory Committee, Learn About Reporting Unemployment Income, Gender-diverse: Small steps towards a larger goal, File a complaint online with the Office of the Insurance Commissioner, Learn about appealing an eligibility decision, Get free assistance with Medicare services, To report a broken link or incorrect information on. The Washington Healthplanfinder (HPF) is administered by the Health Benefit Exchange (HBE), and eligibility is based on a modified adjusted gross income (MAGI) determination. Find out more about your health plan, what's covered and the many programs we offer. 2 How to use this guide 2 Scope of care 3 Modified Adjusted Gross Income (MAGI) Programs 3 Adults Adult Medical (N05) Family Medical (N01) Health Care Extension (N02) Pregnancy and Family Planning Pregnancy Medical (N03, N23) Medically Needy … The ACES system is a tool for determining eligibility, issuing 2. That includes expanding our virtual care services, making personal phone calls to check on you, and providing home delivery of your prescriptions. Tools. HCA Medical Assistance Customer Service Center (MACSC), Online: Secure web formEmail: askmedicaid@hca.wa.govPhone: 1-800-562-3022Business hours: Monday - Friday 7 a.m. to 5 p.m. (Pacific) (except state holidays)TRS: 711 through Washington Relay, HCA Medicaid Eligibility Determination Services (MEDS) Apple Health Managed Care and enrollment; Billing complaints; HCA Medical Assistance Customer Service Center (MACSC) Online: Secure web form Email: askmedicaid@hca.wa.gov Phone: 1-800-562-3022 Business hours: Monday - Friday 7 a.m. to 5 p.m. (Pacific) (except state holidays) TRS: 711 through Washington Relay Washington Health Care Authority 626 8th Avenue SE Olympia, WA 98501; Medicaid Office Phone Number; The phone number to call the Washington Medicaid office is 800-562-3022. It’s too important. HPF is the web portal for clients who are: 1. Have an annual household income at or below 138 percent of the federal poverty level. Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. Toll-free support is available: Language assistance and disability accommodations are provided at no cost. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. Applications for Washington Apple Health (AH) are processed either through Washington Healthplanfinder or the Department of Social and Health Services (DSHS), depending on the client’s eligibility and relatability to a program: 1. Navigators and brokers provide free, in-person help signing up for coverage. 1-855-923-4633; TTY: 1-855-627-9604 Eligibility is determined by things like age, family size and income. Get the Amerigroup mobile app! Members on Apple Health programs such as Apple Health Family or Apple Health for aged, blind or disabled individuals may qualify for this plan. to Washington Apple Health. WAC 182-505-0115 Washington apple health -- Eligibility for pregnant women. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. Washington law requires all health care providers submit credentialing applications through ProviderSource. Contact UnitedHealthcare for individual or employer group sales or customer service by phone. Select Language Chinese (Simplified) Russian Somali Spanish Vietnamese. Translate. your plan's member services phone line at any time to. Language and disability accommodations are provided at no cost. 626 8th Avenue SE Welcome. To avoid delays please ensure applications are current, including work history and attestations. Call: 1-855-923-4633 | TTY: 1-855-627-9604 Enrollment is done through Washington Healthplanfinder, www.wahealthplanfinder.org. Find out if … Eligibility for the BCCHP is primarily based on health insurance status, income, and age. Call a nurse anytime, day or night, at the press of a button to answer your health questions. Apple Health Provider Phone: 1-800-440-1561 (TTY Relay: Dial 711) ... Click here to see regional crisis phone numbers in Washington State. Learn more about your customer service options. CHPW is committed to Washington's health. If you’ve already contacted Washington Healthplanfinder regarding an issue with your application, please be aware that it may take time to review your issue. Please do not include personal information like: social security number, date of birth, medical conditions or treatments. Patient Review and Coordination Program: 1-866-907-1902. You must also grant Molina access to retrieve this application. had the option to expand eligibility for Medicaid and Washington State said yes. Eligibility: 1-800-562-3022 or submit questions online; Coverage, Claims & Billing: 1-800-562-3022, submit questions online, or find local help; Contact Your Health or Dental Insurance Company. Before Medicaid expansion, coverage was essentially limited to low-income children, people with disabilities or devastating illnesses, and those whose incomes were far below the federal poverty level. Washington Apple Health is the new name for Medicaid in Washington state. Virtual Help Image. Olympia, WA 98501, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, 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, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 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