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Health Home Washington State Health Care Authority

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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Apply for or renew coverage Washington State Health Care

Details: How to apply for or renew Apple Health (Medicaid) coverage. Apply for Apple Health coverage through Washington Healthplanfinder. Apply for or renew your Apple Health coverage online through Washington Healthplanfinder if you are:. An adult age 18 to 64 years old.

› Verified 7 days ago

› Url: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/apply-or-renew-coverage Go Now

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Apple Health account logins Washington State Health Care

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 are not required to create an account to receive benefits.

› Verified 5 days ago

› Url: https://www.hca.wa.gov/health-care-services-and-supports/apple-health-medicaid-coverage/apple-health-account-logins Go Now

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Contact HCA Washington State Health Care Authority

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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› Url: https://www.hca.wa.gov/contact-hca 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 90 days and c an be extended at any time by HHS.

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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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Transportation services (nonemergency) Washington State

Details: Transportation services (nonemergency) Health Care Authority (HCA) covers nonemergency transportation for eligible clients to and from covered health care services through transportation brokers. The brokers schedule the transportation for qualifying clients. Currently, eligible clients are those in Apple Health (Medicaid and CHIP) and other state-funded medical assistance

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› Url: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/transportation-services-non-emergency Go Now

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Washington Apple Health Income and Resource Standards

Details: WASHINGTON APPLE HEALTH INCOME AND RESOURCE STANDARDS July 1, 2021 Changes. Modified Adjusted Gross Income (MAGI) and SSI-related

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

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Kaiser (HMO) Plans for a healthier you

Details: 1 Washington Health Alliance 2008-2019 Community Checkup reports, www.wacommunitycheckup.org. The 2017-2019 year rankings apply to Kaiser Permanente Washington’s medical group, Washington Permanente Medical Group, P.C. Rankings for years prior to 2017 apply to the then-named Group Health

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› Url: https://www.hca.wa.gov/assets/pebb/vbf-pebb-kpwa-medicare-advantage-plan-guide-2021.pdf Go Now

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Agreement to pay for healthcare services

Details: Page 1 of 2 HCA 13-879 (7/17) Agreement to Pay for Healthcare Services. WAC 182-502-0160 (“Billing a Client”) This is an agreement between a “client” and a “provider,” as defined below.

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/13_879.pdf Go Now

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Washington State Health Care Authority

Details: 01AH DARREL W. AHERIN ATTORNEY AT LAW P.O. DRAWER 698 LEWISTON Idaho 83501 2087463646 2087463650 Casualty Insurance Carrier 01AM J. …

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/insurance-company-carrier-codes.xlsx Go Now

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Home 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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› Url: https://www.hca.wa.gov/assets/billers-and-providers/Home-Health-Services-bg-20201001.pdf Go Now

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Application for Apple Health (Medicaid) health care coverage

Details: The public health insurance programs for eligible Washington residents. Washington Apple Health is the name used in Washington for Medicaid, the Children's Health Insurance Program (CHIP), and state-only funded health care programs.

› Verified 8 days ago

› Url: https://www.hca.wa.gov/assets/free-or-low-cost/18-001P.pdf Go Now

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Apple Health (Medicaid) clinical policy and billing for

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 different providers will have different capabilities.

› Verified 9 days ago

› 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 and Apple Health Washington

Details: WAC 182-521-0100 Disregarded income. Revised October 2, 2020. The health care authority (agency) does not count as income when determining apple health eligibility any Federal Pandemic Unemployment Compensation (FPUC) or Recovery Rebates authorized under the CARES Act or other needs-based assistance authorized as a result of the COVID-19 emergency as described in …

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

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Apple Health for the Medically Needy and Spenddown

Details: Purpose: To explain the Medically Needy (MN) program and spenddown. WAC 182-500-0070 defines the Medically Needy program as follows: "Medically needy (MN) or medically needy program (MNP)" is the state- and federally funded health care program available to specific groups of persons who would be eligible as categorically needy (CN), except their monthly income is above the …

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› Url: https://www.hca.wa.gov/health-care-services-supports/program-administration/apple-health-medically-needy-and-spenddown Go Now

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Apple Health free or low-cost coverage

Details: organizations—health centers, hospitals, and non-profit organizations—can help you apply. Your county health department Call to see what’s available in your area. SHIBA volunteers Volunteers through SHIBA (Statewide Health Insurance Benefit Advisers) provide you free, unbiased, and confidential help with health care choices. Call 1-800

› Verified 7 days ago

› Url: https://www.hca.wa.gov/assets/free-or-low-cost/19-003.pdf Go Now

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Apple Health managed care Washington State Health Care

Details: Apple Health Core Connections: Care coordination for all Washington State foster care enrollees is provided through a single, statewide managed care plan called Apple Health Core Connections administered by Coordinated Care of Washington (CCW). Apple Health Core Connections can be reached at 1-844-354-9876.

› Verified 9 days ago

› Url: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/apple-health-managed-care Go Now

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Accountable Communities of Health (ACHs) Washington

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-based organizations, and many others, are working to:

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› Url: https://www.hca.wa.gov/about-hca/medicaid-transformation-project-mtp/accountable-communities-health-achs Go Now

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Physician-Related Services/Health Care Professional

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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› Url: https://www.hca.wa.gov/assets/billers-and-providers/Physician-related-serv-bg-20210506.pdf Go Now

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Use my coverage Washington State Health Care Authority

Details: How to use your Apple Health coverage American Indian/Alaska Native Apple Health managed care Apple Health coverage without managed care Apple Health client booklets Enrollment next steps Make my first appointment Access my 1095-B tax form Questions you may have Which pharmacy or drug store do I use? If you don’t know how to fill prescriptions, such as which pharmacies to use,

› Verified 9 days ago

› Url: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/use-my-coverage 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 additional test are needed, providers can

› Verified 8 days ago

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

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Make my first appointment Washington State Health Care

Details: Get a primary care provider Once you're enrolled in a health plan, you'll need to choose a primary care provider (PCP). Your PCP might be a doctor, a nurse practitioner, a physician assistant, or a naturopath. Sometimes it’s not just one person— it can be a clinic with several kinds of providers. Why a primary care provider is important Your PCP is the main health care

› Verified 9 days ago

› Url: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/make-my-first-appointment Go Now

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Enrollment next steps Washington State Health Care Authority

Details: Health Plan Information. Health plan card. Your health plan will send you a member ID card. Keep this card. Take both your services card and your health plan member ID card with you when you go to a doctor, pharmacy, or other health care provider. You may also need a photo ID. Enrolling in your health …

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› Url: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/enrollment-next-steps Go Now

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Apple Health (Medicaid) MCO and BH-ASO state contracts

Details: Contracts reviewed through Tribal Consultation on February 5, 2020 On February 5, 2020, the Health Care Authority (HCA) consulted with the tribes and met and conferred with non-tribal Indian health care providers on the state’s contracts with Medicaid managed care organizations (MCOs) and behavioral health administrative services organizations (BH-ASOs).

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› Url: https://www.hca.wa.gov/about-hca/tribal-affairs/apple-health-medicaid-mco-and-bh-aso-state-contracts Go Now

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Designated crisis responders (DCR) Washington State

Details: On April 1, 2018 designated mental health professionals (DMHPs) were renamed designated crisis responders (DCRs) if they have participated in the 16-hour DCR training and are a DMHP in good standing. This page provides resources for DMHPs/DCRs in their implementation of the Involuntary Treatment Act (ITA) ( RCW 71.05 and RCW 71.34 ).

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› Url: https://www.hca.wa.gov/billers-providers-partners/behavioral-health-recovery/designated-crisis-responders-dcr Go Now

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Physician-Related Services -- Health Care Professional

Details: The Health Care Authority (agency) 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 insurance programs for

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/physician-related-serv-bg-20190701.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 insurance

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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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Transhealth program Washington State Health Care Authority

Details: Apple Health (Medicaid) Transhealth program If you're covered by a managed care organization (MCO) such as: Amerigroup Community Health Plan of Washington (CHPW) Coordinated Care of WA Molina Healthcare United Healthcare (UHC) Contact the plan directly for program benefits. Hormone therapy and mental health services are covered by your MCO.

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› Url: https://www.hca.wa.gov/health-care-services-and-supports/apple-health-medicaid-coverage/transhealth-program Go Now

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First Steps provider directory Washington State Health

Details: Public Health Seattle King County- Lake City at North Seattle Family Center 2611 E 125 th Ave, Seattle WA 98125 Phone: 206-205-3461 Provides MSS and ICM services in the office, home, and alternative locations. Public Health Seattle King County- North Bend at Snoqualmie Food Bank 122 East 3 rd Street, North Bend WA 98045 Phone: 206-920-8252

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› Url: https://www.hca.wa.gov/health-care-services-and-supports/apple-health-medicaid-coverage/first-steps-provider-directory Go Now

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Rural Health Clinics 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 . ProviderOne billing and resource guide. for valuable

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/RHC-bi-20210401.pdf Go Now

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Apple Health (Medicaid) telemedicine & telehealth brief

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 be provided in a

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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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Substance use disorder prevention and mental health

Details: The Division of Behavioral Health and Recovery contracts with the Office of the Superintendent of Public Instruction (OSPI) to administer the Washington State Prevention/Early Intervention Program. The program places student assistance specialists in local schools to serve students at risk of using alcohol, tobacco, and other drugs and students currently struggling with substance use.

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› Url: https://www.hca.wa.gov/about-hca/behavioral-health-recovery/substance-use-disorder-prevention-and-mental-health-promotion 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

› Verified 5 days ago

› Url: https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svc-bg-20201001.pdf Go Now

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Apple Health COVID-19 vaccine clinical policy

Details: Apple Health (Medicaid) COVID-19 vaccine clinical policy 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 different providers will have different capabilities.

› Verified 9 days ago

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

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Apple Health Alien Emergency Medical Washington State

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 182-507-0115, 182-507-0120, or 182-507-0125; and.

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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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Contact us Washington State Health Care Authority

Details: If you need immediate assistance, call 911. All people in Washington have access to the Washington Recovery Help Line at 1-866-789-1511 (24/7) and county mental health crisis lines. Have a question about a specific program within the Division of Behavioral Health and Recovery? Call: 1-360-725-1500. Behavioral health licensing and certification

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› Url: https://www.hca.wa.gov/billers-providers-partners/contact-us Go Now

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Most Apple Health (Medicaid) coverage will not count

Details: En español: La mayoría de la cobertura de Apple Health (Medicaid) no contará en su contra en la prueba de carga pública What is public charge? Some individuals who apply for a green card (lawful permanent resident status) or a visa to enter the U.S. must pass a “public charge” test – which looks at whether the person is likely to depend primarily on government services in the

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› Url: https://www.hca.wa.gov/most-apple-health-medicaid-coverage-will-not-count-against-you-public-charge-test Go Now

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Washington State Managed Care Quality Strategy

Details: The Health Care Authority (HCA) now contracts with five MCOsto deliver multiple managed care programs for Apple Health clients throughout the state. HCA administers both Medicaid and CHIP within the same managed care delivery system. Apple Health managed care is a mandatory program for the majority of Apple Health clients.

› Verified 6 days ago

› Url: https://www.hca.wa.gov/assets/program/13-0053-washington-state-managed-care-quality-strategy.pdf Go Now

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Apple Health (Medicaid) behavioral health policy and

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 be feasible. It is also understood that different providers

› Verified 3 days ago

› 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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Ombuds services Washington State Health Care Authority

Details: What is an Ombuds? Ombuds are people with lived experience in behavioral health who know services well and can help people navigate and resolve problems. Behavioral Health Ombuds services are available throughout the state. Ombuds can assist resolve issues with behavioral health services in both mental health and substance use. Ombuds services are primarily for individuals

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› Url: https://www.hca.wa.gov/health-care-services-supports/behavioral-health-recovery/ombuds-services Go Now

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Apple Health (Medicaid) behavioral health policy and

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 have different capabilities.

› Verified 1 days ago

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

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Apple Health (Medicaid) Applied Behavior Analysis (ABA

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.

› Verified 4 days ago

› 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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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

› Verified 9 days ago

› Url: https://www.hca.wa.gov/employee-retiree-benefits/contact-us Go Now

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School-Based Health Care Services Billing Guide

Details: The Health Care Authority (HCA) 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.

› Verified 2 days ago

› Url: https://www.hca.wa.gov/assets/billers-and-providers/SBHS-bi-20200801.pdf Go Now

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Wraparound with Intensive Services (WISe) Washington

Details: Wraparound with Intensive Services, or WISe, is an approach to helping Medicaid-eligible children, youth, and their families with intensive mental health care. Services are available in home and community settings and offer a system of care based on the individualized need of the child or youth. WISe is a voluntary service that takes a team

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› Url: https://www.hca.wa.gov/health-care-services-supports/behavioral-health-recovery/wraparound-intensive-services-wise Go Now

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Applied Behavioral Analysis (ABA) 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 HCA. Refer also to HCA’s . ProviderOne billing and resource guide. for valuable

› Verified 6 days ago

› Url: https://www.hca.wa.gov/assets/billers-and-providers/ABA-serv-bg-20210201.pdf Go Now

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Program, Policy and Procedure Manual

Details: Washington State Children’s Behavioral Health Principles Washington States Health Care Authority (HCA) believes that youth and families should have access to necessary services and supports in the least restrictive, most appropriate, and most effective environment possible. Washington State is committed to operating its Medicaid funded

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/wise-wraparound-intensive-services-manual.pdf Go Now

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Managed Care and Long-Term Care Washington State Health

Details: Purpose: The Washington Apple Health (AH) managed care organization (MCO) plan is responsible to pay for nursing facility (NF) days that are qualifying rehabilitative and skilled nursing services. Long-term care nursing facility services (sometimes called custodial care or long term care) is paid by Aging and Long Term Supports Administration (ALTSA) as a fee for service once AH MCO coverage

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› Url: https://www.hca.wa.gov/health-care-services-supports/program-administration/managed-care-and-long-term-care Go Now

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Age of consent for behavioral health treatment fact sheet

Details: Behavioral health services for minors are considered a covered service under Medicaid, and are authorized . Division of Behavioral Health and Recovery 12/18 2 based on determination that the minor meets medical necessity criteria to receive mental health, SUD, or co-occurring treatment services.

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› Url: https://www.hca.wa.gov/assets/program/fact-sheet-age-consent-behavioral-health-treatment.pdf Go Now

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Chiropractic 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 .

› Verified 5 days ago

› Url: https://www.hca.wa.gov/assets/billers-and-providers/Chiropractic-serv-bi-20201001.pdf Go Now

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