It's for people who meet income requirements and are eligible for Washington Apple Health (Medicaid) Integrated Managed Care. But we know being healthy is about more than just doctor visits, so the benefits and services we offer are designed to make a difference in your life. Provider News. New! Billing Guide – Washington State Health Care Authority. Be between 19 and 65 years old. In simple terms, it means Apple Health (Medicaid) is shifting to whole-person care. Molina Healthcare’s Apple Health (Medicaid) Programs offer free or low-cost medical coverage for children and adults who meet the eligibility requirements for Apple Health … COVID-19 pandemic has required dental offices and clinics to change the way they provide care. Results will show health homes serving your area. CHILDREN living in King County For additional King County Dental R esource Lists, visit our websites . Anyone who is eligible for this program is able to receive services. Moreover, some are still in flux: "If you are a new Community Health Plan of Washington member assigned to Washington Apple Health, please use the online directory after 1/15/14 to find a provider." Renew or Enroll today. ParentHelp123.org - Apply online for Apple Health for Kids, Washington’s free and low cost health insurance program for children under age 19, which provides medical and dental coverage. We recognize hospitals, physicians, behavioral health practitioners and other providers play a pivotal role in integrated managed care. A. kingcounty.gov/ Dental providers accepting WASHINGTON APPLE HEALTH(Medicaid) for . Call Provider Services at 1-800-454-3730 and say mental health at the first voice prompt for clinical assistance if mental health and/ or developmental needs are suspected or identified. Have an annual household income at or below 138 percent of the federal poverty level. See if you qualify for or renew your Apple Health managed care. Providers must acknowledge this provider manual and any other written materials provided by Amerigroup Washington, Inc. as proprietary and confidential. Health Details: If you are receiving Apple Health coverage through a managed care plan (i.e. health (BH) services. To see a list of providers in the Integrated Health Homes program, please search by your county. You may also call your health provider to request a test at a health care facility. Washington Apple Health (Medicaid) providers webpage. The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more. The insurance plans listed below apply to all Swedish campuses, Swedish Medical Group clinics, and PET/CT imaging, unless otherwise specified. Get connected to a Washington state dentist, at no cost to you. We’ve got you covered . Even caregivers may be eligible for coverage. To be eligible you must: Be a Washington resident. Permanently moving from a location in the United States to Washington, or to a new county within Washington, only if you had minimum essential coverage for at … Enrollment is done through Washington Healthplanfinder, www.wahealthplanfinder.org. Families can find referrals for children’s dental clinics and programs by calling the Family Health Hotline 1-800-322-2588 or using the online Resource Finder. More on Apple Health (Medicaid) Enrollment; View Our … 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 . If you are a medical, dental, or behavioral health provider with questions about enrollment, billing policy, a claim inquiry or service limitations. You may also call 211 for more resources. Ask Me 3® Program When you talk with a doctor, nurse or pharmacist, ask these questions to better understand your health. Perhaps someone here has already looked into this and come to a conclusion as to pluses and minuses of each plan. Not be incarcerated. Washington Health Benefit Exchange and Medicaid (Apple Health) What You Need To Know The Affordable Care Act (ACA) is a program that allows many Washington residents to access health insurance coverage at an affordable rate and, in some instances, at no cost. Losing other health coverage (i.e., job loss, divorce, loss of Washington Apple Health or WSHIP coverage, etc.) Washington Apple Health (Medicaid) Starting January 1, 2014 Client Handout The Washington Apple Health (Medicaid) resumed covering dental services for all adults with Medicaid (clients 21 years of age and older) Includes people who already have Medicaid AND people who are eligible for “Expanded Medicaid,” part of health care reform. Washington Apple Health (Medicaid) Integrated Managed Care (IMC) Our plan offers a range of physical and behavioral health benefits. Washington Medicaid (Apple Health) insurance plans cover healthcare services for 1.8 million of the state’s residents, providing essential health services, such as addiction treatment. You may also contact any mental health provider directly; a referral from the PCP is not necessary. Legislation passed in 2014 mandating that every county in Washington State transition to Fully Integrated Managed Care (FIMC) under the current Medicaid system by 2020. New 2021 health plans are available, including Cascade Care plans. (1) Providers dispensing or administering 340B drugs to Washington apple health clients are required to submit their valid medicaid provider number(s) or national provider identification (NPI) number to the PHS health resources and services administration, office of pharmacy affairs. To request a printed version of our provider directory, here anytime or call 1-800-600-4441 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Pacific time. View the benefits below to see all that it offers. Testing sites by county in Washington State; Testing Site Online Resources by Health Jurisdiction (PDF) Washington's Department of Social and Health Services (DSHS) has made the Community First Choice Option available through Washington State Medicaid (also known as Washington Apple Health or WAH) since 2015. I qualified for Apple Health and was surprised that I then have to pick a plan. Provider Manual; Medicaid / Apple Health. Taking it a step further, it means that care is coordinated so that people get the help […] Public Health NOVEMBER 2020-B. HCA Find-a-Provider - Washington. See WAC 182-530-7500 for information on the drug rebate program. Provide basic information, and find a list of dental providers in your area. Which is the best Apple Health plan for people in the Seattle area? Here you’ll find all the insurance providers and the types of plans accepted by Swedish. When health record data is transferred from a healthcare institution to the Health app, it is encrypted and does not traverse Apple’s network. Apply for network participation When a user’s iPhone is locked with a passcode, Touch ID, or Face ID, their health data in the Health app is encrypted on-device. Meet citizen and immigrant requirements. To find out if you are eligible for Washington Apple Health coverage you may apply online at https://www.wahealthplanfinder.org , or by calling the customer service center at 1-855-923-4633. Apple Health (Medicaid) updates Specialty Pharmacy Prior Authorization Updates It is not necessary for the health care provider to approach any one therapeutic class of drug products (e.g., NTI drugs) differently from any other class, when there has been a determination of therapeutic equivalence by the FDA for the drug products under consideration. Jul 1, 2016 … care services to eligible clients, and to bill the Medicaid agency for … This Tribal Health Program Billing guide applies to providers in the Indian … Billing Guide – Washington State Health Care Authority. Washington State has a number of programs dedicated to providing health care coverage for low income residents. Even if that were there, it just seems like there's no way to do a side-by-side comparison with these plans (which is what the exchange website proudly promises you). To find out if you can select a health home as your assigned provider, please call our Member Services department .You will find their phone number listed in the top right corner of this page. Children who do not receive a TANF grant may also qualify for free or low-cost medical coverage through the Washington Apple Health program. Provider. If you are uninsured and not eligible for Washington State Apple Health, we can provide limited emergency services. Washington Apple Health is health coverage for low-income adults, children and families. We provide all your Apple Health benefits, like care from a primary care provider (PCP) you choose, prescriptions and much more — all at no cost to you. Free or low-cost coverage is available year round. The largest single source for this coverage is Medicaid, which offers complete major medical coverage. 312 Prosperity Dr Suite 101 Knoxville, TN 37923 Office: (865) 691-3155 Fax: (865) 694-8093 Recently, the state also implemented a new Behavioral Health Services Only plan, in which residents can elect to enroll in a plan that covers only addiction and mental health treatment services. Washington Apple Health is the new name for Medicaid in Washington state. Also, additional clinical tests or examinations by the physician insurance, including Apple Health, or not. CFCO is an entitlement program, which means there are no waitlists. A growing list of healthcare institutions support health records on iPhone and iPod touch, enabling you to view important data such as immunizations, lab results, medications, and vitals directly in the Health … If you need help finding a testing site near you, check with your local health department or district. AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact the plan to find a medical provider.How does this directory work? You may see some Molina Healthcare Apple Health members can be eligible for mental health coverage that includes psychological ... How to find a mental health provider. PCHS staff will also make every effort to direct you to our network of community specialty providers to get the care you need if your needs fall outside of our services. principles. This Amerigroup Washington, Inc. Apple Health (Medicaid) Provider Manual outlines information for providers serving our Integrated Managed Care (IMC) members and Behavioral Health Services Only (BHSO) members. Providers Overview Location Reviews XX Providers Apple Valley Family Medicine is a medical group practice located in Yakima, WA that specializes in Family Medicine and Nursing (Nurse Practitioner). 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