The Public Employees Benefits Board sets eligibility requirements, approves premiums for medical and dental plans, and approves the plans that provide health benefits to 222,000 public employees and retirees. The members are appointed by the Governor and represent a wide range of members and expertise. Working together with staff in HCA's ...Mike Longnecker. Operations and compliance manager. Lena Nachand. Tribal liaison for Medicaid Transformation. Bailey McDonald. PCCM Contract Manager. Kiara Granger. Office of Tribal Affairs Administrative Assistant.Participants have the right to receive care that is free of any sexual exploitation or harassment. Participants may create an advance directive that states the individual’s choices and preferences for health care services under 42 C.F.R. Sec. 489 Subpart I. Participants may choose their own contracted health care provider. You may also have life, accidental death and dismemberment, long-term disability insurance, the option to enroll in a flexible spending arrangement and the Dependent Care Assistance Program. Explore the benefits available to you as a public employee and learn how to enroll and manage your coverage. Benefits 24/7. Apply for health care; Renew my health care; Report a change; Need help? Call: 1-877-501-2233 or view the video on how to access services online in Washington Connection. ProviderOne (client portal) ProviderOne is the Apple Health (Medicaid) system in Washington. You are sent a ProviderOne Services Card after you are enrolled in Apple Health. Background. In 2019, the Washington State Legislature passed Engrossed Second Substitute House Bill into law. This law requires issuers of health insurance, pharmacy benefit managers (PBMs), manufacturers, and pharmacy service administrative organizations (PSAOs) to submit data to the Health Care Authority (HCA). Yes. The commission will collect and use data from the Health Care Cost Transparency Board. The commission will also consider and apply, when appropriate, the work of the Universal Health Care Work Group, whose work ended in early 2021. In 2019, the Washington State Legislature directed HCA to convene a work group study (i.e., the work group). Washington State Health Care Authority (HCA) Phone: 1-800-562-3022 Email: [email protected] Mailing address: Send a request to cancel coverage to: HCA-MEDS, PO Box 45531, Olympia WA 98504. Cancel Qualified Health and/or Dental Plans for one household member Online: EyeMed Vision Care. MetLife Vision. Additional prescription glasses. 30% off (some limitations apply) Up to 40% off complete pairs. 20% off (some limitations apply) LASIK surgery. 40% to 50% off national average price of traditional LASIK. 15% off retail price, or 5% off a promotional offer. Eligibility overview. Find out if you are eligible for free or low-cost Washington Apple Health (Medicaid) coverage. If you do not qualify for Apple Health, you may qualify for help with your health insurance or for other health services. Visit Washington Healthplanfinder or use the WAPlanfinder app to learn if you qualify. Justice for Girls Coalition of Washington State offers trainings ranging from 2 hours to one full day, tailored by request, and can include data presentations and workshops on girl-centered practices, implicit bias, trauma-informed care, de-escalation, and gender-responsive standards and assessment. Visit Justice for Girls Coalition website to ...To find out if you are already an Apple Health (Medicaid) provider, please call Provider Enrollment at 1-800-562-3022 Ext 16137. Phones are open on Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (closed from noon to 1 p.m.). Phones are closed on Mondays, Wednesdays, and Fridays.The full data strategy details how we aim to accomplish our goals. Below you will find health enrollment reports, legislative reports, budget information, and agency data dashboards. …Online at Washington Connection; Call the Customer Service Contact Center at 877-501-2233; Submit a paper HCA 13-691 Application for Medicare Savings Program (wa.gov); or. Submit Form HCA 18-005 Application for aged, blind, disabled/long-term if applying full Medicaid coverage (wa.gov).340B Drug Pricing Program. 90- & 180-day civil commitment beds. Applied Behavior Analysis therapy. Child & youth behavioral health services. Community behavioral support services. Dental services. Designated crisis responders. Durable medical equipment. Early, Periodic Screening, Diagnosis, and Treatment.Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.UMP is administered by Regence BlueShield and Washington State Rx Services. Prior authorization, billing, and claims. Find information about how to get prior authorization (PA) and payment for services as an Apple Health (Medicaid) provider. Access provider billing guides, fee schedules, and hospital reimbursement information. Request PAs and file claims. The School Employees Benefits Board sets eligibility requirements, approves premiums for medical, dental, and vision plans, and approves the plans that provide health benefits to more than 130,000 employees of the state’s school districts and charter schools, as well as union-represented employees of the nine educational service districts.Washington State All Payer Claims Database (WA-APCD) Washington State Medicaid Explorer; Analytics, research & measurement (ARM) data dashboard suite; ... About the Health Care Authority (HCA) Introducing HCA Director Sue Birch . Sue Birch. Sue Birch talks about her background as a nurse, ... Washington State Health Care Authority (HCA) Phone: 1-800-562-3022 Email: [email protected] Mailing address: Send a request to cancel coverage to: HCA-MEDS, PO Box 45531, Olympia WA 98504. Cancel Qualified Health and/or Dental Plans for one household member Online: WSHA works with the state Health Care Authority (HCA) to provide health insurance for almost a third of Washington State residents through two programs: Apple Health …Phone: 1-800-700-1555. Secure messaging: HCA Support. Worksheets for determining dependent eligibility for SEBB benefits When employees express an interest in adding an eligible dependent to their SEBB medical, vision, and/or dental coverage, provide them with the E-1 worksheet. Wraparound with Intensive Services, or WISe, is an approach to helping 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 approach to support ... Health Care Authority. For questions about Washington Apple Health: Phone: 1-800-562-3022. Washington Healthplanfinder. For questions about enrolling into a Qualified Health or Dental Plan: Phone: 1-855-923-4633. DSHS Community Services Division. For help applying for health coverage: Phone: 1-877-501-2233.Mike Longnecker. Operations and compliance manager. Lena Nachand. Tribal liaison for Medicaid Transformation. Bailey McDonald. PCCM Contract Manager. Kiara Granger. Office of Tribal Affairs Administrative Assistant.Learn how to implement a trauma-informed approach in your agency. In 2019, HCA awarded nearly 1.4 million dollars in grants to organizations across the state to build on the trauma-informed work already happening across the state, and to support interest that had been previously unfunded. To hear more from providers that participated in this ...For immediate release: March 18, 2024 (24-030) . Contact: DOH Communications . The new recommendations streamline guidance across multiple … Our agency 2022-25 strategic plan guides the work we do on behalf of Washington residents, and helps with decisions about budget and policy priorities. Mission. Provide equitable, high-quality health care through innovative health policies and purchasing strategies. Vision. A healthier Washington. Values. People first. We would like to show you a description here but the site won’t allow us.To find a treatment provider in your area, call or text the Washington State Problem Gambling (ECPG) Helpline at 1-800-547-6133. The Helpline is open 7 days a week, 24 hours a day. If you are enrolled in Apple Health (Medicaid), please contact your managed care organization's member services to locate a provider.The webinar is an introduction to PEBB retiree insurance coverage. For questions specific to your individual situation, please call the PEBB Program at 1-800-200-1004 (TRS: 711) or send us a secure message . The webinars are hosted using …Program integrity Phone: 360-725-1750 Fax: 360-586-0212 Email: [email protected]. PERM Email: [email protected] Veterans benefits Email: [email protected] Physical address: Cherry Street Plaza 626 8th Avenue SE Olympia, WA 98501. Mailing address:If you applied for health coverage through Washington Healthplanfinder, report this change by either calling Health Care Authority at 1-800-562-3022, email [email protected], or online at Washington Healthplanfinder. As of May 2020, the Washington Healthplanfinder application asks for your “sex assigned at birth”.Washington State Health Care Authority (HCA) Phone: 1-800-562-3022 Email: [email protected] Mailing address: Send a request to cancel coverage to: HCA-MEDS, PO Box … HCA Careers. powered by NEOGOV ®. The online recruiting system will be unavailable starting 10:00pm Pacific Time on Saturday, March 23rd to 4:00am Pacific Time on Sunday, March 24th, 2024, for scheduled maintenance. Please save your work and log out of the system prior to this time. Prior authorization, billing, and claims. Find information about how to get prior authorization (PA) and payment for services as an Apple Health (Medicaid) provider. Access provider billing guides, fee schedules, and hospital reimbursement information. Request PAs and file claims. Compliance officer (ADA/nondiscrimination coordinator) Enterprise Risk Management Office, Health Care Authority. PO Box 42704 Olympia WA 98504-2704. 1-855-682-0787. Fax: 360-507-9234. Email: HCA compliance. You can file a grievance online (written or ASL videos accepted), in person, or by mail, fax, or email.Moda Health has been serving the Pacific Northwest since 1955 and is proud to provide more than one million people with medical, dental, pharmacy, and vision health care. Navitus Health Solutions® handles the claims processing, pharmacy network, and pharmaceutical rebate contracts. The mail order vendor, PPS®, provides a fast, easy … WSHA works with the state Health Care Authority (HCA) to provide health insurance for almost a third of Washington State residents through two programs: Apple Health (Medicaid) and PEBB. HCA also leads Healthier Washington, a five-year plan to improve the health of Washingtonians through innovation and collaboration. 340B Drug Pricing Program. 90- & 180-day civil commitment beds. Applied Behavior Analysis therapy. Child & youth behavioral health services. Community behavioral support services. Dental services. Designated crisis responders. Durable medical equipment. Early, Periodic Screening, Diagnosis, and Treatment.How does the Health Care Authority (HCA) ensure the quality of PDAs? Washington State law supports and regulates shared decision making and the certification of PDAs. In addition, Washington is the only state in the nation to certify PDAs. HCA began accepting PDAs for certification in April 2016. Learn about the PDA certification …No. The IRS does not require the 1095-B form to be included with an individual's tax return. Information provided on the 1095-B form is electronically submitted to the IRS. For tax resources and questions: Call 2-1-1 or the CLEAR Hotline at 1-888-201-1014. Note: This form is informational only and not required to complete your taxes.Therapists (SLP, OT, PT) Social workers. Spiritual care providers. Palliative care may include the following services: Initial assessment. Goals of care and advance care planning. Assessment of cognitive impairment. Assessment and management of functional needs. Assessment and management of serious illness and/or multiple chronic conditions. Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board ... Washington State Health Care Authority, Olympia, Washington. 7,020 likes · 202 talking about this · 1,127 were here. HCA purchases whole-person health... Bids and contracts. HCA offers the vendor and provider communities a wealth of opportunities to do business with us. As an agency, we spend over $6 billion through various contracts. Given the scope of HCA’s mission and the number of Washington residents served, those contracts cover a broad range of industries and services. King County Community Collaborative. Pattie Marshall. 206-771-4405. Fourth Tuesday 5:30 to 7:30 p.m. Online**. North Central. North Central Washington FYSPRT. Brian Rebar. 509-885-6870.The 2022 Washington State Legislature directed the Health Care Authority (HCA) to create a work group to study whether to make psilocybin services available in Washington. A growing body of research suggests psilocybin may be effective in the treatment of some behavioral health conditions.Washington State Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. By fax. 360-725-0771. Electronically. Send us a secure message through HCA Support, a secure website that allows you to log into your own account to communicate with us. Sign and date any forms you attach to a secure message.HCA is the largest health care purchaser in Washington State, as well as its behavioral health authority. We serve more than 2.7 million people through our Apple Health … Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. SEBB Program. Health Care Authority SEBB Program PO Box 42720 Olympia, WA 98504-2720. Sign up for email subscription service. You can sign up to have many of the PEBB and SEBB Program's general mailings, like newsletters, sent to you by email. How to sign up. Log in to ... This free, telephone-based referral service provides mental health referrals for children and teens 17 and younger throughout Washington. Families can call 833-303-5437, Monday through Friday from 8 a.m. to 5 p.m. (Pacific), to connect with a referral specialist. Please note: The referral service will ask for information including your mental ...As the largest health plan based in the Pacific Northwest, Premera serves more than 2 million members—from individuals and families to employees of Fortune 100 companies. Premera Blue Cross is headquartered in Mountlake Terrace, WA, with more than 3,250 employees working in operations in Seattle and Spokane, Washington, and Anchorage, …Benefit: 60 percent of the first $16,667 of your predisability earnings, reduced by any deductible income. Minimum: $100/month or 10 percent of the LTD benefit before deductible income, whichever is greater. Maximum: $10,000/month. Benefits start after the benefit-waiting period, which is the longer of: 90 days;See if you're eligible for WIC and learn how to apply. You can also find a WIC clinic online or call 1-800-322-2588. Program requirements You may be eligible for Apple Health for Pregnant individuals coverage if you: Are pregnant. Live in Washington State. Have income at or below 193% of the Federal Poverty Level (FPL) (see income chart below).*.See if you're eligible for WIC and learn how to apply. You can also find a WIC clinic online or call 1-800-322-2588. Program requirements Your child may be eligible for Apple Health for Kids free or low-cost coverage (with a low premium) if they are a Washington resident and your household income is at or below the Medicaid standard (see income ...Compliance officer (ADA/nondiscrimination coordinator) Enterprise Risk Management Office, Health Care Authority. PO Box 42704 Olympia WA 98504-2704. 1-855-682-0787. Fax: 360-507-9234. Email: HCA compliance. You can file a grievance online (written or ASL videos accepted), in person, or by mail, fax, or email.Ombuds can help people resolve: Complaints and grievances — any dissatisfaction with services, written or verbal. Appeals — a reconsideration of denials, reduction or termination of services. Administrative (Fair) Hearings — a formal court procedure when all other avenues have been unsuccessful. Ombuds services are voluntary.WSHA works with the state Health Care Authority (HCA) to provide health insurance for almost a third of Washington State residents through two programs: Apple Health …PEBB Program dental plans. Cost for dental coverage: The cost for dental coverage is included in the total rate, paid by the employer for eligible employees of state agencies and higher education institutions. PEBB Participating employer groups determine what portion of the rates eligible employees pay. Find your organization's PEBB Program rates.For suicide prevention: Contact the National Suicide Prevention Lifeline at 1-800-273-8255 (TRS: 1-800-799-4889). For 24-hour emotional support and referrals: Contact the Washington Recovery Help Line or the mental health crisis line in your area.Benefit: 60 percent of the first $16,667 of your predisability earnings, reduced by any deductible income. Minimum: $100/month or 10 percent of the LTD benefit before deductible income, whichever is greater. Maximum: $10,000/month. Benefits start after the benefit-waiting period, which is the longer of: 90 days;Outreach and Training The Washington State Health Care Authority's (HCAs) Outreach & Training (O&T) team is here to assist you with the administration of PEBB benefits. Contact O&T for PEBB-related requests, including requests for training, assistance with determining employee eligibility, processing enrollment, and maintenance of employee insurance …The Health Care Authority intends to submit an application to extend the Section 1115 Family Planning Only Demonstration Waiver for five years (through July 2028). The current waiver expires on June 30, 2023, and covers limited family planning and family planning-related services for people who are in need of contraceptive care and are enrolled ...How does the Health Care Authority (HCA) ensure the quality of PDAs? Washington State law supports and regulates shared decision making and the certification of PDAs. In addition, Washington is the only state in the nation to certify PDAs. HCA began accepting PDAs for certification in April 2016. Learn about the PDA certification …To find out if you are already an Apple Health (Medicaid) provider, please call Provider Enrollment at 1-800-562-3022 Ext 16137. Phones are open on Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (closed from noon to 1 p.m.). Phones are closed on Mondays, Wednesdays, and Fridays.Compliance officer (ADA/nondiscrimination coordinator) Enterprise Risk Management Office, Health Care Authority. PO Box 42704 Olympia WA 98504-2704. 1-855-682-0787. Fax: 360-507-9234. Email: HCA compliance. You can file a grievance online (written or ASL videos accepted), in person, or by mail, fax, or email.The Washington State Health Care Authority brings together the three largest purchasers of health care in state government – the Public Employees Benefits Board program, ... St Health Care Authority Admin Acct - State 28,583,634 37,455,000 36,142,000 6,258,000 6,258,000 Pension Funding ... Prior authorization, billing, and claims. Find information about how to get prior authorization (PA) and payment for services as an Apple Health (Medicaid) provider. Access provider billing guides, fee schedules, and hospital reimbursement information. Request PAs and file claims. For questions about your Apple Health eligibility, coverage claims, or billing, contact the Washington State Health Care Authority. Washington State Health Care Authority (HCA) PO Box 45531. Olympia, WA 98504. Phone: 1-800-562-3022. Email: [email protected] Online: Secure web form. Local Assistance: HCA Community-Based Specialists Our agency 2022-25 strategic plan guides the work we do on behalf of Washington residents, and helps with decisions about budget and policy priorities. Mission. Provide equitable, high-quality health care through innovative health policies and purchasing strategies. Vision. A healthier Washington. Values. People first. Data and reports. Read our data strategy overview to learn more about how we manage data for accuracy, reliability, security, and the best user experience. The full data strategy details how we aim to accomplish our goals. Below you will find health enrollment reports, legislative reports, budget information, and agency data dashboards. Reports. Background. In 2019, the Washington State Legislature passed Engrossed Second Substitute House Bill into law. This law requires issuers of health insurance, pharmacy benefit managers (PBMs), manufacturers, and pharmacy service administrative organizations (PSAOs) to submit data to the Health Care Authority (HCA).This form is required information for the subscriber's private insurance plan. Mail these documents to: Premium Payment Program Health Care Authority PO Box 45518 Olympia, WA 98504-5518. Fax: 877-893-3810 (toll free) It may take up to 30 days to process your application after we receive all the necessary paperwork.The 2022 Washington State Legislature directed the Health Care Authority (HCA) to create a work group to study whether to make psilocybin services available in Washington. A growing body of research suggests psilocybin may be effective in the treatment of some behavioral health conditions.ProviderOne user manuals. The following materials (presentations, manuals, and webinars) are for ProviderOne users interested in self-service learning. They are not specific to any particular Apple Health (Medicaid) program and contain step-by-step processes rather than Apple Health policy details.The School Employees Benefits Board sets eligibility requirements, approves premiums for medical, dental, and vision plans, and approves the plans that provide health benefits to more than 130,000 employees of the state’s school districts and charter schools, as well as union-represented employees of the nine educational service districts.I need medical, dental, or vision care. You or your family may qualify for free or low-cost Apple Health coverage. Coverage includes primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more. Explore our resources to learn about covered benefits and services, and how to ...Medicare assigned $1,068 to Joe's Medicare deductible and charged him an additional $2670 for coinsurance. Medicare paid $6,800 to the hospital. The hospital did an insurance adjustment for the remaining balance. If Joe is eligible for QMB coverage, his charges of $1,068 and $2,670 will be paid by the QMB program and can't be used towards his ...Find information and resources on health topics, services, and programs in Washington state. Learn about COVID-19, flu, immunizations, vital records, provider licensing, and …Program integrity Phone: 360-725-1750 Fax: 360-586-0212 Email: [email protected]. PERM Email: [email protected] Veterans benefits Email: [email protected] Physical address: Cherry Street Plaza 626 8th Avenue SE Olympia, WA 98501. Mailing address:How does the Health Care Authority (HCA) ensure the quality of PDAs? Washington State law supports and regulates shared decision making and the certification of PDAs. In addition, Washington is the only state in the nation to certify PDAs. HCA began accepting PDAs for certification in April 2016. Learn about the PDA certification …Washington State Health Care Authority (HCA) PO Box 45531. Olympia, WA 98504. Phone: 1-800-562-3022. Email: [email protected]. Online: Secure web form. Local …Care-a-Van Events. Care-A-Van is a mobile health service that supports underserved communities and those most impacted by COVID-19 and other health inequities across Washington state. You can get health services such as COVID-19, seasonal flu, Mpox, and many childhood vaccines. Screenings for blood pressure and blood glucose are also …Washington State Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. By fax. 360-725-0771. Electronically. Send us a secure message through HCA Support, a secure website that allows you to log into your own account to communicate with us. Sign and date any forms you attach to a secure message. Under Birch’s leadership, Washington implemented Cascade Care, the first-in-nation public option aimed at improving access to high-quality, affordable health care. Before joining HCA, Sue spent nearly seven years as the executive director of the Colorado Department of Health Care Policy and Financing, where she led the state’s successful ... The Health Care Authority (HCA) is the Medicaid state agency in Washington, whose Health Information Technology (HIT) unit leads our state’s efforts to improve the health of our citizens through multiple federal and state projects. Learn how we lead the way on the effective sharing and use of electronic health information through these major ...Apply Now. Renew Your Coverage. Sign In to Your Account. Free or Low-Cost Apple Health. Health Care Options for Immigrants. Browse and Compare Plans. Frequently …Brampton inn, Abo plasma, Gak, Bananarchy, Taps animal shelter, St francis chapel, Harmony hill, Boba republic, Cooper lighting solutions, Lms.renweb, Armature tampa, Hubbell house, 104.9 fm the horn, Selkirk lab
You must mail or bring in your first premium payment. Make checks payable to the Health Care Authority. Mail to (for first payment only): Health Care Authority PO Box 42691 Olympia, WA 98504-2691. Or bring to: Health Care Authority 626 8th Avenue SE Olympia, WA 98501 8 a.m. to 4:30 p.m. Monday through Friday. Bruar
the shore club spring lake njMedicare Part D Prescription Drug Program. Learn how to get Medicare prescription drug coverage through adding a Medicare Prescription Drug Plan (Part D). Anyone who has Medicare can get Medicare prescription drug coverage. Apply online for Medicare benefits. Apple Health Second Opinion Program. Phone: 1-800-700-1555. Secure messaging: HCA Support. Worksheets for determining dependent eligibility for SEBB benefits When employees express an interest in adding an eligible dependent to their SEBB medical, vision, and/or dental coverage, provide them with the E-1 worksheet.Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633. Paper: Submit an Application for health care coverage (18-001P). In-person: Local …Apply Now. Renew Your Coverage. Sign In to Your Account. Free or Low-Cost Apple Health. Health Care Options for Immigrants. Browse and Compare Plans. Frequently …On May 9, 2018 the Health Care Authority (the Agency) received approval for renewal of the Section 1115 Family Planning Only Demonstration Waiver for five years (through June 2023). The approval letter, Special Terms and Conditions, and Expenditure Authority can be found on CMS’s website under Washington Family Planning Only Program and then …Enrollment errors. The types of errors which require correction are as follows: Failure to timely notify an employee of their eligibility for PEBB benefits and the employer contribution ( WAC 182-12-113 (2) ). Failure to timely enroll an employee and their dependents in PEBB insurance coverage, as elected by the employee.Wellness programs. Diabetes prevention. SmartHealth. Living tobacco free. Medical plan options Kaiser Permanente NW plans. Provides information for Kaiser Foundation Health Plan of the Northwest. These plans are offered in Clark and Cowlitz counties in Washington, and select counties in Oregon.After-Pregnancy Coverage es una cobertura integral de Apple Health (Medicaid) para que las personas accedan a los servicios de atención médica en cualquier momento durante los 12 meses posteriores a la finalización del embarazo. Obtenga más información sobre APC y …Learn how to implement a trauma-informed approach in your agency. In 2019, HCA awarded nearly 1.4 million dollars in grants to organizations across the state to build on the trauma-informed work already happening across the state, and to support interest that had been previously unfunded. To hear more from providers that participated in this ...The Health Care Authority (HCA) has built a hepatitis C (HCV) elimination dashboard for your use. This interactive dashboard shows the total number of Washingtonians diagnosed and treated for hepatitis C since 2015. The map is broken into counties so you can see the impact in your community. You can filter by age, … You or your family may qualify for free or low-cost Apple Health coverage. Coverage includes primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more. Explore our resources to learn about covered benefits and services, and how to apply for, use, or manage your coverage. You or your family may qualify for free or low-cost Apple Health coverage. Coverage includes primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more. Explore our resources to learn about covered benefits and services, and how to apply for, use, or manage your coverage. 1-800-869-7165. UnitedHealthcare Community Plan (UHC) 1-877-542-8997. Wellpoint Washington (previously Amerigroup) (WLP) 1-833-731-2167. All Apple Health plans offer the same basic services . As an Apple Health client, you also have access to value-added benefits offered through your managed care plan.ProviderOne user manuals. The following materials (presentations, manuals, and webinars) are for ProviderOne users interested in self-service learning. They are not specific to any particular Apple Health (Medicaid) program and contain step-by-step processes rather than Apple Health policy details.Health technology reviews. HTA supports the independent Health Technology Clinical Committee (HTCC), which makes coverage decisions that apply to state purchased health care programs. The HTCC is composed of community health care practitioners. HTA develops scientific, evidence-based reports on selected medical devices, procedures, …We would like to show you a description here but the site won’t allow us.Find answers to common questions about changing, canceling, or enrolling in health insurance plans, as well as how to submit documents, apply for financial support, and …All SEBB medical plans cover the same basic health care services. They vary in other ways, such as provider networks, premiums, out-of-pocket costs, and drug formularies. Below are tools to help you choose the plan that's right for you. Medical Benefits Comparison Tool (online) Medical Benefits At-a-Glance 2024 (printable) Plan differences …Apple Health (www.hca.wa.gov) The state of Washington program provides medical, dental, vision and mental health coverage to people who qualify. ... Apple Health for Workers with Disabilities Program (www.dshs.wa.gov) Health care coverage for people with disabilities age 16 though 64 who meet federal disability requirements and are employed. Prior authorization, billing, and claims. Find information about how to get prior authorization (PA) and payment for services as an Apple Health (Medicaid) provider. Access provider billing guides, fee schedules, and hospital reimbursement information. Request PAs and file claims. Prior authorization, billing, and claims. Find information about how to get prior authorization (PA) and payment for services as an Apple Health (Medicaid) provider. Access provider billing guides, fee schedules, and hospital reimbursement information. Request PAs and file claims. Find information and resources on health topics, services, and programs in Washington state. Learn about COVID-19, flu, immunizations, vital records, provider licensing, and more. Learn about different health insurance plans and programs for low-income or uninsured people in Washington state. Find out how to apply, enroll, and get help with health care … Data and reports. Read our data strategy overview to learn more about how we manage data for accuracy, reliability, security, and the best user experience. The full data strategy details how we aim to accomplish our goals. Below you will find health enrollment reports, legislative reports, budget information, and agency data dashboards. Reports. Administrative hearing request – HCA/HBE. Use this form to request a hearing before a judge. Mail this form within 90 calendar days of the date on eligibility notice you disagree with. You may be able to keep Apple Health coverage during the hearing process if you request a hearing in less than 10 days. 12-511. Previously known as PAL for Moms, the PPCL began operation at the University of Washington since 2016 with state funding since 2019. This service offers consultations for providers caring for pregnant or postpartum patients with behavioral health disorders. The line is staffed by perinatal psychiatry faculty. View the PPCL webpage.About WHCFA. The Washington Health Care Facilities Authority was created by the Legislature in 1974 to provide a new source of capital funding for modern, well equipped, …You will need to set up a SecureAccess Washington (SAW) account to use this option. Call 1-800-200-1004 (toll-free) (TRS: 711) Monday through Friday, 8 a.m. to 4:30 p.m. Fax a letter with your name and new address to 360-725-0771. Mail us your new address to: Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684; Sign … Bids and contracts. HCA offers the vendor and provider communities a wealth of opportunities to do business with us. As an agency, we spend over $6 billion through various contracts. Given the scope of HCA’s mission and the number of Washington residents served, those contracts cover a broad range of industries and services. Spouse or state-registered domestic partner. Children. (14 days up to 26 years) Supplemental life insurance. Increments of $10,000 up to $500,000 guaranteed issue*, up to a maximum of $1,000,000 with evidence of insurability. Increments of $5,000 up to $100,000 guaranteed issue*, up to a maximum of $500,000 with evidence of insurability.You must mail or bring in your first premium payment. Make checks payable to the Health Care Authority. Mail to (for first payment only): Health Care Authority PO Box 42691 Olympia, WA 98504-2691. Or bring to: Health Care Authority 626 8th Avenue SE Olympia, WA 98501 8 a.m. to 4:30 p.m. Monday through FridayWellness programs. Diabetes prevention. SmartHealth. Living tobacco free. Medical plan options Kaiser Permanente NW plans. Provides information for Kaiser Foundation Health Plan of the Northwest. These plans are offered in Clark and Cowlitz counties in Washington, and select counties in Oregon.K7389 - The Alliance for Rights and Recovery. Online Training Modules for Foundational Community Supports Providers. K7389: The Alliance for Rights and Recovery Contract Final Draft. K7389: Sole Source Justification. K7389: Notice of Intent to Award Sole Source Contract. Date of Execution to March 14, 2024.Learn about different health insurance plans and programs for low-income or uninsured people in Washington state. Find out how to apply, enroll, and get help with health care …The Health Care Authority intends to submit an application to extend the Section 1115 Family Planning Only Demonstration Waiver for five years (through July 2028). The current waiver expires on June 30, 2023, and covers limited family planning and family planning-related services for people who are in need of contraceptive care and are enrolled ... Wraparound with Intensive Services, or WISe, is an approach to helping 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 approach to support ... Participants have the right to receive care that is free of any sexual exploitation or harassment. Participants may create an advance directive that states the individual’s choices and preferences for health care services under 42 C.F.R. Sec. 489 Subpart I. Participants may choose their own contracted health care provider.HCA Careers. powered by NEOGOV ®. The online recruiting system will be unavailable starting 10:00pm Pacific Time on Saturday, March 23rd to 4:00am Pacific Time on Sunday, March 24th, 2024, for scheduled maintenance. Please save your work and log out of the system prior to this time.Phone: 1-800-562-3022, ext. 16137. Fax: 360-725-1259. Phones are open: Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (Closed from noon to 1 p.m.) Phones are closed: Mondays, Wednesdays, and Fridays. Federal regulations require state Medicaid agencies to revalidate the enrollment of all Medicaid providers once every five years (42 CFR Part ...The School Employees Benefits Board sets eligibility requirements, approves premiums for medical, dental, and vision plans, and approves the plans that provide health benefits to more than 130,000 employees of the state’s school districts and charter schools, as well as union-represented employees of the nine educational service districts. PEBB benefits. The Public Employees Benefits Board (PEBB) Program offers a variety of benefits including medical (with vision), dental, life insurance, accidental death and dismemberment (AD&D) insurance, long-term disability (LTD) insurance, Flexible Spending Arrangements (FSAs), and the Dependent Care Assistance Program (DCAP). Medicaid Transformation Project (MTP) MTP is Washington State's Section 1115 Medicaid demonstration waiver between the Health Care Authority (HCA) and Centers for Medicare & Medicaid Services (CMS). MTP allows our state to create and continue to develop projects, activities, and services that improve Washington’s health care system. On … Long-term care services in a NF are when an individual does not meet the criteria for skilled nursing or rehabilitation. Most long-term care assists people with support services, (Sometimes this is called custodial care). The correct term is long term care or institutional services. The AH MCO contract does not cover custodial long-term care ... Spinal cord stimulation (SCS) was first reviewed by the HTA program in 2010. Searches of SCS medical literature were conducted in 2014, 2016, and 2018 to determine if newly available published evidence could change the original coverage determination. The technology has not been selected for rereview.Washington State Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. By fax. 360-725-0771. Electronically. Send us a secure message through HCA Support, a secure website that allows you to log into your own account to communicate with us. Sign and date any forms you attach to a secure message.Medicare Part D Prescription Drug Program. Learn how to get Medicare prescription drug coverage through adding a Medicare Prescription Drug Plan (Part D). Anyone who has Medicare can get Medicare prescription drug coverage. Apply online for Medicare benefits. Apple Health Second Opinion Program. Administrative hearing request – HCA/HBE. Use this form to request a hearing before a judge. Mail this form within 90 calendar days of the date on eligibility notice you disagree with. You may be able to keep Apple Health coverage during the hearing process if you request a hearing in less than 10 days. 12-511. Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board ... I need behavioral health support. Behavioral health covers prevention, treatment, and recovery services for both mental health and substance use disorders. Services are available for working families, children, pregnant women, individual adults, and seniors. You can learn more about specific behavioral health benefits in this section. All meetings sponsored by the Health Care Authority will meet Americans with Disabilities Act (ADA) requirements. To request an accommodation, please call our ADA Coordinator at 360-725-5141.TRS users may call this number through the … For help logging in to your Benefits 24/7 account. Call 1-866-335-0043. What can I do in Benefits 24/7? Use Benefits 24/7 to enroll in coverage, verify your dependents, attest to premium surcharges, make changes due to a life event, view your coverage elections, make open enrollment changes, apply for continuation coverage or PEBB retiree ... The Health Care Authority intends to submit an application to extend the Section 1115 Family Planning Only Demonstration Waiver for five years (through July 2028). The current waiver expires on June 30, 2023, and covers limited family planning and family planning-related services for people who are in need of contraceptive care and are enrolled ... You may also have life, accidental death and dismemberment, long-term disability insurance, the option to enroll in a flexible spending arrangement and the Dependent Care Assistance Program. Explore the benefits available to you as a public employee and learn how to enroll and manage your coverage. Benefits 24/7. See if you're eligible for WIC and learn how to apply. You can also find a WIC clinic online or call 1-800-322-2588. Program requirements You may be eligible for Apple Health for Pregnant individuals coverage if you: Are pregnant. Live in Washington State. Have income at or below 193% of the Federal Poverty Level (FPL) (see income chart below).*.The Washington State Health Care Authority ... Health Care Authority PO Box 42704 Olympia WA 98504-2704 1-855-682-0787 Fax: 360-507-9234 Email: HCA compliance. How to file a grievance. You can file a grievance online (written or ASL videos accepted), in person, or by mail, fax, or email.SmartHealth SmartHealth is Washington State's voluntary wellness program that supports you on your journey toward living well. Join activities that support all of you, including managing stress, building resiliency, and adapting to change. As you progress on your wellness journey, you may also qualify for the SmartHealth wellness incentive.The Washington State Health Care Authority (HCA) recently released an overview, table, and FAQs regarding legislatively mandated Medicaid provider rate …The Washington State Health Care Authority (HCA) recently released an overview, table, and FAQs regarding legislatively mandated Medicaid provider rate …What is health equity? To the Health Care Authority (HCA), health equity means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education …View the proposed budget for the Wash State Health Care Authority for the 2021-23 biennium. See the appropriated and non-appropriated funds, expenditures, and balances …Learn about the government agency that purchases health care for 2.5 million Washington residents through various programs. See job openings, updates, and social …Learn how to implement a trauma-informed approach in your agency. In 2019, HCA awarded nearly 1.4 million dollars in grants to organizations across the state to build on the trauma-informed work already happening across the state, and to support interest that had been previously unfunded. To hear more from providers that participated in this ...For additional information on the Health Home program. Email: Health Homes. For information on options counseling. Phone: 1-855-567-0252. Resources for the Health Home program.The Washington Health Care Facilities Authority was created by Legislature in 1974 to provide a new source of capital funding for modern, well equipped, and reasonably priced health care facilities. The WHCFA assist non-profit health care providers in Washington minimize their capital costs of construction, financing and use thereof in an effort to lower … HCA is the largest health care purchaser in Washington State, as well as its behavioral health authority. We serve more than 2.7 million people through our Apple Health (Medicaid), behavioral health, Public Employees Benefits Board (PEBB), and School Employees Benefits Board (SEBB) programs. We provide behavioral health services to all ... The Health Care Authority (HCA) was tasked with the development of a statewide behavioral health service directory that would include a comprehensive list of behavioral health services throughout Washington state. HCA contracted with … The Public Employees Benefits Board sets eligibility requirements, approves premiums for medical and dental plans, and approves the plans that provide health benefits to 222,000 public employees and retirees. The members are appointed by the Governor and represent a wide range of members and expertise. Working together with staff in HCA's ... Washington State Health Care Authority (HCA) Phone: 1-800-562-3022 Email: [email protected] Mailing address: Send a request to cancel coverage to: HCA-MEDS, PO Box 45531, Olympia WA 98504. Cancel Qualified Health and/or Dental Plans for one household member Online: Washington State Health Care Authority. 8,115 followers. 49m. Understanding health care coverage can be confusing. WithinReach has friendly, local, and knowledgeable staff to help you understand ... Mike Longnecker. Operations and compliance manager. Lena Nachand. Tribal liaison for Medicaid Transformation. Bailey McDonald. PCCM Contract Manager. Kiara Granger. Office of Tribal Affairs Administrative Assistant.HCA offers the vendor and provider communities a wealth of opportunities to do business with us. As an agency, we spend over $6 billion through various contracts. Given the scope of HCA’s mission and the number of Washington residents served, those contracts cover a broad range of industries and services. All of our contracting opportunities ...The Health Care Authority (HCA) is the Medicaid state agency in Washington, whose Health Information Technology (HIT) unit leads our state’s efforts to improve the health of our citizens through multiple federal and state projects. Learn how we lead the way on the effective sharing and use of electronic health information through these major ...Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684; Sign up for email delivery. Email is the fastest and most efficient way to receive general updates and policy changes, with the added benefit of helping to reduce the toll on the environment. Sign up today in Benefits 24/7.On April 25th, Steve’s spouse, Joan, purchased an annuity with $100,000 (Joan is the annuitant). Joan can cancel the contract with 15 days of purchase. As of May 1st, all the couple’s other resources total $5,000. The couple’s resources as of May 1st is $105,000 because Joan can cancel the contract and get the $100,000 returned.Washington State Health Care Authority (HCA) PO Box 45531. Olympia, WA 98504. Phone: 1-800-562-3022. Email: [email protected]. Online: Secure web form. Local …1-800-869-7165. UnitedHealthcare Community Plan (UHC) 1-877-542-8997. Wellpoint Washington (previously Amerigroup) (WLP) 1-833-731-2167. All Apple Health plans offer the same basic services . As an Apple Health client, you also have access to value-added benefits offered through your managed care plan.You may access a digital copy of your services card through the WAPlanfinder mobile app. No need to order a replacement when you have a digital copy with you at all times! Call the Washington State Health Care Authority at 1-800-562-3022. There is no charge for a new card. It will take 7-10 days to get your new card in the mail.Phone : 1-800-200-1004, Monday through Friday, 8 a.m. to 4:30 p.m. TRS: 711. The plans. For questions about plan-specific benefits and providers. Making UMP Classic Medicare more affordable PEBB retirees have expressed the importance of preserving UMP Classic Medicare as a plan option for PEBB Medicare retirees.To find out if you are already an Apple Health (Medicaid) provider, please call Provider Enrollment at 1-800-562-3022 Ext 16137. Phones are open on Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (closed from noon to 1 p.m.). Phones are closed on Mondays, Wednesdays, and Fridays.Grant overview. This grant includes $2 million provided for one-time grants for clinics to establish behavioral health integration in primary care clinics for children and adolescents. Up to $200,000 per clinic will be awarded. Training to create operational workflows that promote team-based care and evidence-based practices.. 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