Hca.wa.gov

Apple Health account logins Washington State Health Care

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.

Actived: 5 days ago

URL: hca.wa.gov

HCA Data Strategy 2021 to 2025

Islander Health Care Program. HCA is committed to whole person care, integrating physical health and behavioral health services for better results and healthier residents. As the largest health care purchaser in the State, HCA leads the effort to transform the health care system to ensure residents

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Apple Health (Medicaid) provider rate increases

Updated September 28, 2021 In her end-of-session message, HCA Director Sue Birch shared that the 2021-23 state operating budget includes significant investments in Apple Health (Medicaid) provider rates to support the goal of a whole-person, equitable health care delivery system. Governor Jay Inslee signed the budget on May 18. In addition to our state …

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General verification Washington State Health Care Authority

WAC 182-503-0050 Verification of eligibility factors. Effective November 3, 2019. General rules . We may verify the information we use to determine, redetermine, or terminate your apple health eligibility. We verify the eligibility factors listed in WAC 182-503-0505 (3). Before we ask you to provide records to verify an eligibility factor, we

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Special open enrollment Washington State Health Care

(A health plan change is not allowed when adding a SRDP or their child if they are not a tax dependent.) Waive PEBB medical coverage: Yes (Waiving for this event is allowed only if the employee enrolls in medical under the new spouse or state-registered domestic partner's employer-based group health plan.) Enroll after waiving PEBB medical

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Public Health Emergency FAQ

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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Personal injury, casualty recoveries, and special needs

The Health Care Authority (HCA) seeks reimbursement for claims paid by Medicaid when Apple Health (Medicaid) clients receive medical care due to an injury caused by the action, inaction, or negligence of third parties and another insurance should have paid.

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Partnership Access Lines (PAL) Washington State Health

PAL program services. The four PAL program services are: Partnership Access Line (PAL): Operated by Seattle Children’s Hospital for more than 10 years, this line supports primary care providers with questions about children’s mental health care such as diagnostic clarification, medication adjustment, or treatment planning. Mental Health Referral Service for Children and …

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Agents for ALS – edaravone (Radicava)

health-preferred-drug-list.xlsx . Background: Edaravone. is indicated for the treatment of amyotrophic lateral sclerosis (ALS). ALS is a rare progressive neurogenerative disorder which causes muscle weakness, eventually leading to paralysis and death. Edaravone was

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Metropolitan Life Insurance Company, New York, NY 10166

WA State Health Care Authority PEBB Page 1 of 4 EF-RES101M-NW (09/19) Metropolitan Life Insurance Company, New York, NY 10166 . ENROLLMENT • CHANGE FORM . G ROUP CUSTOMER INFORMATION (To be Completed by the Recordkeeper) Name of Group Customer/Employer . WA State Health Care Authority PEBB

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Analytics, Research, and Measurement (ARM) Washington

Analytics, Research, and Measurement (ARM) Data is essential to achieving better health, better care, and lower costs. Good data drives better quality and consistency of care, as it helps us assess whether and how our strategies for health care improvement are working. Data + Analytics = Information.

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Apple Health (Medicaid) rulemaking Washington State

The agency is also initiating this rulemaking to implement provisions of RCW 71.24.585 related to behavioral health agencies and medication assisted treatment. Initially this rulemaking was proposed as a new section 182-502-0016a. The agency decided to add the proposed language into the existing WAC section, 182-502-0016, instead of creating a

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Health equity Washington State Health Care Authority

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 and housing, safe environments, and

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Washington State Health Care Authority

00049042005 ndc antibiotics : natural penicillins - injectable pfizerpen penicillin g potassium for inj 5000000 unit penicillin g potassium solr o r b

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Apple Health (Medicaid) COVID-19 testing clinical policy

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

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200 Series reason codes Washington State Health Care

The person listed as the primary applicant on your Washington Apple Health coverage is no longer eligible. 182-503-0010. None Required. 249. HPF. You already received health care coverage from another state this month. You can't get health care coverage from Washington and another state in the same month. 182-503-0505. 182-505-0210. 182-505

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Outline of Medicare Supplement Coverage

Washington State Health Care Authority See Outlines of Coverage sections for detail about all plans. This chart shows the benefits included in each of the standard Medicare supplement plans. Every company must make Plan A available. Only applicants’ before 2020 may purchase Plans C, F, and high deductible F.

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2022 PEBB Retiree Enrollment Guide

Kaiser Foundation Health Plan of the Northwest (KFHPNW) offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon. KFHPNW Medicare plans have a larger service area. Contact the health plans for help with: • Specific benefit questions. • Checking if your provider contracts with the plan.

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Dr. Charissa Fotinos named interim state Medicaid director

Media contact. Amy Blondin, chief communications officer. 360-688-0131 (cell) About the Washington State Health Care Authority. The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

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About Washington Apple Health (Medicaid)

health care coverage to nearly 2 million residents—adults and children. Washington’s uninsured rate has dropped to an historic 5.4 percent, thanks in part to access to Apple Health made possible through the Affordable Care Act. Covered services Those enrolled in Apple Health have access to many health care services, including:

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Paying for benefits Washington State Health Care Authority

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.

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Apple Health (Medicaid) clinical policy and billing for

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.

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Apple Health (Medicaid) telemedicine & telehealth brief

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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Spoken language interpreters Washington State Health

As an Apple Health provider, you are required to ensure language access services are provided to your Apple Health (Medicaid) clients according to Title VI of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA). The Health Care Authority’s (HCA) interpreter services (IS) supports you in your efforts by offering spoken language interpreter services for Apple Health

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Public health emergency and Apple Health Washington

WAC 182-521-0100 Noncountable income and resources during the COVID-19 public health emergency. Revised December 1, 2021. This section describes certain types of income and resources received as a result of the COVID-19 public health emergency that the health care authority (agency) does not count as income or resources when determining apple …

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Voices of Apple Health Washington State Health Care

Has Apple Health positively changed your life? We’re offering a $50 gift card if we use your story! We want to share your story to inspire others who don’t have health insurance to sign up for free or low-cost health coverage. If you would like to share your story email us a summary of how Apple Health has made a difference in your life.

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Health equity liaison FAQ

Health equity liaison FAQ . Created: October 2021 Health equity liaison FAQ Page . 1. This document answers frequently asked questions (FAQ) about HCA’s new health equity liaison role. Because our work with health equity is ever evolving, this FAQ will change over time.

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Behavioral Health Data Guide 5

The Mental Health Consumer Information System (MH-CIS), covering community mental health clients and services. This data guide contains reporting requirements for the Managed Care Organizations (MCOs), and Behavioral Health Administrative Services Organizations (BH-ASOs) to meet the Health Care Authority’s Division of Behavioral Health and

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Most Apple Health (Medicaid) coverage will not count

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 …

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Mental health reports Washington State Health Care Authority

HCA and the Department of Social and Health Services (DSHS), per Senate Bill 5732, developed a set of 51 performance measures to track behavioral health services for Apple Health (Medicaid). These measures are included in Medicaid contracts with Regional Support Networks (now behavioral health organizations), managed care organizations, County Chemical …

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Behavioral health services by plan Washington State

For behavioral health questions, concerns, or for filing a complaint. There are two ways to connect with KPWA for these items: Call Member Services. Phone: 1-888-901-4636, Monday through Friday, 8 a.m. to 8 p.m. TTY: 1-800-833-6588.

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Lifeline phone services Washington State Health Care

Donated cell phone? Services have expired. Cell phone services, including talk minutes and data, donated to Apple Health clients during the COVID-19 pandemic expired on December 31, 2020. You may keep your cell phone and can connect cellular services through a pre-paid SIM card or a monthly cell phone program starting January 1, 2021. View the many options to continue your

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Behavioral health services by plan Washington State

For behavioral health questions, concerns, or for filing a complaint. There are two ways to connect with KPWA for these items: Call Member Services. 1-888-901-4636 Monday through Friday, 8 a.m. to 8 p.m. TTY: 1-800-833-6588.

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HCA increases managed care behavioral health rates

The 2021-23 state operating budget includes a 2 percent increase for all services paid through the behavioral health portion of the managed care capitation rates.* This rate increase is retroactively effective back to April 1, 2021. Providers will see this change effective in their payments beginning in October 2021; however, there are multiple contracting …

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Kaiser Permanente Northwest Washington State Health Care

2022 information | 2021 information About Kaiser Permanente NW Kaiser Permanente is one of the nation’s largest health care providers and nonprofit health plans. Our expert and caring medical teams strive to focus on members’ total health and are dedicated to high-quality, affordable health care services. We work to improve the health of our members and the …

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Apple Health for Families and Caretaker Relatives

Health care coverage for parenting adults of minor dependent children has been "delinked" from cash assistance. Parenting adults need to complete a separate application for health care coverage. Adults who are over income for Apple Health for Families (N01) may be eligible for Apple Health for Adults (N05) as described in WAC 182-505-0250.

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Managed Care and Long-Term Care Washington State Health

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 …

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PEBB Employee Authorization for Payroll Deduction to

Payroll Deduction to Health Savings Account Use this form to have your employer withhold money from your paychecks and deposit it into your health savings account (HSA) on a pretax basis. Check with your payroll or benefits office before submitting this form; not all employers can arrange for payroll deductions.

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Medicaid Transformation Accountable Communities of Health

health ends and provide support to the most vulnerable populations during the COVID-5 Reporting requirements for the quality improvement strategy updates will be fulfilled by COVID-19 context in the “Narrative Responses” section. Semi-annual reporting guidance Reporting period: July 1, 2020 – December 31, 2020 Page 8

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State v. Blake: ESB 5476 and behavioral health expansion

The Recovery Navigator program (RNP) is a statewide effort, in partnership with Behavioral Health Administrative Organizations (BHASOs), to provide community-based outreach, intake, assessment, and connection to services. These services support youth and adults with substance use disorder (SUD), including individuals with co-occurring substance

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Mental health assessment for young children Washington

Mental health assessment for young children. Age-appropriate assessments are a key component of providing effective mental health supports for children from birth through age five. The Washington State Legislature created policy to support Apple Health providers in offering best clinical practices for mental health assessments (see RCW 74.09.520 ).

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Accountable Communities of Health (ACHs) Quarterly

• Elevate Health accepted the DOH Regional Care Connect Hub contract for COVID-19 specific care coordination services as a Tier 2 provider. The Care Continuum Network team collaborated with Tacoma Pierce County Health Department to build out dashboarding and develop workflows within the Innovaccer Care Coordination platform.

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Apple Health managed care Washington State Health Care

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.

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Apple Health for Kids, with and without premiums

A child is eligible for Washington apple health with premiums if the child: Meets the requirements in WAC 182-505-0210 (1); Has countable income below the standard in WAC 182-505-0100 (6) (b); and. Pays the required premium under WAC 182-505-0225, unless the child is exempt under WAC 182-505-0225 (2) (c).

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Prenatal, child, and young adult behavioral health

Private health insurance plans are managed by the Office of Insurance Commissioner. Please contact their office for questions or concerns. Online and printed telephone directories have lists of counselors and behavioral health agencies in the counseling section or community services pages. Learn more about prenatal, child, and young adult services

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Mental Health Services Billing Guide

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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Changes to PEBB benefits for 2022

• The IRS raised the health savings account (HSA) annual maximum contribution to $3,650 for single subscribers and $7,300 for families. • The cost of supplemental (employee-paid) life insurance will increase by about 5 percent.

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Rural Health Clinics Billing Guide

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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