Find out more about your health plan, what's covered and the many programs we offer. Powered by. Help is available in 175 languages. Tools. For help with your Washington Healthplanfinder application or to get answers about coverage, call our Customer Support Center. Interpreter Services We can also assist with … Search. Eligibility Overview Washington Apple Health (Medicaid) Programs April 2018 HCA 22-315 (3/18) 1 What is Washington Apple Health (Medicaid)? Members on Apple Health programs such as Apple Health Family or Apple Health for aged, blind or disabled individuals may qualify for this plan. In most cases, you should expect a response within 1 to 3 business days. This home and community based services program provides not only care, but also other supports to enable a successful transition to independent living o… (Classic Medicaid Program), Phone: 1-877-501-2233Business hours: Monday - Friday 8 a.m. to 5 p.m. (Pacific) (except state holidays)Apply for coverage: www.washingtonconnection.orgTRS: 711 through Washington Relay, Washington Recovery Help LinePhone: 1-866-789-1511, Division of Behavioral Health and Recovery Use this form for help with general questions or information. Language and disability accommodations are provided at no cost. Call a nurse anytime, day or night, at the press of a button to answer your health questions. to Washington Apple Health. New 2021 health plans are ... Free or low-cost coverage is available year round. For more information on Washington Apple Health (Medicaid), please visit the Health Care Authority website Opens in a new tab. A pregnant woman is eligible for the Washington apple health (WAH) for pregnant women program if she: Meets citizenship or immigration status under WAC 182-503-0535; Coverage, Claims & Billing: 1-800-562-3022, submit questions online , or … Email: WAHEligibilityFraud@hca.wa.gov, Provider fraud To protect your privacy, we will not reply to emails that include personal information. Get Financial Help. Washington Apple Health is health coverage for low-income adults, children and families. Find out if … 626 8th Avenue SE Visit the Washington Health Plan Finder site for more information on eligibility and enrollment. View your ID card to make check-in easier at your doctor visit or to fill prescriptions. 2 How to use this guide 2 Scope of care 3 Modified Adjusted Gross Income (MAGI) Programs 3 Adults Adult Medical (N05) Family Medical (N01) Health Care Extension (N02) Pregnancy and Family Planning Pregnancy Medical (N03, N23) Medically Needy … Molina Healthcare's Integrated Managed Care (IMC) health plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. |. 1-866-686-9323, TTY 711. Welcome. To be eligible you must: Be a Washington resident. Translate. your plan's member services phone line at any time to. You can also renew by contacting the Washington Health Benefits Exchange. Apple Health behavioral health; Non-Apple Health behavioral health; Mental health; Substance use; Recovery support; Peer support; Employment support; Housing support; Prevention; Division of Behavioral Health and Recovery Phone: 1-360-725-1500. Apple Health Provider Phone: 1-800-440-1561 (TTY Relay: Dial 711) ... Click here to see regional crisis phone numbers in Washington State. Our Molina Healthcare of Washington Medicare Health Plan provides you with quality care. Find a Doctor. 1-855-923-4633; TTY: 1-855-627-9604 (MAGI Medicaid program), Online: Secure web form Email: askmagi@hca.wa.govPhone: 1-800-562-3022Assistance in your local area: HCA community-based specialistsBusiness hours: Monday - Friday 8 a.m. to 5 p.m. (Pacific) (except state holidays)Apply for coverage: www.wahealthplanfinder.orgTRS: 711 through Washington Relay, DSHS Customer Service Contact Center Select Language Chinese (Simplified) Russian Somali Spanish Vietnamese. If you’ve already contacted Washington Healthplanfinder regarding an issue with your application, please be aware that it may take time to review your issue. Eligibility for the BCCHP is primarily based on health insurance status, income, and age. It’s all at the tip of your fingers! Please do not include personal information like: social security number, date of birth, medical conditions or treatments. Contact UnitedHealthcare for individual or employer group sales or customer service by phone. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, Website feedback: Tell us how we’re doing, Apple Health Modified Adjusted Gross Income (MAGI) Medicaid eligibility (families, children, pregnant individuals, and single adults), Post-eligibility case review or reporting changes, Apple Health for Kids premium payment (CHIP), Requesting an appeal for Apple Health programs, Applying for Classic Medicaid, Medicare Savings Program, SSI, 65+, and disabled programs, Requesting an appeal for Classic Medicaid. WAC 182-505-0115 Washington apple health -- Eligibility for pregnant women. The Recipient Eligibility Verification System (REVS). Washington Apple Health (Medicaid) Have you received information asking you to take action so that you can keep getting benefits? Washington Apple Heath (Medicaid) For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. Meet citizen and immigrant requirements. The Washington Healthplanfinder (HPF) is administered by the Health Benefit Exchange (HBE), and eligibility is based on a modified adjusted gross income (MAGI) determination. That includes expanding our virtual care services, making personal phone calls to check on you, and providing home delivery of your prescriptions. Select from the following to get help answering your questions. Eligibility: 1-800-562-3022 or submit questions online; Coverage, Claims & Billing: 1-800-562-3022, submit questions online, or find local help; Contact Your Health or Dental Insurance Company. Call us toll-free at. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. Customer Service: 1-800-440-1561. *TAP TO EXPAND*. Medicaid Online; To view the website for Washington Medicaid online, click here. Effective August 29, 2014. Applications for Washington Apple Health (AH) are processed either through Washington Healthplanfinder or the Department of Social and Health Services (DSHS), depending on the client’s eligibility and relatability to a program: 1. Learn more. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. We also have phone numbers for brokers, network management, and provider relations. Search for a nearby doctor or hospital. had the option to expand eligibility for Medicaid and Washington State said yes. You have the right to request an appeal if you think your eligibility decision is wrong. Washington Health Care Authority 626 8th Avenue SE Olympia, WA 98501; Medicaid Office Phone Number; The phone number to call the Washington Medicaid office is 800-562-3022. Manage your health from your phone with the Amerigroup mobile app! Get the Amerigroup mobile app! It’s too important. Community Health Plan of Washington (CHPW) were founded in 1992 by Washington’s community health centers. Washington Health Plan Finder Or call . What is the Breast, Cervical and Colon Health Program? Medicare. Language assistance and disability accommodations are provided at no cost. Not be incarcerated. Thousands of Washington state seniors benefit from the Community Options Program Entry System. View the benefits below to see all that it offers. Behavioral Health and Patient Review & Coordination Numbers. TTY Relay: Dial 711. Community Health Plan … Health Equity Technical Advisory Committee, Navigator & Certified Application Counselors Technical Advisory Committee, Role of Agents & Brokers Technical Advisory Committee, Learn About Reporting Unemployment Income, Gender-diverse: Small steps towards a larger goal, File a complaint online with the Office of the Insurance Commissioner, Learn about appealing an eligibility decision, Get free assistance with Medicare services, To report a broken link or incorrect information on. Patient Review and Coordination Program: 1-866-907-1902. Washington law requires all health care providers submit credentialing applications through ProviderSource. Behavioral health licensing and certification; Department of Health (DOH) Health Systems Quality Assurance Division (HSQA) Behavioral Health Technical and Referral Assistance: 1-800-440-1561. Due to COVID-19, HCA’s lobby is closed. CHPW is committed to Washington's health. Be between 19 and 65 years old. A. They can help if you have a behavioral health grievance, appeal or fair hearing. Email: HotTips@hca.wa.govPhone: 1-800-562-6906, Cherry Street Plaza Revised June 26, 2014 Purpose: ACES is an acronym for the Automated Client Eligibility System. More on Apple Health (Medicaid) Enrollment; View Our … The Ombuds is independent from Amerigroup Washington. Apple Health Managed Care and enrollment; Billing complaints; HCA Medical Assistance Customer Service Center (MACSC) Online: Secure web form Email: askmedicaid@hca.wa.gov Phone: 1-800-562-3022 Business hours: Monday - Friday 7 a.m. to 5 p.m. (Pacific) (except state holidays) TRS: 711 through Washington Relay Phone: 1-360-725-1500, Recipient fraud Find the phone number of an Ombuds in your area. Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. Learn more about your customer service options. The ACES system is a tool for determining eligibility, issuing 7:30 a.m. to 11:59 p.m., Friday, Jan. 15 2. Have an annual household income at or below 138 percent of the federal poverty level. Community Health Plan of Washington puts you at the center of your care, so when your needs change, we change too. Call: 1-855-923-4633 | TTY: 1-855-627-9604 Before Medicaid expansion, coverage was essentially limited to low-income children, people with disabilities or devastating illnesses, and those whose incomes were far below the federal poverty level. For TTY in state dial 711. Learn more. Eligibility: 1-800-562-3022 or submit questions online. 7:30 a.m. to 8:00 p.m. Monday – Friday Choosing a Washington Managed Care Plan. Enrollment is done through Washington Healthplanfinder, www.wahealthplanfinder.org. To avoid delays please ensure applications are current, including work history and attestations. Adults under 65 and not eligible for Medicar… For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or Washington Apple Health (Medicaid) Integrated Managed Care (IMC) Our plan offers a range of physical and behavioral health benefits. 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604. COPES, for short, is a Washington State Medicaid (Apple Health) waiver program designed to enable individuals who require nursing home level care, to receive that care in their home or alternative care environment, such as an assisted living residence. Call 1-800-562-3022 - (TRS: 711). 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 (Medicaid). HCA Medical Assistance Customer Service Center (MACSC), Online: Secure web formEmail: askmedicaid@hca.wa.govPhone: 1-800-562-3022Business hours: Monday - Friday 7 a.m. to 5 p.m. (Pacific) (except state holidays)TRS: 711 through Washington Relay, HCA Medicaid Eligibility Determination Services (MEDS) Member Eligibility; Behavioral Health; OTHER; Contact Us; Careers; Language Assistance; Last Update Date: July 9, 2020 . Providers can accept verification of enrollment in Coordinated Care from the REVS system in lieu of the ID card. See if you qualify for or renew your Apple Health managed care. [Amharic] የቋንቋ እገዛ አገልግሎት፣ አስተርጓሚ እና የሰነዶችን ትርጉም ጨምሮ በነጻ ይገኛል፡፡1-800-562-3022 (TRS: 711) Olympia, WA 98501, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. We’re here to help you. Our Regional Offices in Washington. You must also grant Molina access to retrieve this application. Virtual Help Image. Don’t let your health care coverage end. Navigators and brokers provide free, in-person help signing up for coverage. You should contact your health or dental insurance company directly for help with: Bridgespan: 1-855-857-9944, 6 a.m. to 6 p.m. Monday – Friday, Community Health Plan of Washington: 1-800-930-0132, 8 a.m. to 5 p.m. Monday – Friday, Coordinated Care: 1-877-687-1197, TTY/TDD: 1-877-941-9238, 8 a.m. to 5 p.m. Monday – Friday, Delta Dental: 1-800-526-8323, 7 a.m. to 5 p.m. Monday – Friday, Dental Health Services: 1-855-495-0906, 8 a.m. to 5 p.m. Monday – Friday, Dentegra: 1-800-471-0284, 7:15 a.m. to 8 p.m. EST Monday – Friday, Kaiser Foundation Health Plan of Washington (formerly Group Health Cooperative): 1-800-290-8900, 8 a.m. to 5 p.m. Monday – Friday, Kaiser Northwest: 1-800-813-2000, 8 a.m. to 6 p.m. Monday – Friday, LifeWise WA: 1-800-592-6804, 8 a.m. to 5 p.m. Monday – Friday, Molina: 1-888-858-3492, 8 a.m. to 5 p.m. Monday – Friday, Premera: 1-800-722-1471, 8 a.m. to 5 p.m. Monday – Friday, Regence: 1-888-344-6347, 6 a.m. to 6 p.m. Monday – Friday. Eligibility is determined by things like age, family size and income. Toll-free support is available: Get help virtually so you can stay home and stay healthy. Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage. To see if you qualify, go to wahealthplanfinder.org Opens in a new tab or call 1-855-WAFINDER ( 1-855-923-4633 ) TTY/TTD 1-855-627-9604. Welcome to Washington Apple Health. HPF is the web portal for clients who are: 1. Washington apple health phone number Food lion on fairfield road, Health Care Authority (HCA) administers Apple Health and contracts with health plans to provide your . Learn More > Update Your Information. For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. This system is used by the State of Washington's Department of Social and Health Services. Free or low-cost coverage through Washington Apple Health. Washington Apple Health is the new name for Medicaid in Washington state. ACES supports the operations of the department by integrating DSHS programs under a single, client-based, on-line system. It's for people who meet income requirements and are eligible for Washington Apple Health (Medicaid) Integrated Managed Care. Apple Health Plan - Washington State Local Health Insurance - CHPW. This program provides free breast, cervical, and colon cancer screening to eligible people in Washington State. Check online through our secure provider portal or use our IVR System. HCA 65-153 (3/17) [English] Language assistance services, including interpreters and translation of printed materials, are available free of charge. Most Washington Medicaid members will be enrolled in an Apple Health Managed Care Plan. WAC 182-505-0115 Washington apple health -- Eligibility for pregnant women. *This is not a Washington Healthplanfinder customer support resource. 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