16137Phones 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.Email: providerenrollment@hca.wa.gov, 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. Medical Nutrition Therapy fee schedule (2020-10-01) Provider billing guide. Interested in becoming an Apple Health (Medicaid) provider or need to find out if you are enrolled? Health Care Authority Medicaid Provider Guide . Note: The Department now reissues the entire billing manual when making updates, rather than just a page … Due to COVID-19, HCA’s lobby is closed. Decision complete. CPT® is a trademark of the American Medical Association. Clinical experts. How we work. Learn about changes to rates and updates to our billing guides. 4. This application process is for licensed health care professionals enrolling with the Health Care Authority (HCA) as: All billing providers must complete and sign a Core Provider Agreement and other required documents with the agency. This publication supersedes all previous Nondurable Medical Supplies and Equipment Medicaid Provider Guide published by the Medicaid Program of the Health Care Authority (the Agency). Topic . Reason for Change Effective Date Page No. Apr 1, 2016 … Physician-Related Services/Health Care Professional Services. This guide only pertains to Medicaid coverage. About this publication This publication supersedes all previous Department/MPA Chemical-Using Pregnant (CUP) Women Program Billing Instructions. By 2019, our intent is that the advancement of purchasing towards fully. Topic selection. How to use this guide. Provider Guide – Washington State Health Care Authority. Nursing Facilities [Chapter 388-96 WAC] May 15, 2013 . About this guide . Source: WA State Health Care Authority, Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional Svcs., p. 92 (Jul. This guide supersedes all previous Agency Dental Medicaid Provider Guides and is published by the Medicaid Program of the Washington State Health Care Authority. What we're working on . Fac/Agncy/Orgn/Inst Washington State Medicaid HIT plan. 3. Washington State Health Care Authority Medicaid Provider Guide . Evidence report. Health Technology Assessment. The agency's Provider Relations team hosted two webinars focused on billing electronically through the ProviderOne portal to assist those providers who have not transitioned to electronic billing. The effective date and revision history are now Healthier Washington is a multi-sector partnership working to improve health, transform care … Box 45530 • Olympia, WA 98504-5530. Clinical experts. Due to COVID-19, HCA’s lobby is closed. The ProviderOne Billing and Resource Guide gives step-by-step instruction to help provider billing staff: Find client eligibility for services. The state plan preprint includes information such as the types of entities that will be used and what groups of people will be enrolled. The links to these webinars, the waiver form, and an FAQ on the paperless policy can be accessed below: Use the provider billing guides and rates and fee schedules as companions to the billing and resource guide. Receive accurate payments for covered services. Where can I get help completing my application? Healthier Washington . The group or facility must be enrolled with HCA, and have a Core Provider Agreement with the agency. Washington Medicaid Provider Manual. Apple Health (Medicaid) providers. Washington State Health Care Authority Medicaid Provider Guide . You can also visit or … The Washington State Health Care Authority and UnitedHealthcare Community Plan are encouraging care providers to learn more about how they may integrate this model into their practice. Determine your provider type for enrollment (below). Respond to provider requests Washington State Medicaid 835 Health Care Payment/Advice HIPAA Transaction Standard Companion Guide Refers to the ASC X12N 835 (Version 005010X221A1) CORE v5010 Companion Guide: Version 1.0 March 2015 . This application process is for licensed health care professionals who wish to enroll with the Health Care Authority (HCA) as a performing provider practicing under a group or facility. Recruitment. Billing Guide – Washington State Health Care Authority. Download our instructions for adding Billing Type and Available Agencies in ProviderOne. To download and print Agency Medicaid provider guides and notices, go to the Agency website at http://hrsa.dshs.wa.gov (click the Medicaid Provider Guides and Provider Notices link). Health Technology Clinical Committee. Note: The Agency now reissues the entire billing manual when making updates, rather than just a page or section. Phone: 1-800-562-3022, ext. 1. Medical Assistance Customer Service Center (MACSC)Online: Web formPhone: 1-800-562-3022, 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. 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