Apple Health Washington Prior Authorization

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Wash. Admin. Code § 182-550-2600 - Casetext

(5 days ago) People also askWho can apply for Apple Health Insurance in Washington State?WAC 182-503-0010 Washington apple health -- Who may apply. Only one household may receive health care coverage for a child, but for modified adjusted gross income (MAGI) coverage, the child may be listed on more than one application in more than one assistance unit (MAU).Filing an application Washington State Health Care Authorityhca.wa.govHow do I Change my Apple Health Managed Care Plan?You have several options to change your Apple Health managed care plan: Call the Washington State Health Care Authority at 1-800-562-3022 Do I have to choose a doctor when selecting a Washington Apple Health managed care plan?Washington Apple Health Washington Healthplanfinderwahealthplanfinder.orgDoes Community Health Plan of Washington require prior authorization?Community Health Plan of Washington (CHPW) covers many treatments and services. Some of these services require prior authorization, while others do not. Prior authorization means your provider has to check with us to make sure we will cover a treatment, drug, or piece of equipment. Prior authorization is part of our utilization management strategy.Prior Authorization - Washington State Local Health Insurancechpw.orgCan an authorized representative apply for Apple health coverage?Authorized representatives are not authorized to apply on behalf of deceased individuals. Prior to release from a public institution, individuals may apply for Apple Health coverage. See the Incarceration overview page for more information. WAC 182-503-0005 Washington apple health -- How to apply.Filing an application Washington State Health Care Authorityhca.wa.govFeedbackWashington State Health Care Authorityhttps://www.hca.wa.gov/billers-providers-partners/Prior authorization, claims, and billing Washington State Health …WEBProviderOne claims submission deadlines. The deadline is every Tuesday at 5 p.m. for payment the following Monday. Providers may see a Friday date on their remittance advice. Log into ProviderOne. Find billing guides and fee schedules. Request prior …

https://casetext.com/regulation/washington-administrative-code/title-182-health-care-authority/washington-apple-health/chapter-182-550-hospital-services/section-182-550-2600-effective-until-5112024-inpatient-psychiatric-services#:~:text=%28A%29%20Does%20not%20require%20prior%20authorization%20by%20an,must%20have%20prior%20authorization%20by%20an%20MHD%20designee.

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Apple Health Pre-Authorization Coordinated Care

(4 days ago) WEBPlease mark all discharge related Prior Authorization requests as “Urgent.” This includes but is not limited to: Post-Acute Care Facility, DME, Supplies, Home Services. The first 6 …

https://www.coordinatedcarehealth.com/content/coordinatedcare/en_us/providers/preauth-check/medicaid-pre-auth.html

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Prior Authorization and Notification - UHCprovider.com

(6 days ago) WEBUnitedHealthcare Community Plan of Washington - Apple Health. UnitedHealthcare Community Plan Prior Authorization Requirements Washington - …

https://www.uhcprovider.com/en/health-plans-by-state/washington-health-plans/wa-comm-plan-home/wa-cp-prior-auth.html

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Apple Health (Medicaid) UnitedHealthcare Community Plan

(3 days ago) WEBWashington Apple Health (Medicaid) coverage provides comprehensive medical benefits to adults, families, individuals with disabilities, children under 19, If the prior …

https://www.uhc.com/communityplan/washington/plans/medicaid/imc

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Apple Health (Medicaid) Washington - Molina Healthcare

(5 days ago) WEBApple Health (Medicaid) Molina Healthcare's Apple Health (Medicaid) health plan covers all your physical and behavioral health (mental health and …

https://www.molinahealthcare.com/members/wa/en-us/hp/medicaid/medicaid.aspx

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Washington Apple Health Washington Healthplanfinder

(4 days ago) WEBWhere can I find more information about benefits and services for my Apple Health coverage? When newly enrolled in Apple Health coverage, the Health Care Authority …

https://www.wahealthplanfinder.org/us/en/tools-and-resources/information/find-answers/washington-apple-health.html

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Prior Authorization - WSMA

(6 days ago) WEBReducing the negative impact of insurance carrier prior authorization processes on Washington’s physicians, physician assistants, and patients continues to be a top …

https://wsma.org/WSMA/Resources/Administrative_Simplification/Prior_Authorization/Prior_Authorization.aspx

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Washington Apple Health (Medicaid) Lookup Tools

(1 days ago) WEBThe UnitedHealthcare Community Plan Preferred Drug List (PDL) is a list of covered prescription drugs, and drugs needing prior authorization for enrollees in …

https://www.uhc.com/communityplan/washington/plans/medicaid/imc/find-a-provider-or-pharmacy

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Benefit Grid Apple Health - Washington Health Insurance Plans

(2 days ago) WEBApple Health (Medicaid) Member Benefit Grid. For benefits noted as requiring a Prior Authorization (PA) pre-approval is needed before these services and …

https://www.coordinatedcarehealth.com/content/dam/centene/Coordinated%20Care/pdfs/508-BenefitGridAppleHealth.pdf

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Prior Authorization - Washington State Local Health Insurance

(7 days ago) WEBWe prefer that you submit prior authorizations through our Care Management Portal (JIVA). By using the portal, you can check eligibility and authorization status, …

https://www.chpw.org/provider-center/prior-authorization/

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Washington Apple Health Integrated Managed Care BH Prior …

(6 days ago) WEBWashington Apple Health IMC UHC Behavioral Health Prior Authorization Form . Phone Number: (877) 542-9231 . Fax Number: (844) 747- 9828. Washington Apple Health …

https://www.providerexpress.com/content/dam/ope-provexpr/us/pdfs/adminResourcesMain/forms/wa_forms/waIMC-FaxFrom.pdf

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Washington Apple Health Prescription Medication Benefits

(3 days ago) WEBCall Member Services at (800) 869-7165/TTY 7-1-1, Monday to Friday, 8a.m.- 5p.m.if: You have questions about if a drug is covered. You have trouble getting …

https://www.molinahealthcare.com/members/wa/en-US/hp/medicaid/apple-health/overvw/coverd/presdrugs.aspx

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CHPW Apple Health Formulary - Washington State Local Health …

(5 days ago) WEBCHPW Apple Health Formulary. Community Health Plan of Washington (CHPW) uses a list of approved drugs. This is called a “formulary” or a “preferred drug …

https://www.chpw.org/provider-center/prior-authorization/physical-health-prior-authorization/professionally-administrated-medications/medication-formulary/

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Apple Health Pharmacy Benefits Coordinated Care

(6 days ago) WEBPrior Authorization Fax: 1-833-645-2734. Prior Authorization Phone: 1-866-716-5099 Clinical Hours: Monday – Friday 7 a.m. - 5 p.m. (PST) Help Desk: 1-877 …

https://www.coordinatedcarehealth.com/members/medicaid/benefits-services/pharmacy.html

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Prior Authorization - Washington State Local Health Insurance

(2 days ago) WEBCommunity Health Plan of Washington Utilization Management (UM) staff are available to discuss this process or any UM issues at 1-800-440-1561 (TTY: Dial …

https://www.chpw.org/member-center/prior-authorization-and-um/

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Apple Health (Medicaid) prior authorization requirements

(8 days ago) WEBThe Health Care Authority (HCA) recognizes the critical need to maintain swift decision making for patient transfers and discharges. Nothing should get in the way of patient …

https://www.hca.wa.gov/assets/billers-and-providers/COVID-related-apple-health-prior-auth-reqs.pdf

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Washington Medicaid - Drug Formulary - Molina Healthcare

(4 days ago) WEBHCA will add more drug classes to the Apple Health PDL beginning July 1, 2018. Molina follows the Washington Health Care Authority's PDL and only covers products that …

https://www.molinahealthcare.com/providers/wa/medicaid/drug/formulary.aspx

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Prior authorization lookup tool Wellpoint Washington, Inc.

(1 days ago) WEBWashington Providers. Resources. Provider Resources Overview; Inpatient services and nonparticipating providers always require prior authorization. Please note: This tool is …

https://www.provider.wellpoint.com/washington-provider/resources/prior-authorization/prior-authorization-lookup

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Procedure Code Lookup Tool - Washington State Local Health …

(3 days ago) WEBProviders should only use this tool as a supplement to and after first consulting the Prior Authorization lists. If you select the Washington Apple Health …

https://www.chpw.org/bulletin-board/procedure-code-lookup-tool/

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Wash. Admin. Code § 182-550-2600 - Casetext

(8 days ago) WEBRetrospective authorization can be before discharge or after discharge. This process is allowed only when circumstances beyond the control of the hospital or …

https://casetext.com/regulation/washington-administrative-code/title-182-health-care-authority/washington-apple-health/chapter-182-550-hospital-services/section-182-550-2600-effective-until-5112024-inpatient-psychiatric-services

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