Behavioral Health and Patient Review & Coordination Numbers. 1-855-923-4633; TTY: 1-855-627-9604 |. The Ombuds is independent from Amerigroup Washington. Learn more. 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 … 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 This system is used by the State of Washington's Department of Social and Health Services. Medicaid Online; To view the website for Washington Medicaid online, click here. Get Financial Help. Powered by. For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. Contact UnitedHealthcare for individual or employer group sales or customer service by phone. 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604. Find the phone number of an Ombuds in your area. A. Find out if … 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. Washington Health Plan Finder Or call . This home and community based services program provides not only care, but also other supports to enable a successful transition to independent living o… Interpreter Services We can also assist with … The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. *This is not a Washington Healthplanfinder customer support resource. Find out more about your health plan, what's covered and the many programs we offer. Call a nurse anytime, day or night, at the press of a button to answer your health questions. Translate. CHPW is committed to Washington's health. Revised June 26, 2014 Purpose: ACES is an acronym for the Automated Client Eligibility System. Call us toll-free at. 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. *TAP TO EXPAND*. Search. To be eligible you must: Be a Washington resident. Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage. We also have phone numbers for brokers, network management, and provider relations. [Amharic] የቋንቋ እገዛ አገልግሎት፣ አስተርጓሚ እና የሰነዶችን ትርጉም ጨምሮ በነጻ ይገኛል፡፡1-800-562-3022 (TRS: 711) 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. Washington Apple Heath (Medicaid) For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. Email: WAHEligibilityFraud@hca.wa.gov, Provider fraud Learn more about your customer service options. Phone: 1-360-725-1500, Recipient fraud Community Health Plan … Coverage, Claims & Billing: 1-800-562-3022, submit questions online , or … Effective August 29, 2014. View your ID card to make check-in easier at your doctor visit or to fill prescriptions. Find a Doctor. HPF is the web portal for clients who are: 1. Meet citizen and immigrant requirements. ACES supports the operations of the department by integrating DSHS programs under a single, client-based, on-line system. Select Language Chinese (Simplified) Russian Somali Spanish Vietnamese. For TTY in state dial 711. Select from the following to get help answering your questions. Adults under 65 and not eligible for Medicar… The Washington Healthplanfinder (HPF) is administered by the Health Benefit Exchange (HBE), and eligibility is based on a modified adjusted gross income (MAGI) determination. 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 HCA 65-153 (3/17) [English] Language assistance services, including interpreters and translation of printed materials, are available free of charge. Behavioral health licensing and certification; Department of Health (DOH) Health Systems Quality Assurance Division (HSQA) That includes expanding our virtual care services, making personal phone calls to check on you, and providing home delivery of your prescriptions. Eligibility is determined by things like age, family size and income. Welcome. Help is available in 175 languages. 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. For questions about your Washington Apple Health eligibility, coverage, claims, or billing, call the Washington State Health Care Authority. Washington Apple Health is the new name for Medicaid in Washington state. 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. Email: HotTips@hca.wa.govPhone: 1-800-562-6906, Cherry Street Plaza Apple Health Plan - Washington State Local Health Insurance - CHPW. Washington Apple Health is health coverage for low-income adults, children and families. 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. TTY Relay: Dial 711. Toll-free support is available: Washington Apple Health (Medicaid) Integrated Managed Care (IMC) Our plan offers a range of physical and behavioral health benefits. 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. 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) Have an annual household income at or below 138 percent of the federal poverty level. Call 1-800-562-3022 - (TRS: 711). (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 More on Apple Health (Medicaid) Enrollment; View Our … 2. It's for people who meet income requirements and are eligible for Washington Apple Health (Medicaid) Integrated Managed Care. For help with your Washington Healthplanfinder application or to get answers about coverage, call our Customer Support Center. The Recipient Eligibility Verification System (REVS). Eligibility Overview Washington Apple Health (Medicaid) Programs April 2018 HCA 22-315 (3/18) 1 What is Washington Apple Health (Medicaid)? 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; It’s all at the tip of your fingers! Call: 1-855-923-4633 | TTY: 1-855-627-9604 626 8th Avenue SE Learn more. New 2021 health plans are ... Free or low-cost coverage is available year round. You can also renew by contacting the Washington Health Benefits Exchange. In most cases, you should expect a response within 1 to 3 business days. 1-866-686-9323, TTY 711. Our Molina Healthcare of Washington Medicare Health Plan provides you with quality care. Don’t let your health care coverage end. 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