Skip to main content
Toggle search
Toggle navigation
MENU
Home
About HCA
Contact HCA
Home
Home Sub-menu">
Free or low-cost health care
Apple Health (Medicaid) coverage
Eligibility
Individual adults
Parents/Caretakers
Pregnant women
Children
Non-citizens
Aged, blind or disabled
Foster Care
Long-term Services and Supports (LTSS)/Hospice
Medicare Savings Program
Benefits & services
Covered services
Autism & Applied Behavioral Analysis (ABA) therapy
Dental services
Health Home
Immunizations
Medically Intensive Children's Program (MICP)
Pharmacy services
Pregnancy services
First Steps (maternity and infant care)
Chemical-Using Pregnant Women
Take Charge (Family Planning non-Medicaid)
Take Charge provider directory
Transgender Health Program
Transportation services (non-emergency)
Apply for or renew coverage
Use my coverage
American Indian/Alaska Native
Apple Health managed care
Enrollment next steps
Make my first appointment
Update my income or address (report a change)
Change my health plan
Replace my services card
Cancel my coverage
Forms & publications
Stakeholder training and education
Community-based training
Reference guides
Webinars, video and presentations
Outreach toolkit
Hospital Presumptive Eligibility
Contact Washington Apple Health (Medicaid)
Prescription assistance
Programs
Alternate help with prescriptions
Program Administration
Apple Health eligibility manual
Apple Health (Medicaid) manual WAC index
Coordination of benefits
Patient review and coordination
Premium payment program
News
Uniform Medical Plan (UMP)
Plan: Uniform Medical Plan Classic
Find providers
Your cost for care
Annual deductible
Medical out-of-pocket limit
Coinsurance/copayments
Preferred vs. out-of-network providers
No-cost care
Medical benefits
Summary of benefits
Knee and hip replacement
Preventive care
Exclusions
Services requiring preauthorization
Wellness programs
Prescription drugs
Find a network pharmacy
What you pay for drugs
Search the UMP Preferred Drug List
Filling your prescriptions
Limits on drug coverage
For Medicare retirees
How UMP and Medicare work together
Prescription drugs and Medicare
Seeing providers and Medicare
Plan: UMP Consumer-Directed Health Plan (UMP CDHP)
Find providers
Your cost for care
Annual deductible
Out-of-pocket limit
Coinsurance
Preferred vs. out-of-network providers
No-cost care
Medical benefits
Summary of benefits
Knee and hip replacement
Preventive care
Exclusions
Services requiring preauthorization
Wellness programs
Prescription drugs
Find a network pharmacy
What you pay for drugs
Search the UMP Preferred Drug List
Filling your prescriptions
Limits on drug coverage
Health Savings Account
Plan: UMP Plus
Find providers
Looking for a primary care provider?
Find primary care providers
Looking for a specialty provider?
Looking for an ancillary provider?
Looking for an exception provider?
Search the UMP Plus networks
Search Regence for UMP Plus providers
UMP Plus provider information
UMP Plus—UW Medicine Accountable Care Network
UMP Plus—Puget Sound High Value Network
Your cost for care
Annual deductible
Medical out-of-pocket limit
Coinsurance/copayments
Cost for providers by type
No-cost care
Medical benefits
Summary of benefits
Preventive care
Exclusions
Services requiring preauthorization
Wellness programs
Prescription drugs
Find a network pharmacy
What you pay for drugs
Search the UMP Preferred Drug List
Filling your prescriptions
Limits on drug coverage
UMP Plus FAQs
UMP administration
Claims history
Clinical policies
Complaints & appeals procedures
UMP notice of privacy practices
UMP provider portal
Submitting a claim
Access coverage while traveling
Forms available online
Search UMP FAQs
Glossary
Find drugs
Compare medical plans
Forms & publications
News
Open enrollment
Contact UMP
Log in to your accounts
Public employee benefits
For employees
Eligibility & enrollment
How to determine eligibility
How to enroll
Dependent verification
Waiving medical coverage
Medical plans & benefits
Benefits & coverage by plan
Compare medical plans
Medical plans available by county
Kaiser Permanente WA (formerly Group Health) plans
Kaiser Permanente NW plans
Uniform Medical Plan (UMP) plans
Health plans with health savings accounts (HSAs)
Dental plans & benefits
Compare dental plans
Additional benefits
Auto & home insurance
Dependent Care Assistance Program (DCAP)
Life insurance
Long-term disability insurance
Medical Flexible Spending Arrangement (FSA)
Plan discounts
Plan costs
Medical plan premiums
Life insurance premiums
Long-term disability insurance premiums
Paying for benefits
Surcharges
Tobacco use surcharge
Spousal coverage surcharge
Spousal plan questionnaire
Medicare & PEBB Program benefits
Change your coverage
Find a provider
Benefits after layoff or separation
Contact the plans
Video library
For retirees
Eligibility & enrollment
Preparing for retirement
How to determine eligibility
How to enroll
Completing the retiree forms
Dependent verification
Deferring coverage
Medical plans & benefits
Benefits & coverage by plan
Compare medical plans
Medical plans available by county
Kaiser Permanente WA (formerly Group Health) plans
Kaiser Permanente NW plans
Medicare Supplement Plan F
Uniform Medical Plan (UMP) plans
Health plans with health savings accounts (HSAs) (non-Medicare)
Dental plans & benefits
Compare dental plans
Additional benefits
Auto & home insurance
Life insurance
Plan discounts
Plan costs
Non-Medicare plan premiums
Medicare plan premiums
Life insurance premiums
Paying for benefits
Surcharges
Tobacco use surcharge
Spousal coverage surcharge
Spousal plan questionnaire
Medicare & PEBB Program benefits
Change your coverage
Find a provider
Contact the plans
FAQs
Video library
For COBRA & continuation coverage
Eligibility & enrollment
How to determine eligibility
How to enroll
Dependent verification
Medical plans & benefits
Benefits & coverage by plan
Compare medical plans
Medical plans available by county
Kaiser Permanente WA (formerly Group Health) plans
Kaiser Permanente NW plans
Medicare Supplement Plan F
Uniform Medical Plan (UMP) plans
Health plans with health savings accounts (HSAs) (non-Medicare)
Dental plans & benefits
Compare dental plans
Additional benefits
Auto & home insurance
Life insurance (continuation coverage only)
Long-term disability insurance (continuation coverage only)
Plan discounts
Plan costs
COBRA & continuation coverage premiums (non-Medicare)
COBRA & continuation coverage premiums (Medicare)
Continuation coverage (formerly LWOP) premiums
Life insurance premiums (continuation coverage only)
Long-term disability insurance premiums (continuation coverage only)
Paying for benefits
Surcharges
Tobacco use surcharge
Spousal coverage surcharge
Spousal plan questionnaire
Change your coverage
Find a provider
Contact the plans
Video library
For groups joining the PEBB Program
How to join the PEBB Program
Employer groups
School districts
Plan costs
Employer group monthly premiums
School district monthly premiums
Forms & publications
News
Newsletters
Group Health/Kaiser Permanente name change
Wellness programs
Diabetes prevention
SmartHealth Wellness
Public Employees Benefits Board (PEBB) Program
PEB Board
Schedules, agendas, & minutes
Archived agendas, minutes, & presentations
Enrollment reports
Rules and policies
File an appeal
Contact the PEBB Program
Help with My Account
Billers and providers
Washington Apple Health (Medicaid) providers
Enroll as a provider
Eligible provider types and requirements
Enroll as a billing provider
Enroll as a health care professional practicing under a group or facility
Enroll as a non-billing individual provider
Enroll as a billing agent/clearinghouse
Next steps for new Medicaid providers
Existing Apple Health (Medicaid) providers
Revalidation
Provider termination and exclusion list
Claims and billing
Getting started
Document submission cover sheets
Provider billing resources
Provider billing guides and fee schedules
Hospital reimbursement
ICD-10 billing codes and implementation
Approved diagnosis codes by program
HIPAA Electronic Data Interchange (EDI)
Indian health programs
Audit and program integrity
ProviderOne resources
ProviderOne Billing and Resource Guide
ProviderOne user manuals
ProviderOne for social services
ProviderOne Security
Fact sheets
Webinars
ProviderOne maintenance
ProviderOne Discovery Log
Forms & publications
Programs & services
Program benefit packages and scope of services
Autism and Applied Behavior Analysis (ABA) therapy
Behavioral health
Dental services
Archives
Durable Medical Equipment (DME)
First Steps (maternity and infant care)
Foster Care
Health Home
Resources
Transportation services (non-emergency)
Interpreter services
Interpreter services reports
Kidney Disease Program (KDP)
Managed care
Model managed care contracts
Resources
Medicaid Administrative Claiming (MAC)
King County Superior Court Juvenile Probation Services
Local Health Jurisdictions
UW School of Dentistry
Public school districts
Washington State Federally Recognized Tribes
Correspondence
Pharmacy
Fee-for-service (FFS) drug coverage lists
Become an endorsing practitioner
Patient review and coordination (PRC)
Pharmacy reimbursement fee-for-service
Apple Health (Medicaid) Drug Coverage Criteria
Pharmacy prior authorization
School-based health care services (SBHS)
Transgender Health Services Program
Transportation services (non-emergency)
News
Provider Alerts
Provider Notices 2014
Provider Notices 2013
Provider Notices 2012
Contact us
About HCA
Programs & initiatives
Apple Health (Medicaid)
What we're working on
1095-B tax form
Medicaid suspension
Apple Health managed care changes
Share your Apple Health story
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
We were not alone in this awful process
Getting the help I so desperately needed
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
Apple Health for You
News
How we work
Related laws and rules
Medicaid (Title XIX) State Plan
Medicaid Title XIX Advisory Committee
What is the State Plan?
Approved State Plan Amendments
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Apple Health (Medicaid) reports
Contact Apple Health (Medicaid)
Clinical collaboration and initiatives
What we're working on
Bree Collaborative
ER is for emergencies
OB outcomes
Technical Advisory Group (TAG)
Substance use disorders
Mental health
Bleeding Disorder Collaborative for Care
Shared decision making
Washington prescription drug price and purchasing summit series
How we work
Partners
Contact
Health Information Technology
What we're working on
News
Newsletters
Resources
Clinical Data Repository
Electronic Health Records
Calendar
Contact us
Health Technology Assessment
What we're working on
Health technology reviews
Selected technologies
Health Technology Clinical Committee
Clinical experts
Committee members
Recruitment
How we work
Technology selection
Key questions
Evidence report
Coverage decision and meeting
Decision complete
Tracking success
How to participate
Meetings and materials
Calendar
Contact
Healthier Washington
Voices of a Healthier Washington
Voices
Insights
All stories
Share your story
What we're working on
Accountable Communities of Health (ACH)
Analytics, Interoperability, and Measurement (AIM)
Data dashboard
Medicaid transformation
Initiative 1: transformation through ACHs
Initiative 2: long-term services & supports
Initiative 3: supportive housing & supported employment
Medicaid transformation resources
Paying for value
Integrated physical and behavioral health care
Regional resources
Performance measures
Plan for improving population health
Prevention framework
Practice transformation support hub
Health workforce
Shared decision making
Patient Decision Aids (PDAs)
How we work
News
Partners
Health Innovation Leadership Network
How to participate
Healthier Washington Symposium
Meetings & materials
Resources
Reports
Contact us
Program Integrity
How we work
Partners
Operations
Related laws and rules
Resources
Contact us
Public Employees Benefits Board (PEBB) Program
What we're working on
1095-C tax form
How we work
News
Operations
How to participate
Meetings & materials
Related laws & rules
Reports
Contact
Making informed health care decisions
Tribal Affairs
Consultations and meetings
Health care coverage
Resources
Dedication to Sue Crystal
Contact
Uniform Medical Plan (UMP)
Partners
How to participate
Resources
Washington Health Information Industry-Education Council
Washington Prescription Drug Program (WPDP)
How we work
Partners
Tracking success
Participants
How to participate
Meetings and materials
Related laws and rules
Resources
Reports
Contact us
Washington Wellness
What we're working on
Build a wellness program
SmartHealth
Diabetes prevention
Washington Wellness Conference
How we work
Partners
Tracking success
Operations
Meetings & materials
Related laws & rules
Resources
Physical activity
Healthy eating
Community supported agriculture
Vending
Catering
Farmers market
Living tobacco free
Preventive care
Flu shot clinics
Family health history
Health fairs
Lunch & learn lectures
Employee Assistance Program (EAP)
Find a wellness coordinator
More resources
Reports
Contact
Who we are
Our leadership
Our mission, vision, and values
Performance measures
Health care reform
Value-based purchasing
Work with us
Voices of HCA
Careers at HCA
Bids and contracts
News, data, and reports for HCA
News releases
Press room
HCA Connect blog
Public notices
Data & reports
Apple Health (Medicaid) reports
Budget information
Dental data
Legislative reports
Public Employees Benefits Board (PEBB) Program enrollment
Reproductive health
Announcements
Rules
Rulemaking
Apple Health (Medicaid) rulemaking
General Health Care Authority rulemaking
Public Employees Benefits Board rulemaking
Upcoming public hearings
Appeals
File an appeal: Apple Health (Medicaid)
File an appeal: PEBB
Board of Appeals
Significant decisions
Policies
Accessibility
Non-discrimination statement
Notice of privacy practices
Apple Health (Medicaid) notice of privacy practices
UMP notice of privacy practices
Website privacy policy
Administrative
State agency operations information
Medicaid fraud prevention
Voter registration
Log in (HCA employees/vendors/visitors)
Contact HCA
Announcement Menu
Home
Apple Health Eligibility Manual
Home
Search
Close menu
Search form
Search all of HCA
Search Free or low cost health care
Search Billers & providers
Search Public Employee Benefits
Search UMP
Search About HCA
Search
Home
About HCA
Contact HCA
Apple Health (Medicaid)
What we're working on
1095-B tax form
Medicaid suspension
Apple Health managed care changes
Share your Apple Health story
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
We were not alone in this awful process
Getting the help I so desperately needed
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
Apple Health for You
News
How we work
Related laws and rules
Medicaid (Title XIX) State Plan
Medicaid Title XIX Advisory Committee
What is the State Plan?
Approved State Plan Amendments
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Apple Health (Medicaid) reports
Contact Apple Health (Medicaid)
News
Search
News Type
- Any -
Apply
Jun
15
2017
July 1 Updates to Conversion Factors and Dental Program Fee Schedule Medicaid State Plan Amendment 17-0033 Public Notice
Jun
14
2017
17-0014 FQHCs & 17-0015 RHCs Medicaid State Plan Amendment Public Notice
Jun
13
2017
Hospice Services Medicaid State Plan Amendment 17-0032 Public Notice
Jun
12
2017
State to increase in-home nursing services for children with medically intensive needs
Jun
1
2017
Residential Services Waiver Amendment Public Notice
May
11
2017
SBIRT Medicaid State Plan Amendment 17-0026 Public Notice
May
11
2017
Telemedicine Medicaid State Plan Amendment 17-0025 Public Notice
Apr
20
2017
Applied Behavior Analysis Providers Medicaid State Plan Amendment 17-0024 Public Notice
Apr
5
2017
Personal Care Services and Community First Choice Updates Medicaid State Plan Amendments 17-0021 and 17-0022 Public Notice
Apr
5
2017
Time Limits for Medical Withdrawal Management Medicaid State Plan Amendment 17-0003 Public Notice
Pages
1
2
3
‹
next ›
