Contact HCA

Who to contact

The Health Care Authority contact information is program-specific. Expand each section below to find information that corresponds to your question.

I am or want to become an Apple Health (Medicaid) client
I need help with ... Contact ...
  • Replacing a ProviderOne Services card
  • ProviderOne benefit coverage
  • Understanding Apple Health Managed Care and enrollment
  • Billing complaints

Medical Assistance Customer Service Center (MACSC)

Online: Secure form
Email: askmedicaid@hca.wa.gov
Phone: 1-800-562-3022
Business hours - client line: Monday-Friday 7 a.m. to 5 p.m. (Pacific) (except state holidays)
TRS: 711 through Washington Relay

  • Apple Health eligibility for families, children, pregnant individuals, and individual adults
  • Post-eligibility case review or reporting changes
  • Apple Health for Kids premium payment (also called CHIP)
  • Requesting an appeal for Apple Health programs

Medical Eligibility Determination Services (MEDS)

Online: Secure form
Email: askmagi@hca.wa.gov
Phone: 1-800-562-3022
Assistance in your local area: HCA community-based specialists
Business hours: Monday - Friday 7 a.m. to 5 p.m. (Pacific) (except state holidays)
Apply for coverage: wahealthplanfinder.org
TRS: 711 through Washington Relay

Mailing address:
PO Box 45531
Olympia WA 98504

  • Applying for Apple Health for families, children, pregnant individuals, and individual adults

Washington Healthplanfinder

Phone: 1-855-923-4633
TTY: 1-855-627-9604
Business hours: Monday - Friday 7:30 a.m. to 7 p.m.
Online: wahealthplanfinder.org

  • Choosing an Apple Health managed care plan to best fit my family's needs

Washington Health Benefit Exchange

Find support: Connect with an insurance broker and navigator near you

  • Applying for Classic Medicaid (individuals who are age 65 or older have blindness or a disability) or Medicare Savings Program
  • Requesting an appeal for Classic Medicaid

Department of Social and Health Services (DSHS) Customer Service Contact Center

Phone: 1-877-501-2233
TRS: 711 through Washington Relay
Business hours: Monday - Friday 8 a.m. to 5 p.m. (Pacific) (except state holidays)
Online: washingtonconnection.org

  • Applying for long-term services and supports including:
    • In-home long-term care services assisted living facility/adult family home
    • Nursing home
    • Hospice
    • Apple Health for Workers with Disabilities (HWD)
    • Tailored Supports for Older Adults (TSOA)

DSHS Home and Community Based Service

Phone: 360-725-2300
TRS: 711 through Washington Relay
Business hours: Monday – Friday, 8 a.m. – 5 p.m. (Pacific) (except state holidays)
Online: washingtonconnection.org

Learn more on the DSHS resources webpage.

 

  • Applying for services and programs with the Developmental Disabilities Administration (DDA) including:
    • Community residential services for adults and children
    • Residential habilitation centers
    • Nursing services
    • Child development services
    • Employment and day programs
    • Community engagement
    • Respite and stabilization services

DSHS Developmental Disabilities Administration (DDA)

Find a DDA office near you.

Phone: 1-855-873-0642
TRS: 711 through Washington Relay
Business hours: Monday – Friday, 8 a.m. – 5 p.m. (Pacific) (except state holidays)
Online: washingtonconnection.org

Learn more about the Developmental Disabilities Administration Services and Programs

 

  • Reporting Medicaid fraud

Recipient fraud:
Phone:
1-360-725-0934
Email: WAHEligibilityFraud@hca.wa.gov

Provider fraud:
Phone:
1-833-794-2345 (toll free)
Email: HotTips@hca.wa.gov

I am a behavioral health client or provider

In crisis? If you need immediate assistance, call 911. All people in Washington have access to the Washington Recovery Help Line at 1-866-789-1511 (24/7) and county mental health crisis lines.

For clients and providers

I need help with ... Contact ...
  • Prevention and mental health promotion
  • School-based services for children, youth, young adults, families and communities
Email:prevention@hca.wa.gov
  • Peer support services assistance
Email: peersupportprogram@hca.wa.gov
  • Supportive employment assistance
Email: employment_assistance@hca.wa.gov
  • Supportive housing
Email: housing_assistance@hca.wa.gov
  • Crisis services assistance
Email: crisisdbhrproviderhelp@hca.wa.gov
  • Adult mental health services
  • PACT, IRT, 90/180 beds
Email: HCAMHDBHRProviderHelp@hca.wa.gov
  • Problem gambling
Email: HCAProblemGambling@hca.wa.gov
  • American Indian/Alaska Native (AI/AN)
  • Fee-for-service
Email: FFSquestions@hca.wa.gov
  • Reentry community services
Email: hcadbhr.orcsp@hca.wa.gov
  • Adult SUD outpatient
  • Withdrawal management
  • Residential services
Email: SUDdbhrproviderhelp@hca.wa.gov
  • Accessing youth behavioral health services
Contact: Partnership Access Line (PAL)
  • Wraparound with Intensive Services (WISe)
Email: WISeSupport@hca.wa.gov
  • Family Initiated Treatment (FIT)
Email: Hcafamilyinitiatedtreatment@hca.wa.gov

For providers only

I need help with ...

Contact ...

  • Behavioral health licensing and certification

Department of Health (DOH)
Health Systems Quality Assurance Division (HSQA)

Phone: 1-360-236-4700
Email: hsqacredentialing@doh.wa.gov

I am a Public Employees Benefits Board (PEBB) Program member

Member type

Employees

I need help with ... Contact ...
  • Benefits, including (but not limited to):
    • Medical (and prescription-drug coverage)
    • Dental
    • Life insurance
    • Long-term disability
  • Copayments, coinsurance, deductibles, or claims
  • Finding a doctor or dentist
  • Health plan complaints or appeals
  • ID cards

Your plan

The following webpage provides contact information for all your insurance plans.

  • Adding or dropping dependents
  • Changing your address, name, phone number, etc.
  • Eligibility or eligibility changes
    (like divorce, or becoming eligible for Medicare)
  • Eligibility complaints or appeals
  • Forms
  • Open enrollment or special open enrollment
  • Payroll deduction or premium payments
  • Premium surcharges
  • SmartHealth wellness program

Your payroll office

Direct all questions to your personnel, payroll, or benefits office.

Retirees and continuation coverage subscribers

Need to change your address?
  • If you are moving within your plan's service area:
    • Call 1-800-200-1004 (toll-free) Monday through Friday, 8 a.m. to 4:30 p.m., or
    • Fax a letter with your name and new address to 360-725-0771.
  • If you are moving out of your plan's service area, submit the retiree change form (Form E) to:
    • The PEBB Program
      PO Box 42684
      Olympia, WA 98504-2684
Need to answer other questions?

For some questions you will need to contact your plan. For some questions you can contact PEBB Benefits Services. Use the following tables to find your question and whom you should contact.

I need help with ... Contact ...
  • Benefits, including (but not limited to):
    • Medical (and prescription-drug coverage)
    • Dental
    • Life insurance
    • Long-term disability
  • Copayments, coinsurance, deductibles, or claims
  • Finding a doctor or dentist
  • Health plan complaints or appeals
  • ID cards

Your plan

The following webpages provide contact information for all your insurance plans.

  • Adding or dropping dependents
  • Changing your address, name, phone number, etc.
  • Eligibility or eligibility changes
    (like divorce, or becoming eligible for Medicare)
  • Eligibility complaints or appeals
  • Forms
  • Open enrollment or special open enrollment
  • Payroll deduction or premium payments
  • Premium surcharges
  • SmartHealth wellness program

PEBB Benefits Services

Notice: This phone line is for PEBB retirees, PEBB employees about to retire, and PEBB Continuation Coverage subscribers ONLY. If you are an employee, you MUST contact your payroll or benefits office.

Phone: 1-800-200-1004 (toll-free)
TRS: 711 through Washington Relay
Phone line hours: Monday through Friday, 8 a.m. to 4:30 p.m.

Note: Other business activities may result in phones being unavailable at times during business hours.

If you experience longer-than-average wait times:

  1. Send us a secure message and submit your forms through HCA Support, a secure website that allows you to log into your own account to communicate with us. You will need to set up a SecureAccess Washington (SAW) account to use this option. 
    • Why do I have to set up an account to ask a question? To protect your privacy and sensitive health information. By using our secure messaging system we can ensure that your data is safeguarded. We realize this is an additional step and inconvenient, but your security is our greatest concern.
  2. Visit us in person at the Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501, Lobby hours: 8 a.m. to 4 p.m., Monday through Friday

Note: The PEBB Program does not take appointments. Visitors are seen on a first-come, first-served basis.

Visit our office:
Cherry Street Plaza
626 8th Avenue SE
Olympia, WA 98501

Lobby hours: Monday through Friday, 8 a.m. to 4 p.m.
Note: The PEBB and SEBB Programs do not take appointments. Visitors are seen on a first-come, first-served basis.

Mailing address:
PO Box 42684
Olympia, WA 98504-2684

UMP members

I need help with ... Contact ...
  • Services covered under Uniform Medical Plan (UMP) Classic, UMP Consumer-Directed Health Plan (CDHP), or UMP Plus

UMP Customer Service (medical benefits)

Phone: 1-888-849-3681
TRS: 711
Business hours: Monday-Friday 6:30 a.m. to 8 p.m. (Pacific); Saturday 7 a.m. to 6 p.m. (Pacific)

Washington State Rx Services (prescription drugs)

Phone: 1-888-361-1611
TRS: 711
Business hours: customer service is available 24 hours a day, 7 days a week

Information for both medical and prescription drug benefits is also available on the UMP home page.

I am a School Employees Benefits Board (SEBB) Program member

Member type

School employees

I need help with ... Contact ...
  • Benefits, including (but not limited to):
    • Medical (and prescription-drug coverage)
    • Dental
    • Life insurance
    • Long-term disability
  • Copayments, coinsurance, deductibles, or claims
  • Finding a doctor or dentist
  • Health plan complaints or appeals
  • ID cards

Your plan

The following webpage provides contact information for all your insurance plans.

  • Adding or dropping dependents
  • Changing your address, name, phone number, etc.
  • Eligibility or eligibility changes
    (like divorce, or becoming eligible for Medicare)
  • Eligibility complaints or appeals
  • Forms
  • Open enrollment or special open enrollment
  • Payroll deduction or premium payments
  • Premium surcharges
  • SmartHealth wellness program

Your payroll or benefits office

Direct all questions to your payroll or benefits office.

SEBB Continuation Coverage subscribers

I need help with ... Contact ...
  • Benefits, including (but not limited to):
    • Medical (and prescription-drug coverage)
    • Dental
    • Life insurance
    • Long-term disability
  • Copayments, coinsurance, deductibles, or claims
  • Finding a doctor or dentist
  • Health plan complaints or appeals
  • ID cards

Your plan

The following webpages provide contact information for all your insurance plans.

  • Adding or dropping dependents
  • Changing your address, name, phone number, etc.
  • Eligibility or eligibility changes
    (like divorce, or becoming eligible for Medicare)
  • Eligibility complaints or appeals
  • Forms
  • Open enrollment or special open enrollment
  • Payroll deduction or premium payments
  • Premium surcharges
  • SmartHealth wellness program

SEBB Benefits Services

Notice: This phone line is for SEBB employees about to retire and SEBB Continuation Coverage subscribers ONLY. If you are an employee, you MUST contact your payroll or benefits office.

Phone: 1-800-200-1004 (toll-free)
TRS: 711 through Washington Relay
Phone line hours: Monday through Friday, 8 a.m. to 4:30 p.m.

HCA Support 
Send us a secure message and submit your forms through HCA Support, a secure website that allows you to log into your own account to communicate with us. You will need to set up a SecureAccess Washington (SAW) account to use this option.  

Note: Other business activities may result in phones being unavailable at times during business hours.

Visit our office:
Cherry Street Plaza
626 8th Avenue SE
Olympia, WA 98501

Lobby hours: Monday through Friday, 8 a.m. to 4 p.m.
Note: The PEBB and SEBB Programs do not take appointments. Visitors are seen on a first-come, first-served basis.

Mailing address:
PO Box 42720
Olympia, WA 98504-2720

UMP members

I need help with ... Contact ...
  • Services covered under Uniform Medical Plan (UMP) Achieve 1, UMP Achieve 2, UMP High Deductible, or UMP Plus

UMP Customer Service (medical benefits)

Phone: 1-800-628-3481
TRS: 711
Business hours: Monday-Friday 6:30 a.m. to 8 p.m. (Pacific); Saturday 7 a.m. to 6 p.m. (Pacific)

Washington State Rx Services (prescription drugs)

Phone: 1-888-361-1611
TRS: 711
Business hours: customer service is available 24 hours a day, 7 days a week

Information for both medical and prescription drug benefits is also available on the UMP home page.

I am an Apple Health (Medicaid) biller or provider
I need help with ... Contact ...
  • Provider enrollment and revalidation

Phone: 1-800-562-3022 ext. 16137
Phones 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
Fax: 360-725-2144

  • Billing and claims (medical and social services)
  • Claim inquiry
  • Service limitations

Medical Assistance Customer Service Center (MACSC)

Phone: 1-800-562-3022 (choose "provider services")
Online: Secure form

Important! If you need assistance on a claim close to the two-year timely filing deadline, please type "Urgent, timely issue." in the Other Comments box on our secure form.

Business hours:

  • Provider general line and social services billers: Monday through Friday, 7 a.m. to 4:30 p.m. (Pacific) (except state holidays)
  • Claims line: Monday through Friday, 8 a.m. to noon and 1:30 to 3:30 p.m. (Pacific) (except state holidays)
    • Nursing home claims line (ext. 16820): Monday through Friday, 8 a.m. to noon. (Pacific) (except state holidays)
  • Medical policy
Email: AppleHealthClinicalPolicy@hca.wa.gov
  • Login information
  • Security

Email: provideronesecurity@hca.wa.gov

Other HCA contact information
I need help with ... Contact ...

Public records officer
Mail:
PO Box 42704, Olympia, WA 98504-2704
Phone: 1-844-284-2148
Fax: 360-507-9068
Email: PublicDisclosure@hca.wa.gov

  • HCA legislative affairs

Evan Klein, special assistant for policy and legislative affairs
Email:
evan.klein@hca.wa.gov

Shawn O'Neill, legislative relations manager
Email:
shawn.oneill@hca.wa.gov

  • Media relations

Kennedy Soileau, chief communications officer
Email:
kennedy.soileau@hca.wa.gov
Phone: 360-725-1915

For additional information, visit our press room.

  • A reasonable accommodation or want to report discrimination

ADA coordinator
Phone: 1-855-682-0787
Fax: 360-507-9234
Email: compliance@hca.wa.gov
Mailing address:
Enterprise Risk Management Office
Health Care Authority
PO Box 42704
Olympia WA 98504-2704

You can also file an ADA grievance online (written or ASL videos accepted).

  • Verifying an individual's former employment at HCA

Payroll
Email:
Payroll@hca.wa.gov
Confidential fax: 360-725-1722

Coordination of Benefits Casualty Unit
Email:
HCACasualtyUnit@hca.wa.gov
Fax: 360-753-3077
Mail: HCA Casualty Unit, PO Box 45561, Olympia, WA 98504-5561
  • Reporting suspected Medicaid fraud

Recipient fraud
Phone: 1-360-725-0934
Email: WAHEligibilityFraud@hca.wa.gov

Provider fraud
Phone:
1-833-794-2345 (toll free)
Email: HotTips@hca.wa.gov

TRS users

Dial 711 for the Washington Relay service.

Directions to the Health Care Authority

The Health Care Authority's main building is located at:

Cherry Street Plaza
626 8th Avenue SE
Olympia, WA 98501

From I-5 southbound

Take Exit 105B and merge onto Plum Street. Turn left at 8th Avenue. Go two blocks. HCA is on the right, between Chestnut and Cherry.

From I-5 northbound

Take Exit 105 , and keep right (Port of Olympia) as lanes split. Remain right through the roundabout onto Henderson Boulevard SE. Continue to the light and turn left onto Plum Street SE. Turn left at 8th Avenue. Go two blocks. HCA is on the right, between Chestnut and Cherry.

Parking and check-in

See the HCA visitor map for parking and check-in instructions.