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        • What are my basic covered services?
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      • Other Apple Health programs
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      • Learn about my coverage
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      • Prenatal, children & young adults
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
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        • What is recovery support?
        • Peer support & counseling
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      • Prevention
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    • I help others apply for & access Apple Health
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
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      • Apply for or renew Apple Health coverage
      • Apple Health for you
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      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
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      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
      • Stakeholder training & education
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Hospital Presumptive Eligibility
        • Medicaid suspension
    • I need medical, dental, or vision care
      • Find Apple Health benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
      • Other Apple Health programs
        • Noncitizens
        • Apple Health Medicare Connect
        • Apple Health for Workers with Disabilities (HWD)
        • Family Planning Only (FPO)
        • Medically Intensive Children's Program (MICP)
        • Medicare Savings Program
        • Veterans & family members
      • Am I eligible?
        • Eligibility overview
        • Individual adults
        • Parents & caretakers
        • Pregnant individuals
        • Children
        • Age 65 & older, or Medicare eligible
        • Aged, blind, or disabled
        • Long-term care & hospice
        • Foster care
      • Learn about my coverage
        • Coverage with managed care
        • Coverage without managed care
        • American Indians & Alaska Natives
        • Coordination of benefits
        • Premium payment program
        • Patient review & coordination
        • Client rights
      • Use my coverage
        • How do I use my coverage?
        • Enrollment next steps
        • Make my first appointment
        • Transportation services (nonemergency)
        • Apple Health client booklets
      • Manage my coverage
        • Update my income or address
        • Log into my Apple Health accounts
        • Replace my services card
        • Change my health plan
        • Pay my Apple Health premium
        • Cancel my coverage
      Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Find Apple Health benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
      • Other Apple Health programs
        • Noncitizens
        • Apple Health Medicare Connect
        • Apple Health for Workers with Disabilities (HWD)
        • Family Planning Only (FPO)
        • Medically Intensive Children's Program (MICP)
        • Medicare Savings Program
        • Veterans & family members
      • Am I eligible?
        • Eligibility overview
        • Individual adults
        • Parents & caretakers
        • Pregnant individuals
        • Children
        • Age 65 & older, or Medicare eligible
        • Aged, blind, or disabled
        • Long-term care & hospice
        • Foster care
      • Learn about my coverage
        • Coverage with managed care
        • Coverage without managed care
        • American Indians & Alaska Natives
        • Coordination of benefits
        • Premium payment program
        • Patient review & coordination
        • Client rights
      • Use my coverage
        • How do I use my coverage?
        • Enrollment next steps
        • Make my first appointment
        • Transportation services (nonemergency)
        • Apple Health client booklets
      • Manage my coverage
        • Update my income or address
        • Log into my Apple Health accounts
        • Replace my services card
        • Change my health plan
        • Pay my Apple Health premium
        • Cancel my coverage
    • I need behavioral health support
      • Mental health
        • Mental health crisis lines
        • Mental health services
        • Acute mental health care
        • Problem gambling
        • Mental health advance directives
      • Substance use
        • Substance use treatment
        • Alcohol use treatment
        • Opioid use treatment
      • Prenatal, children & young adults
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
        • Housing for transitioning youth
      • American Indians & Alaska Natives
        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
      • Recovery support services
        • What is recovery support?
        • Peer support & counseling
        • Recovery housing
      • Prevention
        • Substance use disorder prevention & mental health promotion
      Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Mental health
        • Mental health crisis lines
        • Mental health services
        • Acute mental health care
        • Problem gambling
        • Mental health advance directives
      • Substance use
        • Substance use treatment
        • Alcohol use treatment
        • Opioid use treatment
      • Prenatal, children & young adults
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
        • Housing for transitioning youth
      • American Indians & Alaska Natives
        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
      • Recovery support services
        • What is recovery support?
        • Peer support & counseling
        • Recovery housing
      • Prevention
        • Substance use disorder prevention & mental health promotion
    • I help others apply for & access Apple Health
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
      • Stakeholder training & education
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Hospital Presumptive Eligibility
        • Medicaid suspension
      Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
      • Stakeholder training & education
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Hospital Presumptive Eligibility
        • Medicaid suspension
  • Employee & retiree benefits
    • Public employees
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
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        • Find a PEBB plan provider
        • Life, home, auto, AD&D, LTD, FSA, & DCAP benefits
        • PEBB wellness programs
        • Medicare & PEBB benefits while employed
      • Explore costs
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        • Change my coverage
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        • Accessing SmartHealth
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      • Log into PEBB My Account
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      MM - Footer
      • Contact us
      • PEBB news
      • Find benefits
        • Medical plans & benefits (including vision)
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        • Find a PEBB plan provider
        • Life, home, auto, AD&D, LTD, FSA, & DCAP benefits
        • PEBB wellness programs
        • Medicare & PEBB benefits while employed
      • Explore costs
        • Medical plan premiums
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        • Long-term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible employees
        • Verify & enroll my dependents
        • Waive my medical coverage
      • For survivors
        • Defer as a survivor
        • Enroll as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
        • What happens if I stop working?
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • School employees
      • Find benefits
        • Medical plans & benefits
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        • Vision plans & benefits
        • Benefits while traveling
        • Find a SEBB plan provider
        • Life, LTD, FSA, & DCAP benefits
        • SEBB wellness programs
        • Medicare & SEBB benefits while employed
      • Explore costs
        • Medical plan premiums
        • Life insurance premiums
        • Long-term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible employees
        • Verify & enroll my dependents
        • Waive my medical coverage
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
        • What happens if I stop working?
      • Get help
        • Contact the plans
        • Help with SEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
      Quick links
      • Find forms & publications
      • Retiree engagement
      • Preparing for retirement?
      • Public employees
      • Log into PEBB My Account
      • PEBB newsletters
      • Visit our PEBB Virtual Benefits Fair
      • File a PEBB appeal
      • PEBB rules & policies
      • PEB Board
      • School employees
      • Log into SEBB My Account
      • SEBB newsletters
      • Visit our SEBB Virtual Benefits Fair
      • File a SEBB appeal
      • SEBB rules and policies
      • SEB Board
      • For groups joining PEBB
      • For groups joining SEBB
      MM - Footer
      • Contact us
      • SEBB news
      • Find benefits
        • Medical plans & benefits
        • Dental plans & benefits
        • Vision plans & benefits
        • Benefits while traveling
        • Find a SEBB plan provider
        • Life, LTD, FSA, & DCAP benefits
        • SEBB wellness programs
        • Medicare & SEBB benefits while employed
      • Explore costs
        • Medical plan premiums
        • Life insurance premiums
        • Long-term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible employees
        • Verify & enroll my dependents
        • Waive my medical coverage
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
        • What happens if I stop working?
      • Get help
        • Contact the plans
        • Help with SEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • Retirees
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home & auto benefits
        • PEBB wellness programs
        • Medicare & turning age 65
      • Explore costs
        • Medicare plan premiums
        • Non-Medicare plan premiums
        • Life insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
        • Denied coverage? You may still be eligible.
      • Learn how to enroll
        • How do I enroll?
        • Attend a retirement webinar
        • Verify & enroll my dependents
      • Learn how & why to defer
        • What is deferring & why would I?
        • How do I defer?
        • How do I enroll after deferring?
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
      Quick links
      • Find forms & publications
      • Retiree engagement
      • Preparing for retirement?
      • Public employees
      • Log into PEBB My Account
      • PEBB newsletters
      • Visit our PEBB Virtual Benefits Fair
      • File a PEBB appeal
      • PEBB rules & policies
      • PEB Board
      • School employees
      • Log into SEBB My Account
      • SEBB newsletters
      • Visit our SEBB Virtual Benefits Fair
      • File a SEBB appeal
      • SEBB rules and policies
      • SEB Board
      • For groups joining PEBB
      • For groups joining SEBB
      MM - Footer
      • Contact us
      • PEBB news
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home & auto benefits
        • PEBB wellness programs
        • Medicare & turning age 65
      • Explore costs
        • Medicare plan premiums
        • Non-Medicare plan premiums
        • Life insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
        • Denied coverage? You may still be eligible.
      • Learn how to enroll
        • How do I enroll?
        • Attend a retirement webinar
        • Verify & enroll my dependents
      • Learn how & why to defer
        • What is deferring & why would I?
        • How do I defer?
        • How do I enroll after deferring?
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • PEBB Continuation Coverage
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home, auto, AD&D, LTD, & FSA benefits
        • PEBB wellness programs
      • Explore costs
        • Medicare plan premiums
        • Non-Medicare plan premiums
        • Life insurance premiums
        • Long term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible members
        • Verify & enroll my dependents
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
      Quick links
      • Find forms & publications
      • Retiree engagement
      • Preparing for retirement?
      • Public employees
      • Log into PEBB My Account
      • PEBB newsletters
      • Visit our PEBB Virtual Benefits Fair
      • File a PEBB appeal
      • PEBB rules & policies
      • PEB Board
      • School employees
      • Log into SEBB My Account
      • SEBB newsletters
      • Visit our SEBB Virtual Benefits Fair
      • File a SEBB appeal
      • SEBB rules and policies
      • SEB Board
      • For groups joining PEBB
      • For groups joining SEBB
      MM - Footer
      • Contact us
      • PEBB news
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home, auto, AD&D, LTD, & FSA benefits
        • PEBB wellness programs
      • Explore costs
        • Medicare plan premiums
        • Non-Medicare plan premiums
        • Life insurance premiums
        • Long term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible members
        • Verify & enroll my dependents
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • SEBB Continuation Coverage
      • Find benefits
        • Medical plans & benefits
        • Dental plans & benefits
        • Vision plans & benefits
        • Benefits while traveling
        • Find a SEBB plan provider
        • Life & FSA benefits
        • SEBB wellness programs
      • Explore costs
        • Medical, dental & vision plan premiums
        • Life insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible members
        • Verify & enroll my dependents
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with SEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
      Quick links
      • Find forms & publications
      • Retiree engagement
      • Preparing for retirement?
      • Public employees
      • Log into PEBB My Account
      • PEBB newsletters
      • Visit our PEBB Virtual Benefits Fair
      • File a PEBB appeal
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        • Denied coverage? You may still be eligible.
      • Learn how to enroll
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      • For survivors
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        • Enroll as a survivor
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        • Am I eligible?
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      • Learn how to enroll
        • For newly eligible members
        • Verify & enroll my dependents
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        • Enroll as a survivor
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      • Manage benefits
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      Quick links
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      • Learn how to enroll
        • For newly eligible members
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  • Billers, providers & partners
    • Prior authorization, claims & billing
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        • For new providers
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      • Submit prior authorization (PA)
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      Quick links
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        • Audit & program integrity
      • Submit prior authorization (PA)
        • Step-by-step guide for prior authorization (PA)
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    • Program information for providers
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      • Programs: A-E
        • 340B Drug Pricing Program
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        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
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        • Durable medical equipment
        • Early, Periodic Screening, Diagnosis, and Treatment
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
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      • Programs: F-H
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        • Family Planning Only
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        • Health Home
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      • Programs: I-N
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        • Managed care
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        • Immunization services
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        • Intensive behavioral health treatment facilities
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        • Kidney Disease Program
        • Managed care
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      • Programs: O-P
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
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        • Prescription drug discount card
        • Program of Assertive Community Treatment
        • Partnership Access Lines
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        • Program of Assertive Community Treatment
      • Programs: Q-Z
        • Resources for behavioral health providers
        • School-based health care services
        • Substance use disorder
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        • Transhealth program
        • Transportation services (nonemergency)
        • Resources for behavioral health providers
        • School-based health care services
        • Substance use disorder
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        • Transhealth program
        • Transportation services (nonemergency)
      Quick links
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      • News
      • Getting started
        • Program benefit packages & scope of services
        • Patient review & coordination
        • Program benefit packages & scope of services
        • Patient review & coordination
      • Programs: A-E
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
        • Designated crisis responders
        • Durable medical equipment
        • Early, Periodic Screening, Diagnosis, and Treatment
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
        • Designated crisis responders
        • Durable medical equipment
        • Early, Periodic Screening, Diagnosis, and Treatment
      • Programs: F-H
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Ground emergency medical transportation
        • Health Home
        • Home health care services: electronic visit verification
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Ground emergency medical transportation
        • Health Home
        • Home health care services: electronic visit verification
      • Programs: I-N
        • Immunization services
        • Indian health programs
        • Intensive behavioral health treatment facilities
        • Intensive residential treatment teams
        • Interpreter services
        • Kidney Disease Program
        • Managed care
        • Medicaid Administrative Claiming
        • Immunization services
        • Indian health programs
        • Intensive behavioral health treatment facilities
        • Intensive residential treatment teams
        • Interpreter services
        • Kidney Disease Program
        • Managed care
        • Medicaid Administrative Claiming
      • Programs: O-P
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
        • Preadmission screening and resident review
        • Prescription drug discount card
        • Program of Assertive Community Treatment
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
        • Preadmission screening and resident review
        • Prescription drug discount card
        • Program of Assertive Community Treatment
      • Programs: Q-Z
        • Resources for behavioral health providers
        • School-based health care services
        • Substance use disorder
        • Suicide prevention resources
        • Transhealth program
        • Transportation services (nonemergency)
        • Resources for behavioral health providers
        • School-based health care services
        • Substance use disorder
        • Suicide prevention resources
        • Transhealth program
        • Transportation services (nonemergency)
    • Become an Apple Health provider
      • Learn how to enroll
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      • What's next
        • Track my application
        • Find next steps for new Medicaid providers
        • Track my application
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      • For existing medicaid providers
        • Update my provider information
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        • Revalidation
      Quick links
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      • Learn how to enroll
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        • Enroll as a nonbilling provider
        • Enroll as a billing agent or clearinghouse
        • Enrollment overview
        • Eligible provider types & requirements
        • Become a behavioral health provider
        • Enroll as a billing provider
        • Enroll as a health care professional practicing under a group or facility
        • Enroll as a nonbilling provider
        • Enroll as a billing agent or clearinghouse
      • What's next
        • Track my application
        • Find next steps for new Medicaid providers
        • Track my application
        • Find next steps for new Medicaid providers
      • For existing medicaid providers
        • Update my provider information
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    • Learn ProviderOne
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        • Fact sheets
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    • Prior authorization, claims & billing
      • Getting started
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Request a Zoom license
        • Audit & program integrity
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Request a Zoom license
        • Audit & program integrity
      • Submit prior authorization (PA)
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
      • Submit claims
        • Provider billing guides & fee schedules
        • Hospital rates & reimbursement
        • Provider billing guides & fee schedules
        • Hospital rates & reimbursement
      Quick links
      • Log into ProviderOne
      • Find billing guides & fee schedules
      • Find forms & publications
      • Sign up for Provider Alerts
      • ProviderOne Billing & Resource Guide
      • ProviderOne Discovery Log
      • ProviderOne maintenance
      • Termination & exclusion list
      MM - Footer
      • Contact us
      • News
      • Getting started
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
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        • Request a Zoom license
        • Audit & program integrity
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Request a Zoom license
        • Audit & program integrity
      • Submit prior authorization (PA)
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
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  1. Home
  2. About HCA
  3. Programs & initiatives

Programs and initiatives

The Health Care Authority serves more than 2 million Washington residents through the Apple Health (Medicaid) program and the Public Employees Benefits Board (PEBB) Program. We also have other programs and initiatives to help ensure we are offering better health, better care, and lower costs.

Megamenu
  • A-H
    • Advancing clinical integration
    • Apple Health (Medicaid)
    • Behavioral health & recovery
    • Cascade Select (public option)
    • Clinical collaboration & initiatives
    • Health Information Technology
    • Health Technology Assessment
    • Advancing clinical integration
    • Apple Health (Medicaid)
    • Behavioral health & recovery
    • Cascade Select (public option)
    • Clinical collaboration & initiatives
    • Health Information Technology
    • Health Technology Assessment
  • I-S
    • Making informed health care decisions
    • Medicaid Transformation Project (MTP)
    • Public Employees Benefits Board (PEBB)
    • School Employees Benefits Board (SEBB)
    • Making informed health care decisions
    • Medicaid Transformation Project (MTP)
    • Public Employees Benefits Board (PEBB)
    • School Employees Benefits Board (SEBB)
  • T-Z
    • Trauma-informed approach
    • Uniform Medical Plan (UMP)
    • Value-based purchasing (VBP)
    • Washington Prescription Drug Program (WPDP)
    • Washington Wellness
    • Trauma-informed approach
    • Uniform Medical Plan (UMP)
    • Value-based purchasing (VBP)
    • Washington Prescription Drug Program (WPDP)
    • Washington Wellness
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How do I…

  • Find PEB Board materials
  • Find SEB Board materials
  • Learn about Apple Health
  • Get information on Ricky's Law

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  • Free or low-cost health care
    • I need medical, dental, or vision care
      • Find Apple Health benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
      • Other Apple Health programs
        • Noncitizens
        • Apple Health Medicare Connect
        • Apple Health for Workers with Disabilities (HWD)
        • Family Planning Only (FPO)
        • Medically Intensive Children's Program (MICP)
        • Medicare Savings Program
        • Veterans & family members
      • Am I eligible?
        • Eligibility overview
        • Individual adults
        • Parents & caretakers
        • Pregnant individuals
        • Children
        • Age 65 & older, or Medicare eligible
        • Aged, blind, or disabled
        • Long-term care & hospice
        • Foster care
      • Learn about my coverage
        • Coverage with managed care
        • Coverage without managed care
        • American Indians & Alaska Natives
        • Coordination of benefits
        • Premium payment program
        • Patient review & coordination
        • Client rights
      • Use my coverage
        • How do I use my coverage?
        • Enrollment next steps
        • Make my first appointment
        • Transportation services (nonemergency)
        • Apple Health client booklets
      • Manage my coverage
        • Update my income or address
        • Log into my Apple Health accounts
        • Replace my services card
        • Change my health plan
        • Pay my Apple Health premium
        • Cancel my coverage
    • I need behavioral health support
      • Mental health
        • Mental health crisis lines
        • Mental health services
        • Acute mental health care
        • Problem gambling
        • Mental health advance directives
      • Substance use
        • Substance use treatment
        • Alcohol use treatment
        • Opioid use treatment
      • Prenatal, children & young adults
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
        • Housing for transitioning youth
      • American Indians & Alaska Natives
        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
      • Recovery support services
        • What is recovery support?
        • Peer support & counseling
        • Recovery housing
      • Prevention
        • Substance use disorder prevention & mental health promotion
    • I help others apply for & access Apple Health
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
      • Stakeholder training & education
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Hospital Presumptive Eligibility
        • Medicaid suspension
    • Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
    • Contact Apple Health (Medicaid)
    • News
  • Employee & retiree benefits
    • Public employees
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home, auto, AD&D, LTD, FSA, & DCAP benefits
        • PEBB wellness programs
        • Medicare & PEBB benefits while employed
      • Explore costs
        • Medical plan premiums
        • Life insurance premiums
        • Long-term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible employees
        • Verify & enroll my dependents
        • Waive my medical coverage
      • For survivors
        • Defer as a survivor
        • Enroll as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
        • What happens if I stop working?
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • School employees
      • Find benefits
        • Medical plans & benefits
        • Dental plans & benefits
        • Vision plans & benefits
        • Benefits while traveling
        • Find a SEBB plan provider
        • Life, LTD, FSA, & DCAP benefits
        • SEBB wellness programs
        • Medicare & SEBB benefits while employed
      • Explore costs
        • Medical plan premiums
        • Life insurance premiums
        • Long-term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible employees
        • Verify & enroll my dependents
        • Waive my medical coverage
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
        • What happens if I stop working?
      • Get help
        • Contact the plans
        • Help with SEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • Retirees
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home & auto benefits
        • PEBB wellness programs
        • Medicare & turning age 65
      • Explore costs
        • Medicare plan premiums
        • Non-Medicare plan premiums
        • Life insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
        • Denied coverage? You may still be eligible.
      • Learn how to enroll
        • How do I enroll?
        • Attend a retirement webinar
        • Verify & enroll my dependents
      • Learn how & why to defer
        • What is deferring & why would I?
        • How do I defer?
        • How do I enroll after deferring?
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • PEBB Continuation Coverage
      • Find benefits
        • Medical plans & benefits (including vision)
        • Dental plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home, auto, AD&D, LTD, & FSA benefits
        • PEBB wellness programs
      • Explore costs
        • Medicare plan premiums
        • Non-Medicare plan premiums
        • Life insurance premiums
        • Long term disability insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible members
        • Verify & enroll my dependents
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify PEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with PEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • SEBB Continuation Coverage
      • Find benefits
        • Medical plans & benefits
        • Dental plans & benefits
        • Vision plans & benefits
        • Benefits while traveling
        • Find a SEBB plan provider
        • Life & FSA benefits
        • SEBB wellness programs
      • Explore costs
        • Medical, dental & vision plan premiums
        • Life insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible members
        • Verify & enroll my dependents
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
        • Change my address
        • Cancel my coverage
      • Get help
        • Contact the plans
        • Help with SEBB My Account
        • About Benefits 24/7
        • Accessing SmartHealth
    • Quick links
      • Find forms & publications
      • Retiree engagement
      • Preparing for retirement?
      • Log into PEBB My Account
      • PEBB newsletters
      • Visit our PEBB Virtual Benefits Fair
      • File a PEBB appeal
      • PEBB rules & policies
      • PEB Board
      • Log into SEBB My Account
      • SEBB newsletters
      • Visit our SEBB Virtual Benefits Fair
      • File a SEBB appeal
      • SEBB rules and policies
      • SEB Board
      • For groups joining PEBB
      • For groups joining SEBB
    • Contact us
    • PEBB news
    • SEBB news
  • Billers, providers & partners
    • Prior authorization, claims & billing
      • Getting started
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Request a Zoom license
        • Audit & program integrity
      • Submit prior authorization (PA)
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
      • Submit claims
        • Provider billing guides & fee schedules
        • Hospital rates & reimbursement
    • Program information for providers
      • Getting started
        • Program benefit packages & scope of services
        • Patient review & coordination
      • Programs: A-E
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
        • Designated crisis responders
        • Durable medical equipment
        • Early, Periodic Screening, Diagnosis, and Treatment
      • Programs: F-H
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Ground emergency medical transportation
        • Health Home
        • Home health care services: electronic visit verification
      • Programs: I-N
        • Immunization services
        • Indian health programs
        • Intensive behavioral health treatment facilities
        • Intensive Residential Treatment Teams
        • Interpreter services
        • Kidney Disease Program
        • Managed care
        • Medicaid Administrative Claiming
      • Programs: O-P
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
        • Preadmission screening and resident review
        • Prescription drug discount card
        • Program of Assertive Community Treatment
      • Programs: Q-Z
        • Resources for behavioral health providers
        • School-based health care services
        • Substance use disorder
        • Suicide prevention resources
        • Transhealth program
        • Transportation services (nonemergency)
    • Become an Apple Health provider
      • Learn how to enroll
        • Enrollment overview
        • Eligible provider types & requirements
        • Become a behavioral health provider
        • Enroll as a billing provider
        • Enroll as a health care professional practicing under a group or facility
        • Enroll as a nonbilling provider
        • Enroll as a billing agent or clearinghouse
      • What's next
        • Track my application
        • Find next steps for new Medicaid providers
      • For existing medicaid providers
        • Update my provider information
        • Revalidation
    • Learn ProviderOne
      • Getting started
        • How do I access ProviderOne?
      • Training materials
        • ProviderOne Billing & Resource Guide
        • User manuals
        • ProviderOne for social services
        • Fact sheets
        • Webinars
    • Quick links
      • Log into ProviderOne
      • Find billing guides & fee schedules
      • Find forms & publications
      • Sign up for Provider Alerts
      • ProviderOne Billing & Resource Guide
      • ProviderOne Discovery Log
      • ProviderOne maintenance
      • Termination & exclusion list
    • Contact us
    • News
  • About HCA
    • Programs & initiatives
      • A-H
        • Advancing clinical integration
        • Apple Health (Medicaid)
        • Behavioral health & recovery
        • Cascade Select (public option)
        • Clinical collaboration & initiatives
        • Health Information Technology
        • Health Technology Assessment
      • I-S
        • Making informed health care decisions
        • Medicaid Transformation Project (MTP)
        • Public Employees Benefits Board (PEBB)
        • School Employees Benefits Board (SEBB)
      • T-Z
        • Trauma-informed approach
        • Uniform Medical Plan (UMP)
        • Value-based purchasing (VBP)
        • Washington Prescription Drug Program (WPDP)
        • Washington Wellness
    • Who we are
      • About us
        • Our leadership
        • Our mission, vision & values
        • HCA budget information
        • Health equity
        • Tribal relations
        • Legislative relations
      • Boards, committees & collaborations
        • Overview of groups
        • Governor's Indian Health Advisory Council
        • Health Care Cost Transparency Board
        • Health Information Exchange (HIE) Oversight Panel
        • Universal Health Care Commission
      • Health innovation
        • Health care reform
        • Performance measures
        • Tech modernization
        • Washington State Common Measure set
    • Data & reports
      • Reports
        • Apple Health (Medicaid) & managed care
        • Behavioral health & recovery
        • Clinical
        • Dental
        • Legislative
        • PEBB Program enrollment
        • Reproductive health
        • SEBB Program enrollment
      • Data products
        • Analytics, research & measurement (ARM) data dashboard suite
        • Apple Health client eligibility
        • Apple Health providers
        • Behavioral health housing program map
        • Emergency department
        • Foundational Community Supports provider map
        • Health Home
        • Healthier Washington measures
        • Hep C Free Treatment
        • Inpatient facility
        • Interpreter services
        • Medicaid maternal & child health measures
        • Opioid use disorder treatment
        • Washington State All Payer Claims Database (WA-APCD)
        • Washington State Medicaid Explorer
      • Policy & documentation
        • Data at HCA
        • Data dashboard documentation
        • HCA Data Strategy (overview)
        • HCA Data Strategy
        • Make a publication review request
        • HCA Small Numbers Standard
    • Other administrative activities
      • Medicaid-related
        • Fraud prevention
        • Medicaid program integrity
        • Personal injury, casualty recoveries & special needs trusts
      • Government transparency
        • Gender identity information
        • Public disclosure request
      • Community services
        • Disaster outreach
        • Voter registration
    • News
      • Find out what's new
        • News releases
        • Announcements
        • Public notices
        • Subscribe to HCA news
      • Follow HCA on social media
        • Facebook
        • X (formerly Twitter)
        • Instagram
        • Medium
        • HCA Connect
        • LinkedIn
        • YouTube
      • For the press
        • Visit our press room
      • HCA Connect
    • Quick links
      • Work with us
      • Find news releases
      • Voices of HCA
      • Appeals
      • Rulemaking
      • Medicaid (Title XIX) State Plan
      • Policies
    • Contact HCA
  • Contact