Resources

• Apple Health webpage(s)
• Report to the Legislature: Tribal Centric Behavioral Health (2013)
• Tribal Centric Behavioral Health Report: Exhibits (2013)
• Indian Health Care Reform Manual for Washington State

• HCA, DSHS, and Health Benefit Exchange contact numbers
• Managed care plan resource: Indian health care providers National Provider Identifier (NPI) classifications

• MTP webpage(s)
• Map: Tribal Health Clinics

• Introduction to Indian Health Care System in Washington State
• Centennial Accord Plan
• Tribal Consultation Policy
• Tribal Consultation Policy (State Plan)
• Definition of "Encounter" (State Plan)

• ProviderOne login
• Medicaid provider resources
• Medicaid Provider Guide—Tribal Health Program
• Tribal providers may submit paper claims to:

  Health Care Authority
  PO Box 42727
  Olympia, WA 98504-2727

  Note: This address is for tribal providers only.

Billing

• Nonnative substance abuse disorder (SUD) intergovernmental transfer (IGT)
  • Process
  • Federal medical assistance percentages (FMAP) rates
• Bill ProviderOne for IHS wraparound after billing Apple Health Managed Care
• Void a claim

File Maintenance

• Remove a provider from your group
• Change your group's location, mailing, or pay-to address in ProviderOne

Miscellaneous

• Dental tooth, arch, quad numbering

Primary Care Case Management (PCCM)

• Retrieve your PCCM payment file (HIPAA 820)
• Retrieve your PCCM client roster (HIPAA 834)

Managed Care Organizations

• Single point of contact for Tribes
• 2020 Behavioral Health provider services reference guide
• IMC MCO issues tracker
• MCO contact list
• IHCP contact list for MCOs

• Find a tribal or Urban Indian clinic near you
• Find a non-tribal doctor, dentist or other provider in your area
• Apply for Apple Health
• Get a replacement Apple Health card
• Check if a service is covered by Apple Health
• Find out about these services:
  • Dental
  • Maternity and infants
  • Family planning
  • Mental health/counseling
  • Substance use dependency
  • Quitting smoking
• Request transportation to Apple Health appointments
• Sign up for Medicare
• Find sources for help with housing, food, utility bills, and more