Billers, providers, and partners

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Prior authorization, billing, and claims

Find information about how to get prior authorization (PA) and payment for services as an Apple Health (Medicaid) provider. Access provider billing guides, fee schedules, and hospital reimbursement information.

Request PAs and file claims.
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Program information for providers

Apple Health (Medicaid) covers a wide range of health care services. The coverage depends on the program in which the client is enrolled.

Find program information and policies.
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Become an Apple Health provider

Providers can enroll to participate in the Apple Health (Medicaid) program. Find information about the enrollment process, what to expect after you enroll, and how to revalidate each year.

Enroll and revalidate.
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Learn ProviderOne

ProviderOne is the system we use to process prior authorizations and pay Apple Health claims. It also is used to pay some social services providers who provide care to Medicaid clients.

Find ProviderOne training materials.