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        • Voices of Apple Health
          • Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day
          • Access to housing, employment and health care gives Yakima resident a second chance
          • Cancer patient lives a quality life thanks to Apple Health
          • New mother and baby have healthy start thanks to Apple Health
          • Apple Health covers medically necessary surgery when other insurance wouldn’t
          • Apple Health leads the way to a better life for autism spectrum disorder (ASD) client
          • Apple Health for Kids provides relief for new parents
          • Access to health care allows student to pursue education stress-free
          • Children’s Health Insurance Program (CHIP) keeps health care affordable for families
          • Helping Apple Health (Medicaid) clients when they need it most
          • Apple Health gives life to those with chronic disease
          • Mother and daughter have a better life because of Apple Health
          • Apple Health provides otherwise unaffordable, life-saving medication for HIV patient
          • Apple Health outreach staff help spread the word about free and low-cost health insurance
          • Apple Health and community partners help improve the health of the Latino population in Washington
          • 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
        • Stakeholder training and education
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        • Alternate help with prescriptions
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        • Apple Health eligibility manual
          • 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 and supports (LTSS) manual
        • Apple Health (Medicaid) manual WAC index
        • Coordination of benefits
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      • News
    • Uniform Medical Plan (UMP)
      • Plan: Uniform Medical Plan Classic
        • Find providers
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          • Filling your prescriptions
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        • 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
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          • Find a network pharmacy
          • What you pay for drugs
          • Search the UMP Preferred Drug List
          • Filling your prescriptions
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      • Plan: UMP Plus
        • Find providers
          • UMP Plus provider information
        • UMP Plus–UW Medicine Accountable Care Network
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        • Your cost for care
          • Annual deductible
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    • Employee and retiree benefits
      • Public employees
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          • How to enroll
          • Dependent verification
          • Waiving medical coverage
        • Medical plans & benefits
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        • Dental plans & benefits
          • Compare dental plans
        • Additional benefits
          • Auto & home insurance
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          • Life insurance
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          • Medical Flexible Spending Arrangement (FSA)
          • Plan discounts
        • Plan costs
          • Medical plan premiums
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          • Long-term disability insurance premiums
          • Paying for benefits
        • Surcharges
          • Tobacco use surcharge
          • Spousal coverage surcharge
            • Spousal plan questionnaire 2019
            • Spousal plan calculator
              • Help for question 1
              • Help for question 2
              • Help for question 3
              • Help for question 4
              • Help for question 5
              • Help for question 6
              • Help for question 7
        • Medicare & PEBB Program benefits
        • Change your coverage
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        • Frequently asked questions (FAQs)
        • Benefits after layoff or separation
        • Contact the plans
      • School employees
        • Eligibility and enrollment
          • How to determine eligibility
          • How to enroll
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          • Kaiser Permanente NW
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        • Dental plans and benefits
          • Compare dental plans
        • Vision plans and benefits
          • Compare vision plans
        • Additional benefits
          • Dependent Care Assistance Program (DCAP)
          • Life insurance
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        • Plan costs
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          • Paying for benefits
        • Surcharges
          • Tobacco use surcharge
          • Spousal coverage surcharge
        • Medicare and SEBB benefits
        • Change your coverage
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        • Contact the plans
      • Retirees
        • Eligibility & enrollment
          • Preparing for retirement
            • Retiring from a DRS retirement plan
            • Employment ending without retirement
            • COBRA
            • Disability retirement
            • Separating employment: Plan 3 members
            • Higher-education retirement plan
            • Not participating in a Washington State-sponsored retirement plan
          • How to determine eligibility
          • How to enroll
            • Completing the retiree forms
          • Dependent verification
          • Deferring coverage
        • Medical plans & benefits
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          • Medical plans available by county
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          • 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
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          • Plan discounts
        • Plan costs
          • Non-Medicare plan premiums
          • Medicare plan premiums
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          • Paying for benefits
        • Surcharges
          • Tobacco use surcharge
          • Spousal coverage surcharge
            • Spousal plan questionnaire 2019
            • Spousal plan calculator
              • Help for question 1
              • Help for question 2
              • Help for question 3
              • Help for question 4
              • Help for question 5
              • Help for question 6
              • Help for question 7
        • Medicare & PEBB Program benefits
        • Change your coverage
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        • Cancel your coverage
        • Frequently asked questions (FAQs)
        • Contact the plans
      • Continuation coverage
        • PEBB 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
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            • Medicare Supplement Plan F
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            • Health plans with health savings accounts (HSAs) (non-Medicare)
          • Dental plans & benefits
            • Compare dental plans
          • Additional benefits
            • Auto & home insurance
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            • Long-term disability insurance (unpaid leave only)
            • Medical Flexible Spending Arrangement
            • Plan discounts
          • Plan costs
            • PEBB Continuation Coverage premiums (non-Medicare)
            • PEBB Continuation Coverage premiums (Medicare)
            • Life insurance premiums (unpaid leave only)
            • Long-term disability insurance premiums (unpaid leave only)
            • Paying for benefits
          • Surcharges
            • Tobacco use surcharge
            • Spousal coverage surcharge
              • Spousal plan questionnaire 2019
              • Spousal plan calculator
                • Help for question 1
                • Help for question 2
                • Help for question 3
                • Help for question 4
                • Help for question 5
                • Help for question 6
                • Help for question 7
          • Change your coverage
          • Find a provider
          • Cancel your coverage
          • Frequently asked questions (FAQs)
          • Contact the plans
        • SEBB Continuation Coverage
          • Eligibility and enrollment
            • How to determine eligibility
            • How to enroll
            • Dependent verification
          • Medical plans and benefits
            • Benefits and coverage by plan
            • Compare medical plans
            • Kaiser Permanente WA plans
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            • Premera plans
            • Uniform Medical Plan (UMP) plans
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          • Dental plans and benefits
            • Compare dental plans
          • Vision plans and benefits
            • Compare vision plans
          • Additional benefits
            • Life insurance (Unpaid Leave)
            • Medical flexible spending arrangement
          • Plan costs
            • SEBB Continuation Coverage premiums
            • Life insurance premiums (Unpaid Leave)
            • Paying for benefits
          • Surcharges
            • Tobacco use surcharge
            • Spousal coverage surcharge
          • Change your coverage
          • Find a provider
          • Contact the plans
      • For groups joining the PEBB Program
        • How to join the PEBB Program
          • Employer groups
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        • Plan costs
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      • Rules & policies
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      • Forms & publications
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    • Billers, providers, and partners
      • 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
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          • Next steps for new Medicaid providers
        • Existing Apple Health (Medicaid) providers
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        • Provider termination and exclusion list
      • Prior authorization, claims, and billing
        • Getting started
          • Document submission cover sheets
        • Prior authorization (PA)
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          • Provider billing guides and fee schedules
          • Hospital reimbursement
        • HIPAA Electronic Data Interchange (EDI)
        • Indian health programs
        • Audit and Medicaid program integrity
      • ProviderOne resources
        • ProviderOne Billing and Resource Guide
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      • Programs & services
        • Program benefit packages and scope of services
        • Patient review and coordination (PRC)
        • 340B Drug Pricing Program
        • Autism and Applied Behavior Analysis (ABA) therapy
        • Behavioral health and recovery
          • American Indians and Alaska Natives (AI/AN)
          • Become a behavioral health provider
          • Child and youth behavioral health services
            • Early psychosis
            • Wraparound with Intensive Services (WISe)
          • Contractor and provider resources
            • Access to Care Standards (ACS) and ICD information
            • Medicaid documentation support
            • Service Encounter Reporting Instructions (SERI)
            • TARGET
              • GAIN-SS
          • Designated crisis responders (DCR)
          • Peer support
          • Preadmission screening and resident review (PASRR)
          • Program of Assertive Community Treatment (PACT)
          • Substance use treatment
            • Alcohol use treatment
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            • Opioid treatment programs (OTPs)
            • Screening, brief intervention, and referral to treatment (SBIRT)
              • Screening
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              • Resources
        • Dental services
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        • Family planning
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        • Interpreter services
        • 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
          • Public school districts
          • Washington State Federally Recognized Tribes
          • Correspondence
        • Pharmacy
          • Apple Health (Medicaid) drug coverage criteria
          • Apple Health Preferred Drug List (PDL)
          • Apple Health Second Opinion Program
          • Become an endorsing practitioner
          • Opioids
          • Pharmacy prior authorization
        • School-based health care services (SBHS)
        • Substance use disorder (SUD) consent management guidance
        • Transgender Health Services Program
        • Transportation services (nonemergency)
      • News
        • Provider Alerts
          • Provider Alerts 2018
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        • Behavioral health and recovery
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            • Block grants
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            • State Opioid Response (SOR) grant
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            • Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project
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          • Partners
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ProviderOne resources

We offer a variety of learning tools for providers. These tools include guides, manuals, tutorials, webinars, and fact sheets.

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  • ProviderOne: update to enrollment screens
  • Submit prior authorizations (PAs) online
  • Looking for billing guides and fee schedules?

In this section

  • ProviderOne Billing and Resource Guide
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How do I...

  • Enroll as a provider
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