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      • Apple Health (Medicaid) coverage
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                • First Steps provider directory
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              • Take Charge provider directory
            • Transgender Health Program
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        • Apply for or renew coverage
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          • American Indians and Alaska Natives (AI/AN)
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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
          • Community-based training
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        • Contact Washington Apple Health (Medicaid)
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      • Behavioral health and recovery
        • American Indians and Alaska Natives (AI/AN)
        • Child and youth behavioral health services
          • Frequently asked questions (FAQs)
          • Signs of early psychosis
          • Wraparound with Intensive Services (WISe)
        • Client rights
          • Ombuds services
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        • Mental health services
          • Acute mental health care (inpatient)
          • Frequently asked questions (FAQs)
          • Mental health advance directives
          • Mental health crisis lines
        • Peer support
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        • Recovery support
        • Substance use treatment
          • Alcohol use treatment
          • Opioid use treatment
        • Trainings and events
      • Prescription assistance
        • Programs
        • Alternate help with prescriptions
      • Program Administration
        • 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
        • Patient review and coordination
        • Premium payment program
      • News
    • Uniform Medical Plan (UMP)
      • Plan: Uniform Medical Plan Classic
        • Find providers
        • Your cost for care
          • Annual deductible
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        • Prescription drugs
          • Find a network pharmacy
          • What you pay for drugs
          • Search the UMP Preferred Drug List
          • Filling your prescriptions
          • Limits on drug coverage
        • 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
          • Out-of-pocket limit
          • Coinsurance
          • Preferred vs. out-of-network providers
          • No-cost care
        • Medical benefits
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          • Knee and hip replacement
          • Preventive care
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          • Exclusions
          • Services requiring preauthorization
          • Wellness programs
        • Prescription drugs
          • Find a network pharmacy
          • What you pay for drugs
          • Search the UMP Preferred Drug List
          • Filling your prescriptions
          • Limits on drug coverage
        • Health Savings Account
      • Plan: UMP Plus
        • Find providers
          • UMP Plus provider information
        • UMP Plus–UW Medicine Accountable Care Network
        • UMP Plus–Puget Sound High Value Network
        • Your cost for care
          • Annual deductible
          • Medical out-of-pocket limit
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        • Medical benefits
          • Summary of benefits
          • Preventive care
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        • Prescription drugs
          • Find a network pharmacy
          • What you pay for drugs
          • Search the UMP Preferred Drug List
          • Filling your prescriptions
          • Limits on drug coverage
        • UMP Plus FAQs
      • UMP administration
        • Claims history
        • Centers of Excellence (COE)
        • Medical policies
        • Complaints & appeals procedures
        • UMP notice of privacy practices
        • UMP provider portal
        • Submitting a claim
        • Cancel your coverage
        • Access coverage while traveling
        • Forms available online
        • If you have other coverage
      • Glossary
      • Find drugs
      • Compare medical plans
      • Forms & publications
      • News
        • Post-open enrollment
      • Contact UMP
      • Log in to your accounts
    • Employee and retiree benefits
      • Public employees
        • Eligibility & enrollment
          • How to determine eligibility
          • How to enroll
          • Dependent verification
          • Waiving medical coverage
        • Medical plans & benefits
          • Benefits & coverage by plan
          • Compare medical plans
          • Medical plans available by county
          • Kaiser Permanente NW plans
          • Kaiser Permanente WA plans
          • Uniform Medical Plan (UMP) plans
          • Health plans with health savings accounts (HSAs)
        • Dental plans & benefits
          • Compare dental plans
        • Additional benefits
          • Auto & home insurance
          • Dependent Care Assistance Program (DCAP)
          • Life insurance
          • Long-term disability insurance
          • Medical Flexible Spending Arrangement (FSA)
          • Plan discounts
        • Plan costs
          • Medical plan premiums
          • Life insurance premiums
          • 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
        • Find a provider
        • Cancel your coverage
        • Frequently asked questions (FAQs)
        • Benefits after layoff or separation
        • Contact the plans
      • School employees
        • Eligibility and enrollment
          • How to determine eligibility
          • How to enroll
          • Waiving medical coverage
        • Medical plans and benefits
          • Health plans with health savings accounts (HSAs)
        • Dental plans and benefits
        • Vision plans and benefits
        • Additional benefits
          • Dependent Care Assistance Program (DCAP)
          • Life insurance
          • Long-term disability insurance
          • Medical flexible spending arrangement
        • Plan costs
        • Surcharges
          • Tobacco use surcharge
          • Spousal coverage surcharge
      • 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
          • Benefits & coverage by plan
          • Compare medical plans
          • Medical plans available by county
          • Kaiser Permanente NW plans
          • Kaiser Permanente WA plans
          • 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
          • Life insurance
          • Plan discounts
        • Plan costs
          • Non-Medicare plan premiums
          • Medicare plan premiums
          • Life 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
        • Find a provider
        • Cancel your coverage
        • Frequently asked questions (FAQs)
        • Contact the plans
      • 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
          • Kaiser Permanente NW plans
          • Kaiser Permanente WA plans
          • 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
          • Life insurance (unpaid leave only)
          • 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
      • For groups joining the PEBB Program
        • How to join the PEBB Program
          • Employer groups
          • School districts
        • Plan costs
          • Employer group monthly premiums
          • School district monthly premiums
      • Rules & policies
        • PEBB rules and policies
        • SEBB rules and policies
      • Wellness programs
        • Diabetes prevention
        • Living tobacco free
        • PEBB SmartHealth
        • SEBB SmartHealth
      • Public Employees Benefits Board (PEBB) Program
        • PEB Board
          • Schedules, agendas, & minutes
          • Archived agendas, minutes, & presentations
        • Enrollment reports
      • School Employees Benefits Board (SEBB) Program
      • File an appeal
      • Contact the PEBB Program
      • Help with My Account
      • Forms & publications
      • News
        • Newsletters
    • 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
          • Enroll as a nonbilling provider
          • Enroll as a billing agent/clearinghouse
          • Next steps for new Medicaid providers
        • Existing Apple Health (Medicaid) providers
          • Revalidation
        • Provider termination and exclusion list
      • Prior authorization, claims, and billing
        • Getting started
          • Document submission cover sheets
        • Prior authorization (PA)
        • Claims and billing (guides/fee schedules)
          • Provider billing guides and fee schedules
          • Hospital reimbursement
          • ICD-10 billing codes and implementation
            • Approved diagnosis codes by program
        • HIPAA Electronic Data Interchange (EDI)
        • Indian health programs
        • Audit and Medicaid program integrity
      • ProviderOne resources
        • ProviderOne Billing and Resource Guide
        • ProviderOne user manuals
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        • ProviderOne Security
        • Fact sheets
        • Webinars
        • ProviderOne maintenance
        • ProviderOne Discovery Log
      • Programs & services
        • Program benefit packages and scope of services
        • Patient review and coordination (PRC)
        • 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
            • Medication assisted treatment (MAT)
            • Opioid treatment programs (OTPs)
            • Screening, brief intervention, and referral to treatment (SBIRT)
              • Screening
              • Brief interventions
                • Motivational interviewing
              • Referrals to treatment
              • Resources
        • Dental services
          • Archives
        • Durable medical equipment (DME)
        • First Steps (maternity and infant care)
        • Foster Care
        • Health Home
          • Resources
          • Transportation services (nonemergency)
        • Ground emergency medical transportation (GEMT)
        • 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
          • Provider Alerts 2017
          • Provider Alerts 2016
          • Provider Alerts 2015
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          • Provider Notices 2012
      • Contact us
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        • Apple Health (Medicaid)
          • What we're working on
            • Apple Health dental moving to managed care
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          • Apple Health (Medicaid) reports
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        • Behavioral health and recovery
          • What we're working on
            • Children's Mental Health Lawsuit and Agreement
            • Medicaid waivers
            • Ricky’s Law: Involuntary Treatment Act (ITA)
            • State Youth Treatment - Implementation (SYT-I) Project
            • Substance abuse prevention and mental health promotion
            • Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project
            • Washington State Hub and Spoke Project
          • Partners
            • Behavioral Health Advisory Council
            • Children’s Behavioral Health Data and Quality Team
            • Children's Behavioral Health Executive Leadership Team (CBH ELT)
            • Children's Long-term Inpatient Program Improvement Team (CLIP-IT)
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          • What we're working on
            • Bleeding Disorder Collaborative for Care
            • Bree Collaborative
            • Eliminating hepatitis C
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        • Healthier Washington
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            • Accountable Communities of Health (ACH)
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      • Who we are
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      • Work with us
        • Voices of HCA
          • HCA hosts Camo2Commerce Work Ex intern
          • Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple
          • Celebrating HCA’s nurses during National Nurses Week, May 6-12
          • Community based specialists help people with free or low-cost health care coverage
          • Introducing new HCA Director Sue Birch
          • Military experiences shape personal and professional values
          • Artist turned graphic designer helps HCA create and maintain hundreds of print and web products
          • Infants at the Workplace Program provides support and flexibility for new parents
          • Around the world at HCA
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