Skip to main content
Washington State Health Care Authority
TelephoneIn crisis?
  • Health Care Authority Home PageHome
  • About HCA
  • Contact HCA
  • Home
    • Health care services and supports
      • Apple Health (Medicaid) coverage
        • Eligibility
          • Individual adults
          • Parents/Caretakers
          • Pregnant individuals
          • Children
          • Noncitizens
          • Aged, blind, or disabled
          • Age 65 and older or Medicare eligible
          • Foster Care
          • Long-term services and supports (LTSS) and hospice
          • Medicare Savings Program
        • Benefits & services
          • Covered services
          • Autism & Applied Behavioral Analysis (ABA) therapy
          • Behavioral health and recovery
          • Dental services
          • Dual-Eligible Special Needs Plan (D-SNP)
          • Family Planning Only
          • Health Home
          • Immunizations
          • Interpreter services
          • Medically Intensive Children's Program (MICP)
          • Pharmacy services
            • Apple Health Second Opinion Program
          • Pregnancy services
            • First Steps (maternity and infant care)
              • First Steps provider directory
            • Chemical-Using Pregnant Women
          • Transhealth program
          • Transportation services (nonemergency)
          • Veterans and family members
          • Well-child checkups
        • Apply for or renew coverage
        • Use my coverage
          • American Indians and Alaska Natives (AI/AN)
          • Apple Health managed care
          • Apple Health coverage without managed care
          • Apple Health client booklets
          • Enrollment next steps
          • Make my first appointment
        • Apple Health account logins
        • Pay my Apple Health premium
        • Update my income or address (report a change)
        • Change my health plan
        • Replace my services card
        • Cancel my coverage
        • Forms & publications
        • Voices of Apple Health
          • The greatest gift is medical coverage for you and your family
          • Covered so she can care for herself and others
          • Health coverage provides whole-person care for family
          • Services you need, when you need it the most
          • Road to recovery found through supported employment
          • Family is covered when the unexpected happens
          • Pregnant mother finds comfort during uncertain times
          • Apple Health client inspired to help others access health coverage
          • Apple Health supported client while searching for job
          • Telehealth helps a mother connect with her child during pandemic
          • Foster parent helps kids get overdue medical care through Apple Health
          • After accident, hiker gets the care she needs through Apple Health
          • Apple Health worker helps ease financial worries of new mother
          • Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day
          • How a home and a job changed my life
          • 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
          • Reference guides
          • Webinars, video, and presentations
          • Apple Health outreach toolkit
          • COFA outreach toolkit
          • Hospital Presumptive Eligibility
          • Medicaid suspension
        • Contact Washington Apple Health (Medicaid)
      • Behavioral health and recovery
        • American Indians and Alaska Natives (AI/AN)
        • Prenatal, child, and young adult behavioral health services
          • Early signs of psychosis
          • Family initiated treatment (FIT)
          • Wraparound with Intensive Services (WISe)
        • Client rights
          • Behavioral health facility complaints
          • Ombuds services
        • Mental health services
          • Acute mental health care (inpatient)
          • Mental health advance directives
          • Mental health crisis lines
        • Peer support
        • Problem gambling
        • Recovery support
          • Recovery residences
        • Substance use disorder prevention and mental health promotion
        • Substance use treatment
          • Alcohol use treatment
          • Opioid use treatment
        • Voices of behavioral health
          • Services you need, when you need it the most
          • Certified peer helps individuals find and keep housing
          • Road to recovery found through supported employment
          • Painful life lessons become strengths for crisis counselor
          • Integrated approach delivers all care “right here, right now”
      • Prescription assistance
        • 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
    • Employee and retiree benefits
      • Public employees
        • Eligibility & enrollment
          • How to determine eligibility
            • Dependent eligibility
          • How to enroll
          • Dependent verification
          • Waiving medical coverage
          • Survivors
        • Medical plans & benefits
          • Benefits & coverage by plan
          • Compare medical plans
          • Behavioral health services by plan
          • Medical plans available by county
          • Kaiser Permanente NW plans
          • Kaiser Permanente WA plans
          • Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS
          • 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)
          • Limited Purpose 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 2022
            • Spousal plan questionnaire 2021
            • Spousal plan calculator
        • Medicare & PEBB benefits while employed
        • Benefits after layoff or separation
        • Frequently asked questions (FAQs)
        • Find a provider
        • Change your coverage
          • Special open enrollment
        • Cancel your coverage
        • Help with PEBB My Account login
        • Contact the plans
      • School employees
        • Eligibility & enrollment
          • How to determine eligibility
            • Dependent eligibility
          • How to enroll
          • Dependent verification
          • Waiving medical coverage
          • Survivors
        • Medical plans and benefits
          • Benefits and coverage by plan
          • Compare medical plans
          • Behavioral health services by plan
          • Medical plans by county
          • Kaiser Permanente NW
          • Kaiser Permanente WA
          • Premera
          • Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS
          • Health plans with health savings accounts (HSAs)
        • Dental plans and benefits
          • Compare dental plans
        • Vision plans and benefits
          • Compare vision plans
        • Additional benefits
          • Dependent Care Assistance Program (DCAP)
          • Life insurance
          • Long-term disability insurance
          • Medical flexible spending arrangement
          • Limited Purpose Flexible Spending Arrangement (FSA)
        • 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 2022
            • Spousal plan questionnaire 2021
            • Spousal plan calculator
        • Medicare & SEBB benefits while employed
        • Frequently asked questions (FAQs)
        • Find a provider
        • Change your coverage
          • Special open enrollment
        • Cancel your coverage
        • Help with SEBB My Account login
        • Contact the plans
      • Retirees
        • Preparing for retirement
          • Attend a retirement webinar
          • 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
        • Eligibility & enrollment
          • How to determine eligibility
            • Dependent eligibility
          • How to enroll
            • Completing the retiree forms
          • Dependent verification
          • Deferring coverage
          • Survivors
        • 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 G
          • Medicare Supplement Plan F
          • Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS
          • UnitedHealthcare
          • 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 2022
            • Spousal plan questionnaire 2021
            • Spousal plan calculator
        • Medicare & turning age 65
        • Frequently asked questions (FAQs)
        • Find a provider
        • Change your coverage
          • Special open enrollment
        • Cancel your coverage
        • Help with PEBB My Account login
        • Contact the plans
      • Continuation coverage
        • PEBB Continuation Coverage
          • Eligibility & enrollment
            • How to determine eligibility
              • Dependent eligibility
            • How to enroll
            • Dependent verification
            • Survivors
          • 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
            • Medicare Supplement Plan G
            • Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS
            • UnitedHealthcare
            • 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)
            • Limited Purpose Flexible Spending Arrangement (FSA)
            • Medical Flexible Spending Arrangement (FSA)
            • 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 2022
              • Spousal plan questionnaire 2021
              • Spousal plan calculator
          • Frequently asked questions (FAQs)
          • Find a provider
          • Change your coverage
            • Special open enrollment
          • Cancel your coverage
          • Help with PEBB My Account login
          • Contact the plans
        • SEBB Continuation Coverage
          • Eligibility and enrollment
            • How to determine eligibility
              • Dependent eligibility
            • How to enroll
            • Dependent verification
            • Survivors
          • Medical plans and benefits
            • Benefits and coverage by plan
            • Compare medical plans
            • Behavioral health services by plan
            • Medical plans available by county
            • Kaiser Permanente NW plans
            • Kaiser Permanente WA plans
            • Premera plans
            • Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS
            • Health plans with health savings accounts (HSAs)
          • Dental plans and benefits
            • Compare dental plans
          • Vision plans and benefits
            • Compare vision plans
          • Additional benefits
            • Life insurance (Unpaid Leave)
            • Medical Flexible Spending Arrangement (FSA)
            • Limited Purpose Flexible Spending Arrangement (FSA)
          • Plan costs
            • SEBB Continuation Coverage premiums
            • Life insurance premiums (Unpaid Leave)
            • Paying for benefits
          • Surcharges
            • Tobacco use surcharge
            • Spousal coverage surcharge
              • Spousal plan questionnaire 2022
              • Spousal plan questionnaire 2021
              • Spousal plan calculator
          • Find a provider
          • Change your coverage
            • Special open enrollment
          • Cancel your coverage
          • Help with SEBB My Account login
          • Contact the plans
      • For groups joining the PEBB Program
        • How to join the PEBB Program
          • Employer groups and Educational Service Districts
          • School board members
        • Plan costs
          • Employer group monthly premiums
          • Educational Service Districts monthly premiums
          • School board member premiums
      • Rules & policies
        • PEBB rules and policies
        • SEBB rules and policies
      • Wellness programs
        • Diabetes prevention (PEBB)
        • Diabetes prevention (SEBB)
        • SmartHealth (PEBB)
        • SmartHealth (SEBB)
        • Living tobacco free (PEBB)
        • Living tobacco free (SEBB)
      • Public Employees Benefits Board (PEBB) Program
        • PEB Board
          • Schedules, agendas, & minutes
          • Archived agendas, minutes, & presentations
        • Enrollment
      • School Employees Benefits Board (SEBB) Program
        • Enrollment reports
      • File an appeal: PEBB
      • File an appeal: SEBB
      • Contact us
      • Forms & publications
      • News
        • Newsletters (PEBB)
        • Newsletters (SEBB)
        • Virtual benefits fair (PEBB)
          • For employees
            • Medical benefits
              • Kaiser Permanente Northwest
              • Kaiser Permanente of Washington
              • Uniform Medical Plan
            • Dental benefits
              • Delta Dental of Washington
              • Willamette Dental Group of Washington, Inc.
            • Additional benefits
              • Dependent Care Assistance Program (DCAP)
              • Life and accidental death and dismemberment (AD&D) insurance
              • Long-term disability (LTD) insurance
              • Medical Flexible Spending Arrangement (FSA)
              • Limited Purpose Flexible Spending Arrangement (FSA)
              • SmartHealth wellness program
          • For retirees (enrolled in Medicare)
            • Medical benefits
              • Kaiser Permanente Northwest
              • Kaiser Permanente of Washington
              • Premera Blue Cross
              • Uniform Medical Plan
              • UnitedHealthcare
            • Dental benefits
              • Delta Dental of Washington
              • Willamette Dental Group of Washington, Inc.
            • Additional benefits
              • Life insurance
          • For retirees (not enrolled in Medicare)
            • Medical benefits
              • Kaiser Permanente Northwest
              • Kaiser Permanente of Washington
              • Uniform Medical Plan
            • Dental benefits
              • Delta Dental of Washington
              • Willamette Dental Group of Washington, Inc.
            • Additional benefits
              • Life insurance
              • SmartHealth wellness program
          • For PEBB Continuation Coverage - Unpaid Leave
            • Medical benefits
              • Kaiser Permanente Northwest
              • Kaiser Permanente of Washington
              • Uniform Medical Plan
            • Dental benefits
              • Delta Dental of Washington
              • Willamette Dental Group of Washington, Inc.
            • Additional benefits
              • Life and accidental death and dismemberment (AD&D) insurance
              • Long-term disability (LTD) insurance
              • Medical Flexible Spending Arrangement (FSA)
              • Limited Purpose Flexible Spending Arrangement (FSA)
              • SmartHealth wellness program
          • For PEBB Continuation Coverage - COBRA (enrolled in Medicare)
            • Medical benefits
              • Kaiser Permanente Northwest
              • Kaiser Permanente of Washington
              • Premera Blue Cross
              • Uniform Medical Plan
              • UnitedHealthcare
            • Dental benefits
              • Delta Dental of Washington
              • Willamette Dental Group of Washington, Inc.
          • For PEBB Continuation Coverage - COBRA (not enrolled in Medicare)
            • Medical benefits
              • Kaiser Permanente Northwest
              • Kaiser Permanente of Washington
              • Uniform Medical Plan
            • Dental benefits
              • Delta Dental of Washington
              • Willamette Dental Group of Washington, Inc.
            • Additional benefits
              • Medical Flexible Spending Arrangement (FSA)
              • Limited Purpose Flexible Spending Arrangement (FSA)
              • SmartHealth wellness program
        • Virtual benefits fair (SEBB)
          • Medical benefits
            • Kaiser Permanente Northwest
            • Kaiser Permanente of Washington
            • Kaiser Permanente of Washington Options
            • Premera Blue Cross
            • Uniform Medical Plan
          • Dental Benefits
            • Delta Dental of Washington
            • Willamette Dental Group of Washington, Inc.
          • Vision Benefits
            • Davis Vision, Inc.
            • EyeMed
            • MetLife Vision Program
          • Dependent Care Assistance Program (DCAP)
          • Life and accidental death & dismemberment (AD&D) insurance
          • Long-term disability (LTD) insurance
          • Medical Flexible Spending Arrangement (FSA)
          • Limited Purpose Flexible Spending Arrangement (FSA)
          • SmartHealth wellness program
    • 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
        • Request a Zoom license to connect with patients (during the COVID-19 pandemic)
        • Prior authorization (PA)
        • Claims and billing (guides/fee schedules)
          • 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
        • ProviderOne user manuals
        • ProviderOne for social services
        • ProviderOne Security
        • Fact sheets
        • Webinars
        • ProviderOne maintenance
        • ProviderOne Discovery Log
      • 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 & youth behavioral health services
            • Early psychosis
            • Family initiated treatment (FIT)
            • Mental health assessment for young children
            • Wraparound with Intensive Services (WISe)
          • Contractor & provider resources
            • Medicaid documentation support
            • Service Encounter Reporting Instructions (SERI)
            • TARGET
          • Designated crisis responders (DCR)
          • Intensive residential treatment (IRT) teams
          • Partnership Access Lines (PAL)
          • Peer support
          • Preadmission Screening & Resident Review (PASRR)
          • Program of Assertive Community Treatment (PACT)
          • Substance use disorder prevention and mental health promotion
          • Substance use treatment
            • Alcohol use treatment
            • Medications for opioid use disorder (MOUD)
            • Opioid treatment programs (OTPs)
            • Screening, brief intervention, and referral to treatment (SBIRT)
              • Screening
              • Brief interventions
                • Motivational interviewing
              • Referrals to treatment
          • Suicide prevention resources
        • Dental services
        • Durable medical equipment (DME)
        • Family planning
        • First Steps (maternity and infant care)
        • Foster Care
        • Health Home
          • Health Home resources
        • Ground emergency medical transportation (GEMT)
        • Interpreter services
          • Sign language interpreters
          • Spoken language interpreters
        • Kidney Disease Program (KDP)
        • Managed care
          • Model managed care contracts
          • Resources
        • Medicaid Administrative Claiming (MAC)
          • Department of Corrections (DOC)
          • King County Superior Court Juvenile Probation Services
          • Local Health Jurisdictions
          • Public school districts
          • Washington State Federally Recognized Tribes
        • 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
        • Transhealth program
        • Transportation services (nonemergency)
      • News
        • Provider Alerts
          • Provider Alerts 2021
          • Provider Alerts 2020
          • Provider Alerts 2019
          • Provider Alerts 2018
          • Provider Alerts 2017
          • Provider Alerts 2016
          • Provider Alerts 2015
          • Provider Notices 2014
      • Contact us
      • Forms & publications
    • About HCA
      • Programs & initiatives
        • Advancing clinical integration
          • What we're working on
        • Apple Health (Medicaid)
          • What we're working on
            • Lifeline phone services
            • COFA Islander programs
            • 1095-B tax form
            • Mental health assessment for young children
            • Rate increase for pediatric primary care
            • Adult hearing benefit
            • Apple Health for You
            • SUPPORT Act
            • Consumer notices workgroup
          • News
          • How we work
          • Related laws and rules
            • Medicaid (Title XIX) State Plan
              • Medicaid Title XIX Advisory Committee
              • What is the State Plan?
              • Approved State Plan Amendments
                • 2021
                • 2020
                • 2019
                • 2018
                • 2017
                • 2016
                • 2015
                • 2014
          • Reports
          • Contact Apple Health (Medicaid)
        • Behavioral health and recovery
          • What we're working on
            • Block grants
            • The Center of Parent Excellence (COPE) project
            • Children's Long-term Inpatient Program (CLIP)
            • Mental health assessment for young children
            • Ricky’s Law: Involuntary Treatment Act (ITA)
            • Distributing opioid overdose reversal medications (SB 5195)
            • State Opioid Response (SOR) grant
            • State Opioid and Overdose Response (SOOR) plan
            • State v. Blake: ESB 5476 and behavioral health expansion
            • Substance use disorder prevention and mental health promotion
            • Washington State Hub and Spoke Project
          • Partners
            • Behavioral Health Advisory Council
            • Children and Youth Behavioral Health Work Group (CYBHWG)
              • Meetings
              • Members
              • Events and training
              • Resources
              • Reports
            • Crisis Response Improvement Strategy (CRIS) committees
            • Family Youth System Partner Round Table (FYSPRT)
            • Office of Recovery Partnerships
              • Peer respites
            • Problem Gambling Task Force (PGTF)
          • Reports
            • Evidence-based and research-based practices
            • Mental health reports
            • Wraparound with Intensive Services (WISe)
        • Cascade Care
          • What we're working on
        • Clinical collaboration and initiatives
          • What we're working on
            • Bree Collaborative
            • Eliminating hepatitis C
            • Emerging Therapies Workgroup
            • Opioid crisis
            • Prescription drug price transparency
          • How we work
          • Partners
          • Contact us
        • Health Information Technology
          • What we're working on
            • Electronic health records (EHR) as a service
          • How we work
          • News
            • Newsletters
          • Resources
            • Clinical Data Repository
            • Promoting Interoperability Program (PIP)
            • Washington State Medicaid HIT plan
          • Contact us
        • Health Technology Assessment
          • What we're working on
            • Health technology reviews
            • Topic selection
            • Health Technology Clinical Committee
              • Clinical experts
              • Committee members
              • Recruitment
          • How we work
            • Technology selection
            • Key questions
            • Evidence report
            • Coverage decision and meeting
            • Decision complete
          • Tracking success
          • How to participate
          • Meetings and materials
          • Contact us
        • Making informed health care decisions
          • Palliative care
          • Hospice
          • End of life care
          • Shared decision making
            • Patient decision aids (PDAs)
        • Medicaid Transformation Project (MTP)
          • What we're working on
            • The future of MTP
              • MTP renewal
              • One year extension and amendment
            • Initiative 1: transformation through ACHs and IHCPs
              • ACH submitted documents
              • Medicaid Transformation metrics
            • Initiative 2: long-term services & supports
            • Initiative 3: Foundational Community Supports (FCS)
              • Foundational Community Supports (FCS) resources
            • Initiative 4: substance use disorder (SUD) IMD
            • Initiative 5: mental health IMD
          • News
          • Partners
            • Accountable Communities of Health (ACHs)
              • Better Health Together
              • Cascade Pacific Action Alliance
              • Elevate Health
              • Greater Columbia ACH
              • HealthierHere
              • North Central ACH
              • North Sound ACH
              • Olympic Community of Health
              • SWACH
            • Indian health care providers (IHCPs)
          • Tracking success
            • Analytics, Research, and Measurement (ARM)
            • ARM data dashboards
          • Meetings & materials
          • Resources
          • Events
            • Learning Symposium (2021)
          • Reports
            • State Innovation Models (SIM) grant reports
        • Public Employees Benefits Board (PEBB) Program
          • What we're working on
            • 1095-C tax form
          • How we work
          • News
          • Operations
          • How to participate
          • Meetings & materials
          • Related laws & rules
          • Reports
          • Contact us
        • School Employees Benefits Board (SEBB) Program
          • Operations
          • Meetings and materials
          • News
            • SEBB fact sheets
          • Reports
        • Trauma-informed approach
          • How to participate
          • Resources
        • Tribal Affairs
          • Consultations and meetings
          • Health care coverage
          • What we're working on
            • Apple Health (Medicaid) quality strategy and compliance oversight
            • Apple Health (Medicaid) MCO and BH-ASO state contracts
            • Governor's Indian Health Advisory Council
            • Indian Behavioral Health Act SB 6259 implementation
            • Medicaid State Plan Amendment 21-0003
            • Medicaid Transformation
            • Nonemergency medical transportation (NEMT) contracts
            • Primary care case management (PCCM) contracts
            • Revised Indian Nation agreements and program agreements
          • Resources
          • Contact us
        • Uniform Medical Plan (UMP)
          • What we're working on
            • Centers of Excellence
          • Partners
          • How to participate
          • Resources
        • Value-based purchasing (VBP)
          • What we're working on
            • Advancing VBP
            • Rural transformation
              • Community Health Access and Rural Transformation (CHART) Model
            • Multi-payer Primary Care Transformation Model
          • News
          • Meetings and materials
          • Partners
          • Tracking success
          • Resources
        • Washington Prescription Drug Program (WPDP)
          • How we work
          • Partners
          • Tracking success
          • Participants
          • How to participate
            • Become an Endorsing Practitioner
          • Meetings and materials
          • Related laws and rules
          • Reports
          • Contact us
        • Washington Wellness
          • Resources
            • Build a wellness program
            • SmartHealth for PEBB
            • SmartHealth for SEBB
            • Diabetes prevention for PEBB
            • Diabetes prevention for SEBB
            • Living tobacco free for PEBB
            • Living tobacco free for SEBB
            • Healthy Worksite Summit
            • Healthy eating
            • Physical activity
            • Flu shot clinics
            • Health fairs
            • Lunch & learn lectures
            • Employee Assistance Program (EAP)
            • Find a wellness coordinator
            • More resources
          • How we work
          • Tracking success
          • Meetings & materials
          • Reports
          • Contact us
      • Who we are
        • Our leadership
        • Our mission, vision, and values
        • Health equity
        • Boards, committees, and collaboration
          • Health Care Cost Transparency Board
            • Board members
            • Meetings & materials
            • Advisory Committee of Health Care Providers and Carriers
            • Advisory Committee on Data Issues
            • Advisory committee members
          • Universal Health Care Commission
            • Commission members
            • Meetings and materials
            • Universal Health Care Work Group
              • Resources
        • Performance measures
          • Washington Statewide Common Measure Set
        • Health care reform
      • Work with us
        • Careers at HCA
        • Bids and contracts
        • Voices of HCA
          • HCA connects employee ambitions with career goals
          • 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
          • HCA goes ‘above and beyond’ for employees with disabilities
          • Black History Month celebration was a first at HCA
      • News, data, and reports for HCA
        • Information about novel coronavirus (COVID-19)
        • News releases
        • Press room
        • HCA Connect blog
        • Public notices
        • Data & reports
          • Apple Health (Medicaid) and managed care reports
            • Client eligibility data dashboard
            • Provider data dashboard
          • Behavioral health and recovery
          • Budget information
          • Dental data
          • Legislative reports
          • Interpreter services dashboard
          • Public Employees Benefits Board (PEBB) Program enrollment
          • Reproductive health
          • School Employees Benefits Board (SEBB) Program enrollment
          • Washington State All Payer Claims Database (WA-APCD)
        • Announcements
        • Connect with us
      • Rules
        • Rulemaking
          • General Health Care Authority rulemaking
          • Apple Health (Medicaid) rulemaking
          • Behavioral health and recovery rulemaking
          • Public Employees Benefits Board rulemaking
          • School Employees Benefits Board rulemaking
        • Upcoming public hearings
        • Rule notices
          • Rule notices 2021
          • Rule notices 2020
          • Rule notices 2019
          • Rule notices 2018
          • Rule notices 2017
      • Appeals
        • File an appeal: Apple Health (Medicaid)
        • File an appeal: PEBB
        • File an appeal: SEBB
        • Board of Appeals
          • Significant decisions
      • Policies
        • ADA accessibility
        • Interpreter services
        • Language access
        • Nondiscrimination statement
        • Notice of privacy practices
          • HCA notice of privacy practices
          • UMP notice of privacy practices
        • Website privacy policy
      • Administrative
        • Disaster outreach
        • Fraud prevention
        • Gender identity information
        • Legislative relations
        • Log in (HCA employees/vendors)
        • Medicaid program integrity
          • Activities and oversight
          • Partners
          • Resources
          • Contact us
        • Personal injury, casualty recoveries, & special needs trusts
        • Public disclosure requests
        • Voter registration
    • Contact HCA
    • SEBB Benefits Administrators
      • Employee eligibility tools and worksheets
      • Employee life circumstances
        • Employees
          • Newly eligible employees
        • When coverage ends
          • Separation (employment ending)
        • Dependents
        • Appeals process
        • Continuation coverage
      • Quick reference guides and training
        • Quick reference guides
          • Medicare secondary payer (MSP)
        • Training schedule
          • Training materials
        • Manuals
        • FAQs for school administrators
      • Laws, rules, and policies
      • Benefits, rates, and reporting
        • Medical
        • Vision
        • Dental
        • Additional benefits
        • Rates information
      • Forms and publications
      • Notices and updates
      • Find answers (FUZE)
      • Contact us

Announcement Menu

  • Home

Apple Health Eligibility Manual

  • Home

Search form

  • Health Care Authority Home PageHome
  • About HCA
  • Contact HCA
Phone IconIn crisis?
  1. Home
  2. Billers, providers, and partners
  3. ProviderOne resources

Billers, providers, and partners

ProviderOne

  • Forms & publications
  • News
  • Contact Us

Title

ProviderOne resources

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

Female doctor smiling at camera
  • Information about novel coronavirus (COVID-19)
  • Request a Zoom license (during COVID-19 pandemic)
  • Find billing guides and fee schedules

Due to COVID-19, HCA’s lobby is closed until further notice. Learn more about your virtual customer service options.

In this section

  • ProviderOne Billing and Resource Guide
  • ProviderOne user manuals
  • ProviderOne for social services
  • ProviderOne Security
  • Fact sheets
  • Webinars
  • ProviderOne maintenance
  • ProviderOne Discovery Log

How do I...

  • Enroll as a provider
  • Manage a ProviderOne account
  • Submit and review a claim
  • Verify client eligibility
  • Reset my account password
  • Find document submission cover sheets

Connect with us

  • Contact HCA

Washington State Health Care Authority Facebook PageWashington State Health Care Authority Twitter PageWashington State Health Care Authority Instagram PageWashington State Health Care Authority Email SubscriptionHCA Connect Blog, Washington State Health Care AuthorityWashington State Health Care Authority Linked In PageHCA YouTube Channel, Washington State Health Care Authority

  • Website feedback: Tell us how we’re doing
  • Accessibility
  • Interpreter services
  • Language access
  • HCA employee/vendor log in
  • Nondiscrimination
  • Privacy
  • Public disclosure requests
  • Public notices
  • Voter registration
Zo8 Award Winner
Results WashingtonAccess Washington

Copyright © 2022 Washington Health Care Authority