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    • Health care services and supports
      • Apple Health (Medicaid) coverage
        • Eligibility
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          • Foster Care
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            • Pregnancy services
              • First Steps (maternity and infant care)
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              • Take Charge provider directory
            • Transgender Health Program
            • Transportation services (nonemergency)
          • Veterans and family members
        • Apply for or renew coverage
        • Use my coverage
          • American Indians and Alaska Natives (AI/AN)
          • Apple Health managed care
          • Apple Health client booklets
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        • Update my income or address (report a change)
        • Change my health plan
        • Replace my services card
        • Cancel my coverage
        • Voices of Apple Health
          • 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
          • Outreach toolkit
          • Hospital Presumptive Eligibility
        • Contact Washington Apple Health (Medicaid)
        • Forms & publications
      • 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
          • Complaints and ombudsman services
        • Mental health services
          • Acute mental health care (inpatient)
          • Frequently asked questions (FAQs)
          • Mental health advance directives
          • Mental health crisis lines
        • Peer support
        • Problem gambling
        • 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
        • 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
          • Medical out-of-pocket limit
          • Coinsurance/copayments
          • Preferred vs. out-of-network providers
          • No-cost care
        • Medical benefits
          • Summary of benefits
          • Knee and hip replacement
          • Preventive care
          • 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
        • 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
          • Summary of benefits
          • Knee and hip replacement
          • Preventive care
          • 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
          • Coinsurance/copayments
          • Cost for providers by type
          • No-cost care
        • Medical benefits
          • Summary of benefits
          • Preventive care
          • 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
        • UMP Plus FAQs
      • UMP administration
        • Claims history
        • 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
        • 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 (formerly Group Health) 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 2018
            • 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
        • Dental plans and benefits
        • Medical plans and benefits
        • Additional benefits
        • Plan costs
      • 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 (formerly Group Health) 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 2018
        • Medicare & PEBB Program benefits
        • Change your coverage
        • Find a provider
        • Cancel your coverage
        • Contact the plans
        • Frequently asked questions (FAQs)
      • COBRA & 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 (formerly Group Health) 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 (Continuation Coverage only)
          • Long-term disability insurance (Continuation Coverage only)
          • Medical Flexible Spending Arrangement
          • Plan discounts
        • Plan costs
          • COBRA & Continuation Coverage premiums (non-Medicare)
          • COBRA & Continuation Coverage premiums (Medicare)
          • Life insurance premiums (Continuation Coverage only)
          • Long-term disability insurance premiums (Continuation Coverage only)
          • Paying for benefits
        • Surcharges
          • Tobacco use surcharge
          • Spousal coverage surcharge
            • Spousal plan questionnaire 2018
        • Change your coverage
        • Find a provider
        • Cancel your coverage
        • Contact the plans
        • Frequently asked questions (FAQs)
      • 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
      • Wellness programs
        • Diabetes prevention
        • Living tobacco free
        • SmartHealth Wellness
      • Public Employees Benefits Board (PEBB) Program
        • PEB Board
          • Schedules, agendas, & minutes
          • Archived agendas, minutes, & presentations
        • Enrollment reports
      • School Employees Benefits Board (SEBB) Program
      • Rules and policies
      • 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 non-billing individual 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 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)
        • 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
          • Interpreter services reports
        • 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 Preferred Drug List (PDL)
          • Become an endorsing practitioner
          • Apple Health (Medicaid) drug coverage criteria
          • Opioids
          • Pharmacy prior authorization
        • School-based health care services (SBHS)
        • Transgender Health Services Program
        • Transportation services (nonemergency)
      • News
        • Provider Alerts
          • Provider Alerts 2017
          • Provider Alerts 2016
          • Provider Alerts 2015
          • Provider Notices 2014
          • Provider Notices 2013
          • Provider Notices 2012
      • Contact us
      • Forms & publications
    • About HCA
      • Programs & initiatives
        • Apple Health (Medicaid)
          • What we're working on
            • Apple Health dental moving to managed care
            • COFA Islander Health Care
            • 1095-B tax form
            • Medicaid suspension
            • Apple Health for You
          • 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
                • 2018
                • 2017
                • 2016
                • 2015
                • 2014
                • 2013
                • 2012
                • 2011
                • 2010
                • 2009
                • 2008
                • 2007
                • 2006
                • 2005
          • Apple Health (Medicaid) reports
          • Contact Apple Health (Medicaid)
        • 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)
            • Cross System Initiatives Team
            • Family Youth System Partner Round Table (FYSPRT)
            • Parent-Initiated Treatment Stakeholder Advisory Group (PIT)
          • Reports
            • Evidence-based and research-based practices
            • Mental health reports
            • Wraparound with Intensive Services (WISe)
        • Clinical collaboration and initiatives
          • What we're working on
            • Bree Collaborative
            • ER is for emergencies
            • OB outcomes
            • Technical Advisory Group (TAG)
            • Opioid crisis
            • Bleeding Disorder Collaborative for Care
            • Shared decision making
            • Washington prescription drug price and purchasing summit series
          • How we work
          • Partners
          • Contact
        • Health Information Technology
          • What we're working on
          • News
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            • Clinical Data Repository
            • Electronic Health Records
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          • 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
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        • Healthier Washington
          • Voices of a Healthier Washington
            • Voices
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            • Share your story
          • What we're working on
            • Accountable Communities of Health (ACH)
            • Analytics, Interoperability, and Measurement (AIM)
              • Data dashboards
            • Health workforce
            • Medicaid Transformation
              • Initiative 1: transformation through ACHs
              • Initiative 2: long-term services & supports
              • Initiative 3: supportive housing & supported employment
              • Medicaid Transformation resources
                • ACH submitted documents
            • Paying for value
              • Resources
              • Integrated physical and behavioral health care
                • Regional resources
            • Performance measures
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              • Prevention framework
            • Practice transformation support hub
            • Shared decision making
              • Patient Decision Aids (PDAs)
                • Certified aids
          • How we work
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          • How to participate
            • Healthier Washington Symposium
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          • Contact us
        • Making informed health care decisions
        • Program Integrity
          • How we work
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          • Operations
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          • Contact us
        • Public Employees Benefits Board (PEBB) Program
          • What we're working on
            • 1095-C tax form
          • How we work
          • News
          • Operations
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          • Meetings & materials
          • Related laws & rules
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        • School Employees Benefits Board (SEBB) Program
          • Operations
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            • SEBB fact sheets
        • Tribal Affairs
          • Consultations and meetings
          • Health care coverage
          • Medicaid Transformation
          • Resources
            • Dedication to Sue Crystal
          • Contact
        • Uniform Medical Plan (UMP)
          • Partners
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          • Resources
        • Washington Prescription Drug Program (WPDP)
          • How we work
          • Partners
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          • Participants
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            • Become an Endorsing Practitioner
          • Meetings and materials
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          • Contact us
        • Washington Wellness
          • What we're working on
            • Build a wellness program
            • SmartHealth
            • Diabetes prevention
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            • Healthy Worksite Summit
          • How we work
          • Tracking success
          • Meetings & materials
          • Resources
            • Physical activity
            • Healthy eating
              • Community supported agriculture
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              • Farmers market
            • Preventive care
              • Flu shot clinics
              • Family health history
            • Health fairs
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            • Employee Assistance Program (EAP)
            • Find a wellness coordinator
            • More resources
          • Reports
          • Contact
      • Who we are
        • Our leadership
        • Our mission, vision, and values
        • Performance measures
        • Health care reform
        • Value-based purchasing
      • Work with us
        • Voices of HCA
          • 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
          • HCA gives employees a healthy foundation to do great work
          • 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
          • Ryder Andrake retires from HCA’s Infants at the Workplace Program
        • Careers at HCA
        • Bids and contracts
      • News, data, and reports for HCA
        • News releases
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        • Data & reports
          • Apple Health (Medicaid) reports
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          • Reproductive health
        • Announcements
        • Connect with us
      • Rules
        • Rulemaking
          • Apple Health (Medicaid) rulemaking
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        • Upcoming public hearings
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          • Rule notices 2017
      • Appeals
        • File an appeal: Apple Health (Medicaid)
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        • Board of Appeals
          • Significant decisions
      • Policies
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    • Contact HCA
  • 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
  • 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

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