Washington State Rx Services (Moda) preauthorization (UMP [SEBB] Plans) preauthorization requirements

Preauthorization for UMP plans pharmacy benefits (administered by Washington State Rx Services). Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

Publication

Washington State Rx Services (Moda) preauthorization (UMP [PEBB] Plans) preauthorization requirements

Preauthorization for UMP plans pharmacy benefits (administered by Washington State Rx Services). Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

Publication

UMP Transgender services clinical criteria

This lists the criteria a patient must meet to receive Uniform Medical Plan (UMP) coverage for transgender services, including drug treatment and surgeries. Revised 10/1/19

Criteria of coverage

UMP Summary of coverage of Applied Behavior Analysis (ABA) Therapy

This document summarizes the information on Applied Behavior Analysis (ABA) Therapy coverage available through the Uniform Medical Plan (UMP) and Regence.

Publication

UMP Preferred Drug List Changes (2020-5)

This Washington State Rx Services (WSRxS) document lists all anticipated changes to the UMP Preferred Drug List (PDL) for all UMP plans effective May 1, 2020.

Publication

UMP Plus–UW Medicine ACN (SEBB) Welcome letter

This letter, sent by Uniform Medical Plan (UMP) administrator, Regence, with welcome packets, outlines tips for getting started with UMP Plus–UW Medicine Accountable Care Network (ACN).

Publication

UMP Plus–UW Medicine ACN (PEBB) Welcome letter

This letter, sent by Uniform Medical Plan (UMP) administrator, Regence, with welcome packets, outlines tips for getting started with UMP Plus–UW Medicine Accountable Care Network (ACN).

Publication

UMP Plus–UW Medicine ACN (PEBB) Certificate of Coverage (COC) 2020

This book describes what is covered under UMP Plus–UW Medicine ACN (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim.

Publication

UMP Plus–UW Medicine Accountable Care Network (ACN) Make the switch 2020

Find out if UMP Plus–UW Medicine Accountable Care Network (ACN) might be the right plan for you. Learn about UMP Plus–UW Medicine ACN's health plan features, such as excellent coverage and lower costs, and find out how the plan's providers work together to improve your care.

Publication

UMP Plus–UW Medicine Accountable Care Network (ACN) (SEBB) Certificate of Coverage (COC) 2020

This book describes what is covered under UMP Plus–UW Medicine ACN (SEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

Publication

Pages