Forms & publications
Notice: If you are a biller or provider, visit our Billers and Providers forms library.
Dental payments by service type ages 21 and over
Dental payments by service type ages 5 and under
Dental payments by service type ages 5 and under
Dental payments by service type all ages
Dental payments by service type all ages
Dental services by age group and county
Dental services by age group and county
Dual-Eligible Special Needs Plan (D-SNP) Aligned enrollment map
Dual-Eligible Special Needs Plan (D-SNP) Aligned enrollment map for Washington counties. Use this map to choose a managed care plan that aligns your D-SNP and Behavioral Health Services Only (BHSO) coverage.
Dual-Eligible Special Needs Plan (D-SNP) service area guide
Dual-Eligible Special Needs Plan (D-SNP) service area guide. This guide includes the service area map, aligned enrollment map, and service area matrix.