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          • Access to health care allows student to pursue education stress-free
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          • 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
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          • Helping people navigate their way to Washington Apple Health
          • Apple Health has given her such peace of mind
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      • Plan: Uniform Medical Plan Classic
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      • Plan: UMP Consumer-Directed Health Plan (UMP CDHP)
        • Find providers
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          • Search the UMP Preferred Drug List
          • Filling your prescriptions
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      • Plan: UMP Plus
        • Find providers
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        • Your cost for care
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            • Spousal plan questionnaire 2018
            • Spousal plan calculator
              • Help for question 1
              • Help for question 2
              • Help for question 3
              • Help for question 4
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              • Help for question 6
              • Help for question 7
        • Medicare & PEBB Program benefits
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          • How to determine eligibility
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        • Medical plans & benefits
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        • Dental plans & benefits
          • Compare dental plans
        • Additional benefits
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            • Spousal plan questionnaire 2018
        • Medicare & PEBB Program benefits
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        • Frequently asked questions (FAQs)
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        • Dental plans & benefits
          • Compare dental plans
        • Additional benefits
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          • Paying for benefits
        • Surcharges
          • Tobacco use surcharge
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            • Spousal plan questionnaire 2018
        • Change your coverage
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        • Frequently asked questions (FAQs)
      • For groups joining the PEBB Program
        • How to join the PEBB Program
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      • Wellness programs
        • Diabetes prevention
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      • Help with My Account
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    • 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
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      • Prior authorization, claims, and billing
        • Getting started
          • Document submission cover sheets
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        • Claims and billing (guides/fee schedules)
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          • ICD-10 billing codes and implementation
            • Approved diagnosis codes by program
        • HIPAA Electronic Data Interchange (EDI)
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      • ProviderOne resources
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      • Programs & services
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        • 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
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        • First Steps (maternity and infant care)
        • Foster Care
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        • Ground emergency medical transportation (GEMT)
        • Interpreter services
          • Interpreter services reports
        • Kidney Disease Program (KDP)
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          • Model managed care contracts
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        • Pharmacy
          • Apple Health Preferred Drug List (PDL)
          • Become an endorsing practitioner
          • Apple Health (Medicaid) drug coverage criteria
          • Opioids
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        • School-based health care services (SBHS)
        • Transgender Health Services Program
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            • Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project
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      • 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
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          • Black History Month celebration was a first at HCA
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Program administration

Find information about the Apple Health Eligibility Manual, coordination of benefits, patient review and coordination, and fraud prevention.

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  • Share your Apple Health story
  • Apply for or renew coverage
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In this section

  • Apple Health eligibility manual
  • Apple Health (Medicaid) manual WAC index
  • Coordination of benefits
  • Patient review and coordination
  • Premium payment program

How do I...

  • View Washington Apple Health eligibility WACs
  • Report if I have other health insurance

Related links

Apple Health (Medicaid) reports

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