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        • Voices of 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
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      • Program Administration
        • Apple Health eligibility manual
          • General eligibility requirements that apply to all Apple Health programs
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        • Apple Health (Medicaid) manual WAC index
        • Coordination of benefits
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    • Uniform Medical Plan (UMP)
      • Plan: Uniform Medical Plan Classic
        • Find providers
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          • Filling your prescriptions
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        • For Medicare retirees
          • How UMP and Medicare work together
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      • Plan: UMP Consumer-Directed Health Plan (UMP CDHP)
        • Find providers
        • Your cost for care
          • Annual deductible
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          • Filling your prescriptions
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      • Plan: UMP Plus
        • Find providers
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        • Your cost for care
          • Annual deductible
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    • Employee and retiree benefits
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          • How to enroll
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          • Waiving medical coverage
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        • Additional benefits
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          • Paying for benefits
        • Surcharges
          • Tobacco use surcharge
          • Spousal coverage surcharge
            • Spousal plan questionnaire 2019
            • 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
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      • School employees
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          • How to determine eligibility
          • How to enroll
            • Completing the retiree forms
          • Dependent verification
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        • Medical plans & benefits
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        • Dental plans & benefits
          • Compare dental plans
        • Additional benefits
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          • Paying for benefits
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            • Spousal plan questionnaire 2019
            • 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
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      • Continuation coverage
        • Eligibility & enrollment
          • How to determine eligibility
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        • Dental plans & benefits
          • Compare dental plans
        • Additional benefits
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          • Long-term disability insurance premiums (unpaid leave only)
          • Paying for benefits
        • Surcharges
          • Tobacco use surcharge
          • Spousal coverage surcharge
            • Spousal plan questionnaire 2019
            • 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
        • Change your coverage
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      • For groups joining the PEBB Program
        • How to join the PEBB Program
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      • Wellness programs
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    • Billers, providers, and partners
      • Washington Apple Health (Medicaid) providers
        • Enroll as a provider
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          • Next steps for new Medicaid providers
        • Existing Apple Health (Medicaid) providers
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      • Prior authorization, claims, and billing
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            • Approved diagnosis codes by program
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      • ProviderOne resources
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          • 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
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            • 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
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              • Referrals to treatment
              • Resources
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          • Model managed care contracts
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          • Apple Health Preferred Drug List (PDL)
          • Become an endorsing practitioner
          • Apple Health (Medicaid) drug coverage criteria
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        • School-based health care services (SBHS)
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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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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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