For those affected by flooding in Washington
If you or someone you know has been displaced, needs medical or behavioral health support, or is navigating interruptions to health coverage or services, resources are available to help.
Eligible provider types and requirements
Learn about provider types listed in the Washington Administrative code (WAC) who are eligible to enroll as a Washington Apple Health (Medicaid) provider.
Are you eligible to be an Apple Health (Medicaid) provider? Visit the Washington State Legislature website to find out.
Eligible provider types
Provider type eligibility is determined by the Washington State Legislature (WAC 182-502-0002).
Required materials
Additional materials are required for certain provider types. If you are one of the providers below, please submit the following materials with your application.
Materials by provider type
Applied Behavioral Analyst
Ambulance
- Ambulance license
Ambulatory Surgery Center
- Department of Health and Human Services-Medicare Certification for Ambulatory Surgery Centers (ASC)
Chemical Dependency Providers
- Screening, Brief Intervention and Referral to Treatment Certification
Dentist/denturist
- Conscious Sedation/General Anesthesia Permit (If applicable)
- Oral surgeons: Oral Maxillofacial Surgery Residency Certification required
- Access to Baby and Child Dentistry (ABCD) completion of training certification (if applicable)
Durable Medical Equipment (DME)
- Department of Health and Human Services-Medicare Certification as a Durable Medical Equipment Supplier
Federally Qualified Health Centers (FQHC)
- Department of Health and Human Services-Medicare Certification for Federally Qualified Health Centers (FQHC)
Home health
- Home Health License from the Department of Health
- Medicare certification
Hospitals
- Clinical Laboratory Improvement Amendments (CLIA) Certificate
- Medicare certification
- Hospital license
Laboratory
- Clinical Laboratory Improvement Amendments (CLIA) Certificate
- Medicare certification
Licensed midwives
Licensed Mental Health Professionals
Includes psychiatric advanced registered nurse practitioners, independent clinical social workers, advanced social workers, marriage and family therapists, mental health counselors.
- Mental Health Professionals Attestation Form (if providing services to clients under age 19)
Mobile Anesthesia Services
- To become credentialed to provide mobile anesthesia services with HCA's fee-for-service (FFS) or managed care dental programs, you must hold a Core Provider Agreement as well as a separate Mobile Anesthesia Contract. Please contact HCA Contracts for more information.
Psychiatrist
- Graduation of Psychiatry Resident Program Certificate
Registered Nurse First Assistants (RNFA)
- Certified Nurse Operating Room (CNOR) Certification from the Competency Credentialing Institute
- Registered Nurse (RN) License
Contact
Phone: 1-800-562-3022, ext. 16137
Phones are open: Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (Closed from noon to 1 p.m.)
Phones are closed: Mondays, Wednesdays, and Fridays.
Online: HCA support portal