Meet citizen and immigrant requirements. Background: The AH managed care program is a managed medical care program that serves over 1.7 million Medicaid clients statewide. If you are interested in taking an in-depth look at the regulations, policies, procedures, and laws governing Washington State’s Medicaid program, there are three procedure manuals available for review. If you are receiving Apple Health coverage through a managed care plan (i.e. Due to COVID-19, HCA’s lobby is closed. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, 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, 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, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, Use Apple Health as an American Indian/Alaska Native, Website feedback: Tell us how we’re doing. Health Details: Washington Healthplanfinder (www.wahealthplanfinder.org) Get help paying for your insurance rates when you buy a health plan in our state's health insurance Exchange through the Washington Healthplanfinder.The 2020 annual open enrollment period is closed, unless you qualify for Apple Health. Health. Some plans are increasing available data, minutes and texting during the COVID-19 pandemic. You may be eligible for a free cellphone with data, minutes and texting. (d) At a department of social and health services (DSHS) community services office (CSO). Former foster youth have no income limit to qualify for Apple Health. Apple Health for Pregnant Women (Medicaid) Apple Health for Pregnant Women, also known as Pregnancy Medicaid provides free medical insurance, Maternity Support Services (MSS), Infant Case Management (ICM), Childbirth Education (CBE) and many other services. You may contact HCA at 1-800-562-3022 or DSHS at 1-877-501-2233. Learn more. We use cookies on our website. About Apple Health Big changes are in store for health insurance coverage in Washington. Molina Healthcare's Integrated Managed Care (IMC) health plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. • The Apple Health Core Connections program is a partnership with HCA, DSHS and Coordinated Care of Washington. Eligibility is determined by things like age, family size and income. Read Health Coverage for Former Foster Youth. Is not receiving Categorically Needy (CN) or Medically Needy (MN) medical coverage under any other program. In 2013, the Washington State Legislature directed the Health Care Authority (HCA) to "…transfer children receiving medical care provided through fee-for-service to medical care provided through managed care. (3) If you seek apple health coverage and are age sixty-five or older, have a disability, are blind, need assistance with medicare costs, or seek coverage of long-term services and supports, you may apply: This program is also called Children’s Health Insurance Program (CHIP). Washington Apple Health is health coverage for low-income adults, children and families. If you are receiving Apple Health coverage through a managed care plan (i.e. Details: • Washington Apple Health is an umbrella term or “brand name” for all Washington state medical assistance programs, including Medicaid. (X) 02/ 2020 - Washington State. For more information, see Apple Health eligibility manual - WAC 182-517-0100 Medicare savings programs -- Monthly income standards. Not be incarcerated. DSHS customers receiving or applying for cash, food, or medical programs can now submit verification documents by email. Losing other health coverage (i.e., job loss, divorce, loss of Washington Apple Health or WSHIP coverage, etc.) DSHS lends nurses to Department of Corrections during COVID-19 outbr ... Do you have Washington Apple Health (Medicaid) coverage through a managed care plan and need a cellphone? Cookies are used to improve the use of our website and analytic purposes. My Secure DSHS - With one login you can access multiple Washington state government services. The Medicaid program covers emergency care, appointments with health care professionals, mental health services, maternity care, substance abuse treatment, prescription drugs and some vision and dental services for adults. Apple Health eligibility frequently asked questions about COVID-19 . Apple Health now covers low-income eligible adults. They do not need to reapply. Enrollment is done through Washington Healthplanfinder, www.wahealthplanfinder.org. dshs eligibility wa The protected health information of 91,000 Apple Health Medicaid program clients has been compromised by a Washington State Health Care Authority (HCA) employee over a period of almost 3 years, according to a statement issued by HCA risk manager, Steve Dotson. The future of health research is you. o The Health Care Authority (HCA) administers most Washington Apple Health programs. Most families approved for Washington Apple Health for Kids with Premiums will be required to pay a monthly premium. Health Details: (2 months ago) Washington Apple Health: Families may have Washington Apple Health coverage while they are on WorkFirst cash assistance and for up to one year after leaving assistance (TANF closed for excess earned income). Washington Apple Health Application for Long-term Care/Aged, Blind, Disabled Coverage Form (Form 18-005) Apply on-line. You will receive an invoice in the mail from the Office of Financial Recovery with your premium amount and information on how to pay. More information about each of these services is on this page. About Apple Health. To be eligible you must: Be a Washington resident. The protected health information of 91,000 Apple Health Medicaid program clients has been compromised by a Washington State Health Care Authority (HCA) employee over a period of almost 3 years, according to a statement issued by HCA risk manager, Steve Dotson. A child who was in foster care in Washington and getting Apple Health at age 18 or on the date he aged out of foster care (up to 21 years old) will be eligible for Apple Health coverage until age 26. ACTION: DDA and HCS HWD PBS will be sending general correspondence letters prior to 1/1/2020 based on a barcode ad-hoc list of clients who are 65 and older with earnings, giving them information on the HWD changes. More on Apple Health (Medicaid) Enrollment; View Our … Washington Apple Health is health coverage for low-income adults, children and families. Apple Health Managed Care (AHMC) contacts for care coordination and authorization assistance. New 2021 health plans are available, including Cascade Care plans. "* Once approved, you can use your coverage the following day. We are granting an additional 30 days to provide requested information. Be between 19 and 65 years old. AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact the plan to … Cookies are used to improve the use of our website and analytic purposes. dshs washington There are five Apple Health managed care plans contracted with the HCA. Washington Apple Health is the new name for Medicaid in Washington state. Some plans are increasing available data, minutes and texting during the COVID-19 pandemic. The DSHS Community Services Division wants all Washingtonians to know how people can access our vital services and programs, such as Basic Food, cash and medical assistance. Learn more about your customer service options. Coverage of non-covered medical or dental services through Washington Apple Health - Have your provider fax your request and supporting paperwork to the Health Care Authority at 1-866-668-1214. In 2013, the Washington State Legislature directed the Health Care Authority (HCA) to "…transfer children receiving medical care provided through fee-for-service to medical care provided through managed care. Free or low-cost coverage is available year round. Apple Watch and iPhone are ushering in a new era of health research. A child who was in foster care in Washington and getting Apple Health at age 18 or on the date he aged out of foster care (up to 21 years old) will be eligible for Apple Health coverage until age 26. Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. Assistance Fund (tafcares.org) Members on Apple Health programs such as Apple Health Family or Apple Health for aged, blind or disabled individuals may qualify for this plan. The state formerly had a children's health insurance program called Apple Health for Kids. More information about each of these services is on this page. Dental - only if you are on an Apple Health program that receives dental coverage Important! Molina Healthcare's Vision Benefits cover routine eye exams, corrective lenses, and other vision services at no cost to eligible Apple Health Members. Recently, the state also implemented a new Behavioral Health Services Only plan, in which residents can elect to enroll in a plan that covers only addiction and mental health treatment services. 1. Molina Healthcare's Integrated Managed Care (IMC) health plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. o The Department of Social and Health Services (DSHS) administers the Classic Medicaid programs. Purpose: To provide staff with contacts and process for contacting AHMC plans to assist in client care coordination. You may contact HCA at 1-800-562-3022 or DSHS … You can contribute to groundbreaking studies simply by sharing health data. There is no resource or income limit for this program. Former foster youth have no income limit to qualify for Apple Health. Because of the Affordable Care Act (sometimes also referred to as "Obamacare"), more people are able to get preventive care, like check-ups and cancer screenings, treatment for diabetes and high blood pressure, and many other health care services they need to stay healthy. Search job openings, see if they fit - company salaries, reviews, and more posted by Washington State Department of Social and Health Services employees. Washington State Department of Social and Health Services This site will not function correctly without Javascript. Apple Health eligibility frequently asked questions about COVID-19 . Health Details: All Apple Health (Medicaid), PEBB, and SEBB customer services phones lines will be down after 5 p.m. Wednesday, November 25 through Monday morning, November 30. HWD PBS staff are also listed in the Apple Health manual under HWD. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. 4/26/2016 2 Program Details • Coordinated Care was awarded the contract to provide the Apple Health Foster Care (AHFC) managed care program, called Apple Health Core Connections. Health Details: This Eligibility Review form can only be used to renew coverage for the Washington Apple Health programs listed on this form.For other health care coverage you must apply either online at www.wahealthplanfinder.org, by calling 1- 855-923-4633, or by using the HCA Application for Health Care Coverage (HCA 18 -001). Permanently moving from a location in the United States to Washington, or to a new county within Washington, only if you had minimum essential coverage for at … "* Some covered dental services include: Routine exams; Cleaning; X-rays; Sealants; Fillings; Crowns; Fluoride application; Extractions (pulling teeth) Automatic Enrollment into Apple Health Core Connections Started April 1, 2016. ... Health Services (DSHS) ? Enrollment is done through Washington Healthplanfinder, www.wahealthplanfinder.org. • The Apple Health Core Connections program is a partnership with HCA, DSHS and Coordinated Care of Washington. Dshs Apple Health Application COUPON (1 months ago) dshs wa id card voucher - Searchdealtoday.com. Yes. For questions about Apple Health eligibility or the healthplanfinder, call 1-855-923-4633. Apply Now>> Medicare Savings Programs Programs to help Medicare recipients pay for all or part of their Medicare premiums. Health Details: For more information see Form 14-454 Estate Recovery: Repaying the State for Medical and Long Term Services and Supports.Reference Materials. Most families approved for Washington Apple Health for Kids with Premiums will be required to pay a monthly premium. Contact Washington Apple Health (Medicaid) | Washington . Eligibility is determined by things like age, family size and income. In Washington State, Medicaid is called Apple Health. (3) If you seek apple health coverage and are age sixty-five or older, have a disability, are blind, need assistance with medicare costs, or seek coverage of long-term services and supports, you may apply: Do you have Washington Apple Health (Medicaid) coverage through a managed care plan and need a cellphone? Learn more. If you fall under one or more of these categories, you can apply for ‘ABD’ coverage through DSHS: A- Age 65 or older Dshs Apple Health Application COUPON (1 months ago) dshs wa id card voucher - Searchdealtoday.com. Apple Health (DSHS) - Birdseye Financial. Apple Health for Kids (N11, N31): This program provides CN coverage to children under age 19 whose families have income at or below This program is also called Children’s Health Insurance Program (CHIP). Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to 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, 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, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 1. Health Care Authority - Apple Health (Medicaid) Manual Revised December 11, 2014 Due to implementation of the Affordable Care Act (ACA), medical WAC’s and clarifying information can now be found in the Apple Health (Medicaid) Manual . 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