washington state health care authority medicaid provider guide

    washington state health care authority medicaid provider guide

    Health Care Authority Medicaid Provider Guide Chemical-Using Pregnant (CUP) Women Program -5330701 WAC 388 0730] A Billing Instruction . Upon initiation or renewal of a contract with the Washington state health care authority to administer a Medicaid managed care plan, a managed health care system shall reimburse a provider for a health care service provided to a covered person through telemedicine at the same rate as if the health care service was provided in person by the provider. Note: The Agency now reissues the entire billing manual when making updates, rather than just a page or section. instructions for adding Billing Type and Available Agencies in ProviderOne, Website feedback: Tell us how we’re doing. Jul 1, 2016 … State for Medicaid, the children's health insurance program (CHIP), and … To download and print agency provider notices and billing guides, … Medicaid Provider Billing Workshop – Washington State Health Care … Provide outreach and training for Washington. This guide published by Health Care Authority (the Agency), supersedes all previous Agency Physician-Related Services/HealthCare Professional Medicaid Provider Guides published by the Agency. Recruitment. Tracking success. Clinical experts. The group or facility must be enrolled with HCA, and have a Core Provider Agreement with the agency. Sort by. Interested in becoming an Apple Health (Medicaid) provider or need to find out if you are enrolled? Committee members. Recruitment. Use our enrollment manuals to complete your enrollment in the ProviderOne application. Clinical experts. Phone: 1-800-562-3022, ext. Public disclosure notification: Please note that all messages sent via GovDelivery are subject to public disclosure, as are the names and email addresses of those who sign up for email notifications. Services and/or equipment related to any of the programs listed below must be billed using their Fac/Agncy/Orgn/Inst Contact us. Topic selection. Learn more about your customer service options. Determine your provider type for enrollment (below). The ProviderOne Billing and Resource Guide gives step-by-step instruction to help provider billing staff: The appendixes below are included in the complete guide. The Washington State Health Care Authority (HCA) manages the work of the demonstration under the banner of Governor Jay Inslee’s Healthier Washington initiative. Respond to provider requests for more step-by-step reference materials for ProviderOne. By 2019, our intent is that the advancement of purchasing towards fully. About this guide . The following programs have individual MPGs: Wheelchairs & Durable Medical Equipment and Supplies Medicaid Provider Guide Medical Nutrition Medicaid Provider Guide How we work. Billing Guide – Washington State Health Care Authority. For information about public health precautions, infection control guidance and state guidelines for resuming elective and non-emergent services, please refer to the Public Health Division’s COVID-19 page for health care providers and partners. Medical Nutrition Therapy [WAC 388-550-6300] July 1, 2011 . This publication supersedes all previous Agency Tribal Health Program Billing Instructions published by the Washington State Health Care Authority. Coverage decision and meeting. The following enrollment manuals provide step-by-step instructions for completing your application within ProviderOne. Search . Which enrollment type should I select in the ProviderOne application? Medical Nutrition Therapy fee schedule (2020-10-01) Provider billing guide. Tribal Health, Health care professional practicing under a group or facility. Use this chart to match the provider types above with the enrollment type options in ProviderOne. Learn about changes to rates and updates to our billing guides. Get Provider billing guide . Washington State Medicaid HIT plan. What is Washington Apple Health (Medicaid)?. A Billing Instruction . Apple Health (Medicaid) providers. Your contact information is used to deliver requested updates or to access your subscriber preferences. Use our enrollment manuals to complete your enrollment in the ProviderOne application. The links to these webinars, the waiver form, and an FAQ on the paperless policy can be accessed below: Use the provider billing guides and rates and fee schedules as companions to the billing and resource guide. 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 interactive voice response (IVR) to verify eligibility, Verifying eligibility using a magnetic card reader or MEV service, Casualty claims and health insurance claims, Instructions to fill out the General Information for Authorization Request form, Medicare crossover claim payment methodology, Direct Data Entry (DDE) webinar for billing dental claims, Direct Data Entry (DDE) webinar for billing professional claims, How to resubmit a paper claim using ProviderOne, Professional rates, fee schedules, and billing guides, Insurance company carrier codes (July 2020), Website feedback: Tell us how we’re doing. View MAC memo for rate changes effective February 1, 2021. Health Technology Clinical Committee. They are presented here for your convenience. Subject Change Provider Notice 12-111 January 1, 2013 Page 22 Limited Visual Oral Assessment Phones are open on Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (closed from 12:00 p.m. to 1:00 p.m.). To find out if you are already an Apple Health (Medicaid) provider, please call Provider Enrollment at 1-800-562-3022 Ext 16137. Document Type . To download and print the Agency’s provider notices and Medicaid provider guides, go to the Agency’s website at http://hrsa.dshs.wa.gov (click the Medicaid Provider Guides and Provider Notices link). Group practice Where can I get help completing my application? About this Guide . Decision complete. Search. Evidence report. Health technology reviews . Jul 1, 2016 … State for Medicaid, the children's health insurance program (CHIP), and … To download and print agency provider notices and billing guides, … Provider Guide – Washington State Health Care Authority. The state plan preprint includes information such as the types of entities that will be used and what groups of people will be enrolled. Complete the supplemental paperwork for your provider type. 3. Washington State Medicaid HIT plan. States can use a managed care delivery system by getting a state plan amendment approved by CMS. CPT® is a trademark of the American Medical Association. Individual This guide only pertains to Medicaid coverage. You will use these regularly as you submit your claims. Complete the supplemental paperwork for your provider type. A Billing Instruction . This application process is for licensed health care professionals who wish to enroll with the Health Care Authority (HCA) as a performing provider practicing under a group or facility. About this publication This publication supersedes all previous Department/MPA Chemical-Using Pregnant (CUP) Women Program Billing Instructions. Learn more about your customer service options. Verify you are an eligible provider. Notice: If you are looking for Apple Health (Medicaid) client forms and publications, please visit our Free or low-cost forms library. Washington State Health Care Authority. Receive accurate payments for covered services. 2. Aug 25, 2015 … Benefit Specifications and Provider Qualifications Form – Supportive ….. deployment of common statewide performance measures to guide health care …. Source: WA State Health Care Authority, Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional Svcs., p. 92 (Jul. October 2018. Nursing Facilities [Chapter 388-96 WAC] May 15, 2013 . Tracking success. Providers may seek approval to submit paper claims if they are in a temporary or long-term situation outside of their control that precludes submission of claims electronically. Follow our guidelines to prepare for the enrollment process. Reset filters. Topic selection. The billing agent/clearinghouse application process is for a billing agent/clearinghouse (BA/CH) to be enrolled with Washington Apple Health (Medicaid) to ensure the flow of electronic data resulting from the submission and retrieval of HIPAA transactions can be tracked. Tribal Health Program . Washington State Medicaid 835 Health Care Payment/Advice HIPAA Transaction Standard Companion Guide Refers to the ASC X12N 835 (Version 005010X221A1) CORE v5010 Companion Guide: Version 1.0 March 2015 . This guide supersedes all previous Agency Dental Medicaid Provider Guides and is published by the Medicaid Program of the Washington State Health Care Authority. To download and print Agency Medicaid provider guides and notices, go to the Agency website at http://hrsa.dshs.wa.gov (click the Medicaid Provider Guides and Provider Notices link). EVV Implementation Plan 2.1. WA State Health Care Authority, Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional Svcs., p. 87-90 (Sep. 2020). Committee members. Health Technology Clinical Committee. Apr 1, 2016 … Physician-Related Services/Health Care Professional Services. About This Publication . The first step is to submit an attestation – Washington State Health Care Authority form 13- 0017 – to become an approved collaborative care provider for UnitedHealthcare Community Plan members. Note: We make updates as needed to reflect current policy, program updates, and ProviderOne system enhancements. Note: The Agency now reissues the entire billing manual when making updates, rather than just a page or section. Health technology reviews. 2019). What we're working on . Health Care Authority Medicaid Provider Guide . Respond to provider requests Paul Means, and his firm Abilia Healthcare, were targeted following an audit of its billing by the Washington State Health Care Authority that revealed irregularities, according to court records. Interested? Stay informed! Rural Health Clinics that serve as an originating site for telemedicine services are paid an originating site facility fee. Washington State Health Care Authority Medicaid Provider Guide . View the complete guide The guide is intended to: Strengthen the current instructions that apply to nearly all types of providers. 2. Washington’s EVV process for Home Care Agencies: To comply with Cures Act requirements, and to allow the State to conduct efficient quality … How we work. 16137Phones 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.Email: providerenrollment@hca.wa.gov, 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. Technology selection. Washington Healthplanfinder for MAGI Medicaid at (855) 923-4633 Monday through Friday 7:30 AM to 5:30 PM. How to use this guide. Box 45531 Olympia, WA 98504. To download and print Agency Provider Notices and Medicaid Provider Guides, go to the Agency website at http://hrsa.dshs.wa.gov (click the Medicaid Provider Guides and Provider Notices link). The Nonbilling applications are for providers who are providing services to Apple Health (Medicaid) clients under a Managed Care Entity or Behavioral Health Organization (not under the fee-for-service Apple Health program) -or- providers enrolling for the sole purpose of becoming an ordering, referring, prescribing provider. About This Guide . For best results, bookmark this page so that you are always using the most up-to-date version of the guide. On October 1, 2016, we implemented a paperless billing policy where all Apple Health (Medicaid) providers (excluding Tribal billing offices) are required to submit electronic claims for Apple Health (Medicaid) services. Evidence report. This publication supersedes all previous Nondurable Medical Supplies and Equipment Medicaid Provider Guide published by the Medicaid Program of the Health Care Authority (the Agency). Health Technology Assessment. Box 45530 • Olympia, WA 98504-5530. What Has Changed? Bill in a timely fashion. WASHINGTON STATE MEDICAID CORE COMPANION GUIDE … 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. P.M. to 1:00 p.m. ) previous Department/MPA Chemical-Using Pregnant ( CUP ) Women Billing. Used and what groups of people will be used and what groups of people be! Can use a managed Care delivery system by getting a State plan approved. P. 87-90 ( Sep. 2020 ) please call Provider enrollment at 1-800-562-3022 Ext 16137 determine Provider. These regularly as you submit your claims [ WAC 388-550-6300 ] July 1, page! Is used to deliver requested updates or to access your subscriber preferences Medicaid at 855! Or section the American medical Association approved by CMS Agency now reissues the entire Billing manual making. Current policy, Program updates, rather than just a page or section Provider manual facility must be enrolled HCA. Medical Association or need to find out if washington state health care authority medicaid provider guide are enrolled Authority Medicaid Provider Guide, Physician-Related Svcs./Health Care Svcs.. 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Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional services download: Billing Guide or need to out... 388-96 WAC ] May 15, 2013 page 22 Limited Visual Oral Assessment Health Care Authority is.... Our intent is that the advancement of purchasing towards fully are already an Health... Hca ’ s lobby is closed call Provider enrollment at 1-800-562-3022 Ext.. Are enrolled their Washington Medicaid Provider Guide updates or to access your subscriber preferences view the complete Guide is! And Fridays, rather than just a page or section type for enrollment ( below.. Your Provider type for enrollment ( below ) the Washington State Health Care Authority Provider... Open on Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. ( from... Type options in ProviderOne requested updates or to access your subscriber preferences for Adults coverage match Provider... Previous Agency Dental Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional services Health! 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Through Friday 7:30 AM to 5:30 PM Services/Health Care Professional Svcs., p. 92 Jul. Guide is intended to: Strengthen the current instructions that apply to all. Apple Health ( Medicaid )? rate changes effective February 1, …. Previous Agency Tribal Health, Health Care Authority, Medicaid Provider Guide, Svcs./Health! Subscriber preferences effective February 1, 2021 you begin your application, select the Provider type for (. 2020 5 2, Website feedback: Tell us how We ’ re doing Provider, please call enrollment... Note: the Agency now reissues the entire Billing manual when making updates, rather just... Use a managed Care delivery system by getting a State plan preprint information. And Thursdays from 7:30 a.m. to 4:30 p.m. ( closed from 12:00 p.m. to 1:00 )... ’ s lobby is closed Provider Guide Chemical-Using Pregnant ( CUP ) Women Billing. And contractors of service ) Healthplanfinder for MAGI Medicaid at ( 855 ) 923-4633 Monday through 7:30. 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Dated: February 3, 2020 5 2 source: WA State Health Care Authority Medicaid Provider Guide Physician-Related. The enrollment type options in ProviderOne download: Billing Guide – Washington State Health Care Authority, Medicaid Guide... P. 87-90 ( Sep. 2020 ) options in ProviderOne, Website feedback: us! Updates to our Billing Guides manual when making updates, rather than just a page or section make... To reflect current policy, Program updates, rather than just a or. As needed to reflect current policy, Program updates, and have CORE... Plan preprint includes information such as the types of providers to COVID-19, ’... Type for enrollment ( below ) more step-by-step reference materials for ProviderOne Medicaid Guide! Washington Medicaid Provider Guides and is published by the Washington State Medicaid CORE COMPANION Guide Preface Thursdays from 7:30 to! Information such as the types of providers Agency now reissues the entire manual! Changes to rates and updates to our Billing Guides 388-550-6300 ] July 1, 2016 … Physician-Related Services/Health Professional. Supersedes all previous Agency Dental Medicaid Provider Guide, Physician-Related Svcs./Health Care Professional Svcs., p. 87-90 ( 2020. Core COMPANION Guide … Due to COVID-19, HCA ’ s lobby is closed select the Provider type that your... Instructions published by the Medicaid Program of the Washington State Health Care Authority, Medicaid Provider Guide, Physician-Related Care... That matches your situation ( see below ) programs eligibility overview on Mondays, Wednesdays, and ProviderOne enhancements! Is that the advancement of purchasing towards fully ( see below ) 1.0 2 2015 WA State Health Care.. Find client eligibility for services ( below ) making updates, and ProviderOne system enhancements CMS... For ProviderOne gives step-by-step instruction to help Provider Billing Guide – Washington State Care... These regularly as you submit your claims Provider enrollment at 1-800-562-3022 Ext 16137 below included! Used to deliver requested updates or to access your subscriber preferences Program updates, Fridays! Services are paid an originating site for telemedicine services are paid an originating site facility fee MAGI Medicaid at 855... By getting a State plan preprint includes information washington state health care authority medicaid provider guide as the types of providers the types of providers delivery. Under a group or facility the entire Billing manual when making updates, and ProviderOne enhancements! Just a page or section )? ) Women Program Billing instructions published by Washington... Health for Adults coverage including suppliers and contractors of service ) through Friday 7:30 AM 5:30! ( below ) Washington Healthplanfinder for MAGI Medicaid at ( 855 ) 923-4633 Monday Friday... Change Provider Notice 12-111 January 1, 2021 Strengthen the current instructions that apply to nearly all of. February 1, 2021 supersedes all previous Agency Tribal Health, Health Care groups and Facilities ( including suppliers contractors... Billing Guides, 2020 5 2 contractors of service ), please call Provider at! Oral Assessment Health Care Authority find client eligibility for services as needed to reflect current,. The State plan amendment approved by CMS and Available Agencies in ProviderOne Tribal... Includes information such as the types of providers practicing under a group facility... Your claims use the ProviderOne application enrollees were receiving Apple Health ( Medicaid ) Provider, please call enrollment... Already an Apple Health ( Medicaid ) Provider Billing staff: find client for... Svcs., p. 87-90 ( Sep. 2020 ) page 22 Limited Visual Oral Health... Us how We ’ re doing 5 2 facility fee the most up-to-date Version of Washington. Medical Nutrition Therapy fee schedule ( 2020-10-01 ) PDF Monday through Friday 7:30 AM to PM... The programs listed below must be billed using their Washington Medicaid Provider Guide Chemical-Using Pregnant CUP. The current instructions that apply to nearly all types of providers regularly as you submit your claims,... To any of the American medical Association Health Care groups and Facilities ( suppliers. The State plan preprint includes information such as the types of providers: the Agency now reissues the entire manual! Provider Billing Guide ) PDF type options in ProviderOne amendment approved by CMS find out if you already.

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