apple health washington state medicaid

Evergreen Recovery, Everett, Washington. Apple Health provides coverage to individual adults, families and children, pregnant individuals, and individuals with disabilities. The Ombuds is independent from Amerigroup Washington. Washington residents whose income falls below 138 percent of the Federal Poverty Level are eligible for coverage under Apple Health. If you are eligible, you can go to any dental providers who contract with Washington State Medicaid. All agency-contracted managed care organizations (MCOs) and the fee-for-service (FFS) program use the Apple Health PDL. Molina Healthcare Apple Health (Medicaid) provides quality free or low-cost health care for your family. ... Find resources and information about COVID-19 vaccines in the state of Washington. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. Learn more about your customer service options. They are provided through Correctional Industries Optical only. 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, How to apply for or renew MAGI Medicaid coverage, How to apply for or renew Classic Medicaid coverage, Application for health care coverage (18-001P), Application for aged, blind, disabled/long-term care coverage (HCA 18-005), Application for aged, blind, disabled/long-term care coverage, Application for Apple Health (Medicaid) health care coverage, Website feedback: Tell us how we’re doing. Find the phone number of an Ombuds in your area. The Washington Healthplanfinder website  or WAPlanfinder app will help you with that. Apple Health (Medicaid) coverage In Washington State, Medicaid is called Apple Health. New 2021 health plans are available, including Cascade Care plans. Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. Overview The Medically Needy (MN) program provides Apple Health Medicaid health care coverage for aged, blind, or disabled persons, institutionalized individuals, hospice individuals, pregnant women, children, and refugees with income above Categorically Needy (CN) standards and countable resources below the applicable MN resource standard. Apple Health eligibility manual - WAC 182-504-0020 Certification periods for the noninstitutional medically needy (MN) program. You are sent a ProviderOne Services Card after you are enrolled in Apple Health. Some covered dental services include: Find out more about your health plan, what’s covered and … Orthodontic services are available for children with cleft palate or other serious dental problems (covers medically necessary services with prior authorization). Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. (The Department of Social and Health Services administers Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Now that you're enrolled in Apple Health (Medicaid) coverage, these two resources will explain what to expect next: 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. Coverage will begin on the first day of the month you submitted your application. 42 C.F.R. Apply for Apple Health (Medicaid) coverage through Washington Connection. Furthermore, emphasis will be specifically on long-term care, whether that be provided in ones home, a nursing home, an adult f… As of publication, that's an annual income of $15,856 for a single individual, $21,404 for two people, $26,951 for a family of three and $32,499 for a family of four. Read here. EXAMPLE : A client has $300.00 per month is excess income. The Apple Health PDL can be found on the agency’s Apple Health PDL page. Washington Apple Health (Medicaid) Starting January 1, 2014 Client Handout The Washington Apple Health (Medicaid) resumed covering dental services for all adults with Medicaid (clients 21 years of age and older) Includes people who already have Medicaid AND people who are eligible for “Expanded Medicaid,” part of health care reform. The Academy of Pediatric Dentistry (AAPD) recommends all children see a dentist by 12 months of age. The Social Security numbers and dates of birth for each member of your household. The fastest way to renew your lost coverage is to go online. Revised 12/22/2014 Family Planning Services for Apple Health (Medicaid) recipients provides birth control and family planning services for women and men. The types of services that help an adult remain at home.. Finding other places to live and get care if the adult can no longer live at home.. Finding caregiver resources and information.. Ways to stay independent as long as possible.. Find in-depth information about the rules and laws that govern Washington State’s Medicaid program. FFS state maximum allowable cost (SMAC) list (The Department of Social and Health Services administers Apply for Apple Health (Medicaid) coverage through Washington Healthplanfinder Apply for or renew your Apple Health MAGI coverage online through Washington Healthplanfinder if you are: An adult age 18 to 64 years old. Most Washington Medicaid members will be enrolled in an Apple Health Managed Care Plan. What is Apple Health coverage without a managed care plan? The brand name may be shortened to “Apple Health.” The Health Care Authority (HCA) administers most Washington Apple Health programs. Community Health Plan of Washington (CHPW) Apple Health plans are built around you. Medicaid is a health insurance program for low-income, low-asset individuals, and is jointly funded by the state and the federal government. For other questions, call Washington State Medicaid … Medicare. Learn more. The brand name may be shortened to “Apple Health.” The Health Care Authority (HCA) administers most Washington Apple Health programs. Renew or Enroll today. Your Apple Health (Medicaid) coverage will cover the cost of your annual exam and chosen birth control method, including: Learn more about your customer service options. Eyeglasses are covered for children under age 21 through your Washington State Medicaid Services Card. If you or someone you know is experiencing a mental health, substance use or problem gambling crisis please call (866) 789-1511 or click here Usually, no. Apple Health coverage without a managed care plan (also known as fee-for-service) is when Apple Health pays your provider directly. § 447.15; WAC 182-502-0160; WAC 182-502-0010(2) (g). Why would I use ​ProviderOne? Choosing a Washington Managed Care Plan. Find an Apple Health dental provider near you. These include mental health services and drug or alcohol treatment. How do members get care? Your immigration information, if that applies to you. 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, Developmental Disabilities Administration (DDA), Find an Apple Health dental provider for children (InsureKidsNow), Find a dental provider for children (InsureKidsNow), Website feedback: Tell us how we’re doing. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. Select Your State Select Your Language ... Molina Healthcare’s Apple Health (Medicaid) Programs offer free or low-cost medical coverage for children and adults who meet the eligibility requirements for Apple Health (Medicaid). We offer local care and extensive benefits for the whole family. If you are a biller, provider, or partner: visit our Billers, providers, and partners webpage. Due to COVID-19, HCA’s lobby is closed. Find a provider. Your vision provider can orders the eyeglasses for you. You can apply for free or low-cost Apple Health coverage year-round. If we find you eligible within 90 days after the date you lost coverage, we will cover you for the period you were without coverage. You'll have the option to select a managed care plan online or you'll be auto-enrolled into a plan. You may choose any provider who participates in the Apple Health fee-for-service program and currently accepts patients. In the State of Washington, Medicaid is called Apple Health. Pregnant or applying for someone who is pregnant. If you've missed the deadline to renew, but you would like to continue coverage, please contact us as soon as possible. Washington Apple Health (Medicaid) Washington Apple Health is the new name for Medicaid in Washington state. You'll be auto-enrolled into an Apple Health managed care plan. Coverage will begin on the first day of the month in which the application was submitted. How to apply for Medicaid.. View services covered under Apple Health. See if you qualify for or renew your Apple Health managed care. Washington Apple Health (Medicaid) is Washington's managed care Medicaid program, providing comprehensive medical benefits to adults, families, people with disabilities, children under 19, and pregnant women who meet income requirements. Due to COVID-19, HCA’s lobby is closed. Washington Apple Health (Medicaid) Behavioral Health Services Only (BHSO) Our plan offers a range of behavioral health benefits. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Washington Apple Health Application for Long-term Care/Aged, Blind, Disabled Coverage Form (Form 18-005) Apply on-line. Apply for Apple Health Classic Medicaid coverage online through Washington Connection if you are: You have several options to apply for or renew Classic Medicaid coverage: If you're found eligible for coverage, you'll receive a Services Card in about two weeks. Community Health Plan of Washington now offers Apple Health (Medicaid) plans in Chelan, Douglas, Grant, Okanogan, and Pierce counties. View the benefits below to see all that it offers. In the state of Washington, Medicaid is called Washington Apple Health or simply Apple Health. Medicaid is a federal and state government health coverage program available to individuals who meet the income and resource limits. Other limited dental services, including: Topical fluoride - an additional two times per year for adults, Sealants - additional coverage for premolar teeth, Stainless steel crowns - additional coverage for adults. Find information about dental services covered under Washington Apple Health (Medicaid). In Washington State, Medicaid is called Apple Health. Examples include but not limited to the following: 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. Apply for or renew your Apple Health MAGI coverage online through Washington Healthplanfinder if you are: You have several options to apply for or renew coverage: When you’re ready to apply, you’ll need this information: If you’re accepted, you'll receive a Services Card in about two weeks. Anyone between ages 19 to 65, who meets income standards, is eligible. Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. Find Medicaid Therapists, Psychologists and Medicaid Counseling in Washington, get help for Medicaid in Washington. Washington Recovery Help Line is a statewide 24-hour crisis intervention and referral line for those struggling with issues related to substance abuse, problem gambling and mental health. Age 20 and younger provides birth control and family Planning services for adults ( 21 years and ). For diabetes and high blood pressure, and partners webpage dental providers contract... 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