Washington Apple Health Fee Schedule
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Provider billing guides and fee schedules Washington State …
(Just Now) WebThis page contains billing guides, fee schedules, I help others apply for & access Apple Health. Apple Health Eligibility Manual. Washington Prescription Drug Program (WPDP) Washington Wellness; Trauma-informed approach; Uniform Medical Plan (UMP) Value …
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Updated Apple Health Billing Guides and Fee Schedule - WSDA
(4 days ago) WebUpdated Apple Health Billing Guides and Fee Schedule. Apr 5, 2021. Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the Orthodontic and Dental-related services billing guides, along with updates to the Dental program fee schedule.
https://www.wsda.org/news/blog/2021/04/05/updated-apple-health-billing-guides-and-fee-schedule
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Washington Apple Health Eligibility Overview Booklet
(7 days ago) WebStates had the option to expand eligibility for Medicaid and Washington State said yes. Before Medicaid expansion, coverage was essentially limited to low-income children, people with disabilities or devastating illnesses, and those whose incomes were far below the federal poverty level. Today, Apple Health covers adults with incomes up to 138
https://www.hca.wa.gov/assets/free-or-low-cost/22-315.pdf
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Updated Apple Health Billing Codes and Fee Schedule
(3 days ago) WebAttention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the Dental-related Services billing guide, Orthodontic Services billing guide, and Dental Program fee schedule that became effective July 1, 2023. All of the changes that have been made are listed at the beginning of the billing guides
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Washington Apple Health Washington Healthplanfinder
(4 days ago) WebWhere can I find more information about benefits and services for my Apple Health coverage? When newly enrolled in Apple Health coverage, the Health Care Authority will send you a letter sharing the name of your Welcome to Washington Apple Health booklet. Go online to view your booklet about covered benefits and services.
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Physician-Related Services -- Health Care Professional …
(5 days ago) WebWashington Apple Health (Medicaid) Physician-Related Services/Health Care Professional Services . Billing Guide . October 1, 2017 . Every effort has been made to ensure this guide’s accuracy. If an actual or apparent conflict between this document and an agency rule arises, the agency rules apply.
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Outpatient Hospital Services Billing Guide - Washington
(5 days ago) WebStep 1. Verify the patient’s eligibility for Apple Health. For detailed instructions on verifying a patient’s eligibility for Apple Health, see the Client Eligibility, Benefit Packages, and Coverage Limits section in HCA’s ProviderOne Billing and Resource Guide. If the patient is eligible for Apple Health, proceed to Step 2.
https://www.staging.hca.wa.gov/assets/billers-and-providers/outpatient-hospital-bg-20220401.pdf
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Free or Low-Cost Apple Health Washington Healthplanfinder
(5 days ago) WebApple Health is the name for Medicaid in Washington. Apple Health is free or low-cost health insurance coverage for those who qualify. Covered services include primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more.
https://www.wahealthplanfinder.org/us/en/my-account/my-coverage/learnapplehealth.html
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Apple Health (Medicaid) clinical policy and billing for
(5 days ago) WebApple Health (Medicaid) clinical policy and billing for COVID-19 . In this time of the COVID-19 pandemic, the Health Care Authority is aware that usual and customary ways of COVID-19 fee schedule for rates. Code Description . 99441 Telephone evaluation and management service by a physician or other qualified health care
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Apple Health (Medicaid) clinical policy and billing for COVID-19
(1 days ago) WebIn response to the COVID-19 pandemic, the Health Care Authority (HCA) and the Apple Health (Medicaid) managed care organizations are allowing the use of a variety of telehealth technologies to meet the healthcare needs of providers, clients and families. In the health care community the words telehealth and telemedicine are often used
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Physician-Related Services/Health Care Professional Services …
(4 days ago) WebWashington Apple Health (Medicaid) Physician-Related Services/Health Care Professional Services . October 14, 2022
https://www.hca.wa.gov/assets/billers-and-providers/Physician-related-services-bg-20221014.pdf
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EPSDT Program Billing Guide - Washington
(1 days ago) WebUse CPT® code 96127 or 96160, with up to two units per billing claim line. Caregivers of infants age 6 months and younger must be screened for depression. Use CPT® code 96161 under the infant’s ProviderOne client ID. When billing CPT® code 96161 for a fee-for-service (FFS) client, use EPA # 870001424.
https://www.staging.hca.wa.gov/assets/billers-and-providers/EPSDT-bg-20220701.pdf
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Apple Health (Medicaid) UnitedHealthcare Community Plan
(3 days ago) WebEye exams every twenty-four months for adults and once every twelve months for children and age 21. Eyeglasses, contact lenses, and hardware fittings are covered separately under Apple Health (Medicaid) coverage without a managed care plan (also known as fee-for-service). Annual eye exams for members to age 21.
https://www.uhc.com/communityplan/washington/plans/medicaid/imc
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Updated Apple Health Billing Guides - wsda.org
(7 days ago) WebThe Washington State Health Care Authority (HCA) published an updated Dental Fee Schedule along with updated Apple Health billing guides that became effective October 1, 2022:
https://www.wsda.org/news/blog/2022/10/10/updated-apple-health-billing-guides
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Apple Health Reimbursement Rate Increase & Provider Enrollment …
(2 days ago) WebOn July 1, reimbursement rates for nearly all Apple Health covered services increased by 100%. Learn more about how to enroll as an Apple Health provider and sign up for DentistLink to start receiving referrals for adult Apple Health enrollees. During the 2021 legislative session, the Legislature allocated $76 million ($21.4 million state) in
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Provider Billing and Claims - Washington State Local Health …
(7 days ago) WebUse the resources on this page to manage your practice’s billing, or see our Provider Manual for more information. Please note that you can submit electronic or paper claims. CHPW accepts electronic claims via the Availity Clearinghouse. More information is available in our Provider Manual, or you can contact Availity at (800) 282-4548.
https://www.chpw.org/provider-center/provider-training-and-resources/provider-billing-and-claims/
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Provider manuals and guides Wellpoint Washington, Inc.
(3 days ago) WebHCA Provider Billing Guides and Fee Schedules. Provider tools & resources. Log in to Availity ; Launch Provider Learning Hub ; Apple Health (Medicaid): 1-833-731-2274. 2024 Wellpoint. Availity, LLC is an independent company providing administrative support services on behalf of Wellpoint Washington, Inc. You're leaving our site.
https://www.provider.wellpoint.com/washington-provider/resources/manuals-and-guides
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Outpatient Rehabilitation Billing Guide - Washington
(3 days ago) WebThe Health Care Authority evaluates requests for authorization of covered outpatient rehabilitation services that exceed limitations in this billing guide on a case-by-case basis in accordance with WAC 182-501 0169. The provider must justify that the request is medically necessary (as defined in WAC 182-500-0070) for that client.
https://www.staging.hca.wa.gov/assets/billers-and-providers/op-rehabilitation-bg-20220801.pdf
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Physician-Related Services - Washington State Health Care …
(1 days ago) WebWashington Apple Health (Medicaid) Physician-Related Services/Health Care Professional Services . Billing Guide . May 1, 2020 . Every effort has been made to ensure this guide’s accuracy.
https://www.hca.wa.gov/assets/billers-and-providers/physician-related-servs-bg-20200501.pdf
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2024 WA Medicaid Provider Manual - Molina Healthcare
(2 days ago) WebMolina’s Health Management programs will be incorporated into the Member’s treatment plan to address the Member’s health care needs. Phone: (833) 269-7830. Fax: (800) 642-3691. Behavioral Health Molina manages all components of Covered Services for behavioral health. For Member behavioral health needs, please contact us directly at …
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Family Planning Billing Guide - Washington State Health Care …
(3 days ago) WebWashington Apple Health Application for Aged, Blind, Disabled/Long-Term Services and Support (HCA 18-005) services listed on the HCA Family Planning fee schedule. • A professional dispensing fee only for contraceptive drugs purchased through the 340B program of the Public Health Service Act.
https://www.hca.wa.gov/assets/billers-and-providers/Family-planning-bg-20240501.pdf
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