Apple health care washington
Apple health care washington. March 2024 Provider News. Before Medicaid expansion, coverage was essentially limited to low-income children, people with. rs’ Guide to Washington Apple Health (Medicaid) Part 1:fter you enroll in Apple Health. We can help you find a provider if you need counseling, testing, or behavioral health support. assistance programs, including Medicaid. Local Assistance: HCA Community-Based Specialists Apple Health (Medicaid) and managed care reports | Washington State Health Care Authority. Purpose statement. Anyone between ages 19 to 65, who meets income and eligibility requirements, may be is eligible for Apple Health (Medicaid) coverage. Depending on your life situation, you may qualify for a different kind of health plan. Apple Health eligibility manual overview | Washington State Health Care Authority. Text or call 844-888-5465 to reach one of our Dentistlink referral specialists directly for dental. Managed care and long-term care | Washington State Health Care Authority. Exclusively for Washington Healthplanfinder customers, the new WAPlanfinder app is the easiest way to view your health and dental coverage from a mobile device. Washington Connection offers a fast and easy way for families and individuals to apply for a variety of services such as Food, Cash, Child Care, Long-Term Care, and Medicare Savings Programs. Part 2: nformation on making your first health care appointment ( I. Local Assistance: HCA Community-Based Specialists Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual States had the option to expand eligibility for Medicaid and Washington State said yes. Find support: Connect with an insurance broker and navigator near you. To qualify, you must have monthly household income under $511/month for an individual or $658/month for a 2-person household (in 2024) or experienced a recent increase above that level due The Washington Healthplanfinder is an online shopping mall of healthcare plans. *. Get answers to common questions about managed care plans, dental coverage, benefits, and more. Vision webpage. Contact customer support toll-free at 1-855-923-4633. I'm a Molina Member. Managed care plan. Get started today. The health of your mouth affects your overall health. Regular dental checkups keep you healthy. Washington Apple Health programs. Visit the DSHS site for locations. This will be your average monthly income. Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Washington Apple Health Enrollment Periods Open Enrollment vs. Find out if you are eligible for free or low-cost Washington Apple Health (Medicaid) coverage. Your responsibilities (you must) for Washington Apple Health only If you do this, you can report your new income amount when it changes. I'm a Health Care Professional. Email: [email protected] Online: Secure web form. Your plan coordinates physical health, mental health, and substance use disorder treatment services to provide whole-person care under one health plan. Each year, you'll receive a letter about how to renew your coverage. If you are in immediate crisis, please call or text 988. Doctor visits when you’re sick or injured, or outpatient clinic visits. Applying for Classic Medicaid (individuals who are age 65 or older have blindness or a disability) or Medicare Savings Program; Requesting an appeal for Classic Medicaid Find out if you are eligible for free or low-cost Washington Apple Health (Medicaid) coverage. Renew Over-the-Phone. Washington Apple Health (Medicaid) provides comprehensive medical benefits to adults, families, individuals with disabilities, children under 19, and pregnant individuals who meet income and eligibility requirements. The Washington Healthplanfinder is an online shopping mall of healthcare plans. Apple Health offers five health plans, for most Apple Health programs. For adults - eyeglass frames and lenses are not covered. Performance areas. Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Apple Health is the name for Medicaid in Washington. Call 1-800-562-3022 or use the ProviderOne Find a Provider search tool. Phone: 1-800-562-3022. Visit Dentist Link or call 1-844-888-5465. Eligibility is based on the program's residential and medical criteria in addition to income and asset standards. . (The Department of Social and Health Services administers the Visit DentistLink or call 1-844-888-5465. Use the table below to find out what benefits are available through your plan. How do I get Apple Health (Medicaid) mental health services? If you are currently an Apple Health client and are seeking mental health services, you have coverage. Find the latest information on the number of Apple Health clients, and Apple Health quality measures. If you request transportation less than two Aug 16, 2022 · Review of Current Circumstances. Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633. Client eligibility is determined by each contracted kidney center. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost Eyewear provider list. For clients with Apple Health fee-for-service, your provider can request through pharmacy prior authorization services. Live in Washington State. Email: askmagi@hca. ) Your return time, if known; We recommend that you contact the transportation broker at least 7-14 days before of your health care appointment. O. to 4 p. HCA 19-024 (12/23) Medicaid. Click “See If I Qualify” to get started. Find information about Apple Health (Medicaid) processes including clarifying information, examples, worker responsibilities and WACs. This includes Apple Health Family/Pregnancy Medical (AHFAM), Apple Health Blind Disabled (AHBD), Apple Health Foster Care (AHFC), Apple Health with Premium (AHPREM) and Apple Health Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. Note: The instructions below are intended for Home and Community Service (HCS) and Developmental Disability Administration (DDA) LTC specialty Public Benefit Specialists. Vision benefit information. As your health plan, we at Community Health Plan of Washington In Washington State, we call the Medicaid program “Apple Health. All PDL products are on HCA’s Apple Health Preferred Drug List that is used by managed care plans and the fee-for-service program. Apple Health is free or low-cost health insurance coverage for those who qualify. 4 percent, thanks in part to access to Apple Health made possible through the Afordable Care Act. To find a dental provider: or call or text 844-888-5465. Most coverage is automatically renewed, but you can still change plans or cancel your coverage. For children 20 years of age and younger - eyeglass frames, lenses, and contact lenses are covered by Apple Health fee-for-service. The Health Care Authority (HCA) administers most Washington Apple Health programs. Fitting services and eye exams, including tests for refraction and visual fields, may be provided through your health plan. Online: Go to Washington Healthplanfinder - log in and select "Report a change in income or household" under Quick Links. Apple Health coverage starts the month you enroll and can typically be used within 24-hours to obtain care or prescriptions. Coverage includes primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more. Washington’s uninsured rate has dropped to an historic 5. Apple Health covers primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications, and more. You can use this report card to help guide your selection of a plan that works best for you. Explore our resources to learn about covered benefits and services, and how to apply for, use, or manage your coverage. wa. Enrollment in Apple Health is open year-round, allowing applicants Introduction In general, Washington Apple Health (Medicaid) programs are broken into the following types: Apple Health MAGI Medicaid: adult, children's, family and pregnancy programs Individuals may apply for MAGI Medicaid using the following options: Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Jan 1, 2024 · We are here to support your health every day, whether it's scheduling doctor visits, filling a prescription, or connecting you with community services. Reporting unemployment benefits: Report weekly Employment Security benefits to receive accurate eligibility for free or low-cost coverage Foster Care and Adoption Support (FCAS) clients have the ability to opt out of managed care for their physical health coverage with a phone call to the FCAS team at 1-800-562-3022 ext. Washington State Health Care Authority (HCA) PO Box 45531. Need mental health help? Dial 988 for free confidential help from the National Suicide Lifeline. Toll-free support: 1-855-923-4633 TTY 1-855-627-9604 Language assistance and disability accommodations are provided at no cost. Best of all, it's FREE! The name and phone number of your health care provider; Exact appointment date and time; The type of health care appointment (i. Learn how to apply for free and low-cost health insurance through Washington Healthplanfinder and find out if you’re eligible for Apple Health. Community Health Plan of Washington. Check the information your health plan sent you to see how to make your first appointment. If you need assistance but are not exploring using Apple Health LTSS to help pay for your care, you may find it helpful to access information about long-term services Washington Apple Health (Medicaid) provides comprehensive medical benefits to adults, families, individuals with disabilities, children under 19, and pregnant individuals who meet income and eligibility requirements. Ramona is applying for health coverage. Covered services include primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more. Members on Apple Health programs such as Apple Health Family or Apple Health for aged, blind or disabled individuals may qualify for this plan. Or call us at (800) 294-8620/(866) 916-3265. Apple Health is the name for Medicaid in Washington. TTY/TDD 1-855-627-9604. org . Find an Apple Health dental provider or call 1-800-562-3022. To apply for Apple Health coverage, visit Washington Healthplanfinder. We aren’t just your health care team, we are your community. Apple Health is Washington State’s Medicaid program that offers free or low-cost insurance coverage for those who qualify. You can cancel your Apple Health coverage online or by contacting the Washington State Health Care Authority (HCA). Washington Health Care Authority (HCA) HCA-MEDS. View the benefits below to see all that it offers. My Coverage Free or Low-Cost Apple Health Changing Your Plan Cascade Care Plans Renew Your Coverage Life Events Report a Change Pregnancy and Post-Partum Health Insurance After a Job Loss Savings Options Cascade Care Savings Download our mobile app, WAPlanfinder, and renew directly from your phone. Find and access behavioral health services. Today, Apple Health covers adults with incomes up to 138 Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Jul 20, 2023 · Please enter all the mandatory fields for the form to be submitted. ProviderOne (client portal) ProviderOne is the Apple Health (Medicaid) system in Washington. Our plan offers a range of physical and behavioral health benefits. You can make changes to your family’s Apple Health coverage when your child or dependent turns 19. By providing your email address, you are opting to receive healthplan information and marketing email communications. This report card shows how Washington Apple Health plans compare to each other in key performance areas. Find information about dental services covered under Washington Apple Health (Medicaid). My Coverage Free or Low-Cost Apple Health Changing Your Plan Cascade Care Plans Renew Your Coverage Life Events Report a Change Pregnancy and Post-Partum Health Insurance After a Job Loss Savings Options Cascade Care Savings Jan 1, 2024 · We are here to support your health every day, whether it's scheduling doctor visits, filling a prescription, or connecting you with community services. You are sent a ProviderOne Services Card after you are enrolled in Apple Health. MAGI-Based Medical Programs. You or your family may qualify for free or low-cost Apple Health coverage. Find an Apple Health dental provider for children (InsureKidsNow). You can also find a WIC clinic online or call 1-800-322-2588. dialysis, OB, dental, etc. At UnitedHealthcare Community Plan of Washington, we’re committed to making a difference in each member’s life. Revised date. Alert! To learn more about COVID-19, Flu, and RSV, click here. Program of all-inclusive care for the elderly (PACE) information. If applicable, review the record for the Equal Access (EA) plan (see EA). WAPlanfinder provides secure access to important info and messages as well as a convenient way to submit documents with the snap of a photo. Dental - only if you are on an Apple Health program that receives dental coverage. Submit PA using Inpatient PA Fax Form or select Inpatient Procedure on web portal. Choosing an Apple Health managed care plan to best fit my family's needs; Washington Health Benefit Exchange. Contact your managed care plan for assistance. Get benefits that help you get and stay healthy. Change Healthcare Cybersecurity Incident and Its Impact to Coordinated Care of Washington, March National Health Observances, Preferred Drug List Changes Effective 4/01/2024, Physician Administered Drug Updates, Two New Foster Care Centers of Excellence, and more! Coordinated Care exists to improve the health of its Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Program standard for income and resources. Coordinated Care's plan is called Ambetter. PO Box 45531. A stay in the hospital, including inpatient surgery and recovery. Foundational Community Supports (FCS) FCS offers housing and employment for individuals with behavioral and physical health needs who are eligible for Apple Health. Once you have selected a PCP, call their office to make an appointment. WAC 182-505-0100 Medical programs-- Monthly income standards based on the federal poverty level (FPL). Find out if you need a Medicaid pre-authorization with Coordinated Care's easy pre-authorization check. With these services, you and your family have access to mental health and substance use treatment, recovery support, and housing and employment resources. Mar 27, 2024 · Apple Health (Medicaid) Molina Healthcare's Apple Health (Medicaid) health plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. See if you're eligible for WIC and learn how to apply. Most individuals applying for Apple Health coverage apply for a MAGI-based medical program. ”. 1-866-907-1904. Special Enrollment Steps to Apply My Account. Coordinated Care of Washington. Enrollment in Apple Health is open year-round, allowing applicants Apple Health for Families: Medicaid benefits are available to parents and other relatives caring for children through Washington Apple Health for Families. View online or download now. You may get a message from Washington Healthplanfinder about them losing coverage. Or call your health plan's customer service line and ask for the phone number For clients with an Apple Health managed care plan, your provider should contact your health plan. TO SUBMIT PA. More on Apple Health (Medicaid) Enrollment. If doing a review in-person or over the telephone, ensure that all eligibility factors are reviewed. Continue Washington Apple Health coverage while we decide if you are eligible for another program per WAC 182-504-0125. Learn about Washington FCS. Apple Health may also help with recent unpaid medical bills up to 3 months old. Coordinated Care provides your essential Washington Apple Health (Medicaid) benefits, plus additional programs such as a free cell phone, a free car seat or pack ‘n play, $10 fruit and vegetable vouchers, dollar rewards for completing healthy activities, and more. Need this information in your language? View the Apple Health Expansion flyer in your language to learn more about covered services, eligibility, and how to apply. 15480. Notify Coordinated Care within 1 business day of Inpatient admit. Find a dentist that accepts Apple Health. Behavioral health. Washington Apple Health Medicaid Handbook & Forms | Coordinated Care Most Washington Apple Health (Medicaid) eligible individuals receive their coverage through a managed care plan. Washington Apple Health is an umbrella term or “brand name” for all Washington State medical . Report your average monthly income. of Social and Health Services administers the Eligibility overview. View part 2 of this guide). Give you equal access services as described in WAC 182-503-0120 if you are eligible. It's for people who meet income and eligibility requirements for Apple Health (Medicaid). ” The Health Care Authority (HCA) administers most . More people than ever are eligible for no-cost or low-cost health coverage. The Washington Apple Health Medicaid Handbook for members of Coordinated Care tells you how our program works and what we offer. Fitting services and eye exams may be provided for children and adults through your health plan. Visit Washington Healthplanfinder or use the WAPlanfinder app to learn if you qualify. In person: Visit a Community Services Office near you. Clients on MAGI Apple Health for Adults who turned age 65 or became Medicare-eligible received notice to apply for ongoing Apple Health at DSHS. 1-800-440-1561 (TTY:711) Call 844-888-5465 to reach one of our referral specialists directly. Apple Health (Medicaid) and managed care reports | Washington State Health Care Authority. Find the booklet title below and click on the language link to open the booklet in the language you prefer. Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual All Apple Health managed care plans must cover these basic services shown below. m. The brand name may be shortened to “Apple Health. Submit PA using Outpatient PA Form or as Outpatient on web portal. gov. (The Department . Such a request will not affect your eligibility for health care coverage. Apply for health care; Renew my health care; Report a change; Need help? Call: 1-877-501-2233 or view the video on how to access services online in Washington Connection. Opportunities to buy low-cost insurance on Washington Healthplanfinder: Native Americans and Alaska Natives (who are enrolled in a federally recognized tribe) can enroll at any time. Below are the WACs for the income and resource standards, which are summarized in the Medical Income and Resource Standards Chart (pdf). If you qualify for Apple Health, you also qualify for behavioral health services. You should be able to find the provider's office contact information through your health plan's website. Powered by the Washington Health Benefit Exchange, Washington Healthplanfinder™ is the official ACA-compliant health benefit exchange for Washington State. Lobby hours: Monday through Friday, 8 a. We serve pregnant individuals, children and young adults to age 21, families and adults. As part of the eligibility review process for a paper review form, ensure that the person answered all questions clearly and completely. Individuals that are age 65 or older, blind or disabled may also apply for medical assistance. How do I know which booklet to read? The Health Care Authority (HCA) sent you a letter that provided the name of the booklet that applies to you. Jul 20, 2023 · How can we help you? I'd Like to Become a Molina Member. Apple Health Expansion | Washington State Health Care Authority. Eligibility is determined by things like age, family size and income. Apr 24, 2024 · Turning Age 19. Program requirements You may be eligible for Apple Health for Pregnant individuals coverage if you: Are pregnant. Visits to the emergency room, including ambulance services or treatment at an urgent care center. Olympia, WA 98504. Jul 20, 2023 · Molina Healthcare Apple Health (Medicaid) Programs offer free or low-cost medical coverage for children and adults with lower income who are eligible for Medicaid. Apr 26, 2024 · The Apple Health (Medicaid) Fee-For-Service Preferred Drug List no longer applies. For Example. Does Apple Health pay for over the counter (OTC) products? Yes, Apple Health pays for OTC products that are preferred on the Apr 9, 2024 · Apple Health for adults age 65+. Behavioral health services include mental health and substance use disorder treatment services. Depending on your family size and income, you may even qualify for help to pay your monthly premium. If they did not respond, the system extended eligibility 3 months at a time. 626 8th Avenue SE. Contact us at 1-800-869-7165 (TTY 711) or select a provider from our provider directory. Change Healthcare Cybersecurity Incident and Its Impact to Coordinated Care of Washington, March National Health Observances, Preferred Drug List Changes Effective 4/01/2024, Physician Administered Drug Updates, Two New Foster Care Centers of Excellence, and more! Coordinated Care exists to improve the health of its All Washingtonians deserve affordable health care. This includes working disabled, families, people with disabilities, pregnant women and children. Olympia, WA 98501. For questions about your Apple Health eligibility, coverage claims, or billing, contact the Washington State Health Care Authority. Enrollment is done through Washington Healthplanfinder, www. Paper: Submit verification of the change to: HCA-MEDS, PO Box 45531, Olympia WA 98504. Managed care explained What is managed care? Apple Health offers managed care plans in all regions statewide. The Kidney Disease Program (KDP) is a state-funded program that helps low-income, eligible clients with treatment costs for end-stage renal disease. Use this guide to learn about Apple Health A coverage and how to make your first appointment. You must use a provider that accepts Apple Health. She works three months per year and makes $4,000 each month she works. View Our Products. This includes tests for refraction and visual fields. If you do not qualify for Apple Health, you may qualify for help with your health insurance or for other health services. Welcome. Applications for these programs can be submitted: Online: wahealthplanfinder. Learn more at Wellpoint today. How to Cancel Your Health Plan Online. CHPW also offers these health plans: If your income level is above Apple Health standards you may qualify for Cascade Care. Family Planning Only. Apple Health client booklets | Washington State Health Care Authority. org; Phone: 1-855-923-4633; Mobile application: WAPlanfinder; Fax: 1-855-867-4467; or Mail: PO Box 946, Olympia WA 98507. Paper application: Print out and complete Form 18-005. Ambetter offers affordable health care coverage for individuals and families. Cancel one household member’s health plan: To find out if you qualify, call the Community Health Access Program (CHAP) 206-284-0331 or 800-756-5437 or visit our enrollment assistance page. Contact HCA if you have not enrolled in managed care. Not all plans are available in all areas. December 22, 2023. Wellpoint Washington Medicaid plans are made not only for your physical health, but your social and emotional needs too. Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Washington Apple Health is health coverage for low-income adults, children and families. But depending on your family’s situation, your real options could be different. Take your annual income and divide it by twelve. disabilities or devastating illnesses, and those whose incomes were far below the federal poverty level. If you decide to receive your physical health coverage through Apple Health coverage without a managed care plan, you will have the option to select a Getting Dental Care. Need help getting care or making an appointment? Call us. This is your ProviderOne services card. care and are exploring using Washington Apple Health Long-Term Services and Supports (LTSS) (also known as Medicaid) to help pay for care. wahealthplanfinder. Washington Apple Health Enrollment Periods Open Enrollment vs. Call 24 hours per day, 7 days a week. 1-800-440-1561 (TTY:711) Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual During the PHE. Apple Health provides health care coverage to nearly 2 million residents—adults and children. Apple Health covers dental services for eligible children (age 20 and younger) and adults (age 21 and older). Have income at or below 193% of the Federal Poverty Level (FPL) (see income chart below). e. If they responded, N05 ended, but staff opened SSI-related medical with DSHS. Box 11699, Tacoma, WA 98411-6699. Less Worry. Mail the form to the Washington State Department of Social and Health Services (DSHS): DSHS Community Services Division, P. Phone: Call DSHS at 1-877-501-2233. The Health Care Authority's main building is located at: Cherry Street Plaza. Medical - Apple Health coverage without a managed care plan. nw te gx dn yz zl nd th os fq