Apple Health Prior Authorization

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Prior authorization, claims, and billing

(8 days ago) WEBProviderOne claims submission deadlines. The deadline is every Tuesday at 5 p.m. for payment the following Monday. Providers may see a Friday date on their remittance advice. Log into ProviderOne. Find billing guides and fee schedules. Request prior authorization …

https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing

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Apple Health Pre-Authorization Coordinated Care

(4 days ago) WEBTO SUBMIT PA. Submit PA using Inpatient PA Fax Form or select Inpatient Procedure on web portal. Submit PA using Outpatient PA Form or as Outpatient on web portal. Notify …

https://www.coordinatedcarehealth.com/content/coordinatedcare/en_us/providers/preauth-check/medicaid-pre-auth.html

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Manuals, Forms and Resources Coordinated Care

(8 days ago) WEBPrior Authorization Form – Transcranial Magnetic Stimulation Initial Request form (PDF) - behavioral; Provider Demographic Change Form (PDF) Washington Apple Health and …

https://www.coordinatedcarehealth.com/providers/resources/forms-resources.html

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Prior Authorization - Washington State Local Health …

(7 days ago) WEBPrior Authorization Review is the process of reviewing certain medical, surgical, and behavioral health services according to established criteria or guidelines to ensure …

https://www.chpw.org/provider-center/prior-authorization/

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Prior Authorization - WSMA

(6 days ago) WEBThe Office of the Insurance Commissioner enforces its requirements using a complaint-driven process. If an insurer or third-party administrator is out of compliance with prior …

https://wsma.org/WSMA/Resources/Administrative_Simplification/Prior_Authorization/Prior_Authorization.aspx

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Prior Authorization and Notification - UHCprovider.com

(6 days ago) WEBThe cardiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed …

https://www.uhcprovider.com/en/health-plans-by-state/washington-health-plans/wa-comm-plan-home/wa-cp-prior-auth.html

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Benefit Grid Apple Health - Coordinated Care Health

(2 days ago) WEBApple Health (Medicaid) Member Benefit Grid. For benefits noted as requiring a Prior Authorization (PA) pre-approval is needed before these services and medical supplies …

https://www.coordinatedcarehealth.com/content/dam/centene/Coordinated%20Care/pdfs/508-BenefitGridAppleHealth.pdf

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Apple Health (Medicaid) prior authorization …

(8 days ago) WEBApple Health (Medicaid) prior authorization requirements - COVID-19 related The Health Care Authority (HCA) recognizes the critical need to maintain swift decision making for …

https://www.hca.wa.gov/assets/billers-and-providers/COVID-related-apple-health-prior-auth-reqs.pdf

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Apple Health (Medicaid) UnitedHealthcare Community …

(3 days ago) WEBApple Health (Medicaid) pays for transportation services to and from needed non-emergency health care appointments. If you have a current ProviderOne Services Card, …

https://www.uhc.com/communityplan/washington/plans/medicaid/imc

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Prior Authorization Request Form - CHPW Local Health …

(9 days ago) WEBAlternately, you can fax Prior Authorization requests to the appropriate number below: For Apple Health/Medicaid: Prior Authorizations requests may be faxed to: 206-613-8873 …

https://www.chpw.org/wp-content/uploads/2020/05/PA_Form.pdf

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Prior authorization lookup tool Wellpoint Washington, Inc.

(1 days ago) WEB*Please note that while some services do not require prior authorization, additional actions may be required for authorization. To determine coverage of a particular service or …

https://www.provider.wellpoint.com/washington-provider/resources/prior-authorization/prior-authorization-lookup

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Expedited Prior Authorization (EPA) List - Washington State …

(5 days ago) WEBWashington Apple Health (Medicaid) Expedited Prior Authorization (EPA) List . April 20, 2023 . Every effort has been made to ensure this guide’s accuracy. If an actual or …

https://www.hca.wa.gov/assets/billers-and-providers/expedited-prior-authorization-inventory.pdf

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Pre-Auth Check Coordinated Care

(6 days ago) WEBIt's quick and easy. If an authorization is needed, you can access our login to submit online. For the best experience, please use the Pre-Auth tool in Chrome, Firefox, or Internet …

https://www.coordinatedcarehealth.com/providers/preauth-check.html

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Washington Apple Health Prescription Medication Benefits

(3 days ago) WEBCall Member Services at (800) 869-7165/TTY 7-1-1, Monday to Friday, 8a.m.- 5p.m.if: You have questions about if a drug is covered. You have trouble getting a prescription filled …

https://www.molinahealthcare.com/members/wa/en-US/hp/medicaid/apple-health/overvw/coverd/presdrugs.aspx

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Washington Apple Health (Medicaid) Lookup Tools

(1 days ago) WEBThe UnitedHealthcare Community Plan Preferred Drug List (PDL) is a list of covered prescription drugs, and drugs needing prior authorization for enrollees in Washington …

https://www.uhc.com/communityplan/washington/plans/medicaid/imc/find-a-provider-or-pharmacy

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Washington Apple Health Integrated Managed Care BH Prior …

(6 days ago) WEBWashington Apple Health IMC UHC Behavioral Health Prior Authorization Form . Phone Number: (877) 542-9231 . Fax Number: (844) 747- 9828. Washington Apple Health …

https://www.providerexpress.com/content/dam/ope-provexpr/us/pdfs/adminResourcesMain/forms/wa_forms/waIMC-FaxFrom.pdf

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Prior Authorization Coordinated Care Health Plan

(5 days ago) WEBPrior Authorization. Please note, failure to obtain authorization may result in administrative claim denials. Coordinated Care providers are contractually prohibited from holding any …

https://www-es.coordinatedcarehealth.com/providers/resources/prior-authorization.html

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Apple Health Pharmacy Benefits Coordinated Care

(6 days ago) WEBPrior Authorization Fax: 1-833-645-2734. Prior Authorization Phone: 1-866-716-5099 Clinical Hours: Monday – Friday 7 a.m. - 5 p.m. (PST) Help Desk: 1-877-250-6176. …

https://www.coordinatedcarehealth.com/members/medicaid/benefits-services/pharmacy.html

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Prior Authorization Request Form - CHPW Local Health …

(9 days ago) WEB• A Prior Authorization is not a guarantee of payment; Payment is subject to member eligibility and benefts at the time of service. For Apple Health/Medicaid: Fax: (206) 652 …

https://www.chpw.org/wp-content/uploads/2020/05/2021-Prior-Authorization-Request-Form.pdf

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Apple Health (Medicaid) Opioid Policy Changes

(8 days ago) WEBTo request prior authorization, contact the patient’s health plan. If you have questions about how to request a prior authorization go to the health plan’s website or contact the plan. …

https://www.hca.wa.gov/assets/billers-and-providers/prescriber-opioids-faq.pdf

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Apple Health (Medicaid) Integrated Managed Care (IMC) …

(1 days ago) WEBAll other dental services, including preventive and fluoride varnish application services, are covered by ProviderOne Services Card*. HCA Billing Guides – see current Dental …

https://www.coordinatedcarehealth.com/content/dam/centene/Coordinated%20Care/pdfs/508-BenefitGridAppleHealth-Provider.pdf

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Prior Authorization Provider Resources Coordinated Care

(2 days ago) WEBPrior Authorization. Please note, failure to obtain authorization may result in administrative claim denials. Coordinated Care providers are contractually prohibited from holding any …

https://www.coordinatedcarehealth.com/providers/resources/prior-authorization.html

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