Washington State Health Care Prior Authorization

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Step-by-step guide for prior authorization Washington State …

(4 days ago) WEBStep-by-step guide for prior authorization Washington State Health Care Authority. Step 1: Check client eligibility Log into ProviderOne to determine if your client is eligible for the service (s) or treatment (s) you wish to provide. Learn how using our Successful …

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

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Revising the prior authorization process (R 2023-02) Washington …

(5 days ago) WEBRevising the prior authorization process (R 2023-02) E2SHB 1357 (Chap. 382, Laws of 2023) alters prior authorization requirements for commercial health plans …

https://www.insurance.wa.gov/revising-prior-authorization-process-r-2023-02

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WSMA – Prior Authorization Navigator

(7 days ago) WEBAbout the WSMA Prior Authorization Navigator. The WSMA originally introduced its Prior Authorization Navigator in 2018 as a mobile-friendly “one-stop shop” for guidance on …

https://priorauth.wsma.org/

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Prior Authorization - Washington State Local Health …

(2 days ago) WEBCommunity Health Plan of Washington Utilization Management (UM) staff are available to discuss this process or any UM issues at 1-800-440-1561 (TTY: Dial 711 ). If requested, language …

https://www.chpw.org/member-center/prior-authorization-and-um/

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Prior authorization modernization and substance use disorder …

(9 days ago) WEBIn 2023, the Legislature modernized prior authorization processes to prevent delays in care and improve health outcomes. To implement those objectives, …

https://www.insurance.wa.gov/prior-authorization-modernization-and-substance-use-disorder-treatment-r-2024-03

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Health Plan Prior-Authorization Data 2020 Report

(9 days ago) WEBFor 2020 Data Submission (based on PY 2019 data) Responses should be submitted to OIC at: [email protected]. June 18, 2020. Sec. 1(1) of ESSB …

https://www.insurance.wa.gov/media/9861

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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 medical necessity and …

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

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Prior Authorization FAQs - Washington State Local Health …

(2 days ago) WEBOur representatives are available at 1-800-440-1561 (TTY Relay: Dial 711) Monday through Friday, from 8 a.m. to 5 p.m. Community Health Plan of Washington …

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

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Prior Authorization and Notification - UHCprovider.com

(6 days ago) WEBUnitedHealthcare Community Plan Prior Authorization Requirements Washington - Effective Nov. 1, 2023; UnitedHealthcare Community Plan Prior Authorization …

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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Molina® Healthcare Medicaid Prior Authorization/Pre-Service …

(7 days ago) WEBImportant Molina Healthcare Medicaid Contact Information. (Service hours 8 a.m. - 5 p.m. local M-F, unless otherwise specified) Prior Authorizations: Phone: (800) 869-7175 Fax: …

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/forms/PA-Pre-Service-Guide-Medicaid.pdf

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9 states pass bills to fix prior authorization

(8 days ago) WEB2023 state wins. New Jersey, Washington, D.C., and Tennessee are among the states that recently enacted comprehensive prior authorization reform laws. In …

https://www.ama-assn.org/practice-management/prior-authorization/9-states-pass-bills-fix-prior-authorization

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Prior Authorization Guide - Molina Healthcare

(4 days ago) WEBThe Medicaid Prior Authorization Guide is a listing of codes that allows contracted providers to determine if a prior authorization is required for a health care …

https://www.molinahealthcare.com/providers/wa/medicaid/resource/Prior-Authorization-Guide.aspx

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Washington Prior Authorization Form

(7 days ago) WEBWashington Prior Authorization Form . Washington Medicaid . Fax numbers: • Home Health, home infusion, and durable medical equipment requests: 844 -528 3681 , and …

https://www.provider.wellpoint.com/docs/gpp/WA_WLP_CAID_PriorAuthorizationForm.pdf?v=202403121832

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What Is Prior Authorization in Health Insurance? - MSN

(1 days ago) WEBHealth insurance companies require prior authorization to control costs, promote evidence-based care, and ensure appropriate usage of medical services and …

https://www.msn.com/en-us/money/insurance/what-is-prior-authorization-in-health-insurance/ar-AA1ls740

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Apple Health (Medicaid) Washington State Health Care Authority

(9 days ago) WEBApple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Washington Apple Health …

https://www.hca.wa.gov/about-hca/programs-and-initiatives/apple-health-medicaid

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2022 Health plan prior authorization report - Washington …

(Just Now) WEBMIKE KREIDLER STATE OF WASHINGTON STATE INSURANCE COMMISSIONER OFFICE OF INSURANCE COMMISSIONER Phone: 360-725-7000 …

https://www.insurance.wa.gov/media/11309

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New Washington State Law Relating to Provider Certification of a

(9 days ago) WEBHealth care facilities and providers are prohibited from charging a fee for executing the certification. Applicability/Scope SHB 2102, which will be codified in …

https://www.wsha.org/articles/new-washington-state-law-relating-to-provider-certification-of-a-serious-health-condition-for-paid-family-medical-leave-benefits/

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Pritzker’s health insurance overhauls cross finish line

(3 days ago) WEB(The Center Square) – Two bills that will drastically change health insurance plans regulated by state government cleared the Illinois General Assembly Saturday. …

https://www.washingtonexaminer.com/news/3017945/pritzkers-health-insurance-overhauls-cross-finish-line/

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