Check the medical benefits book from your health plan for additional covered benefits and services. To our knowledge, no state has any (fully-insured, on or off exchange) national network PPO available for 2020.The Multistate program was discontinued in 2017. Changes in benefits coming for Washington Apple Health (Medicaid) Effective January 1, 2014, these benefits change due to legislative action: Restores dental services for adults. If that state doesn’t run its own exchange (Washington state does), you would use the federal exchange, healthcare.gov. Due to COVID-19, HCA’s lobby is closed. Take both your Services Card and your health plan card with you when General Health Care Authority rulemaking. Figure out how much your qualified health plan might cost you. Eligibility is determined by things like age, family size and income. If a service you need is not listed, check with your health care provider or your health plan. 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. There are no deductibles or co-pays. Molina also complies with applicable state laws and does not discriminate on the basis of creed, gender, gender expression or identity, sexual orientation, marital status, religion, honorably discharged veteran or military status, or the use of a trained dog guide or service animal by a person with a disability. Dental services for children. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Enter a keyword ... Find out more about your health plan, what’s covered and the many programs we offer you and your family. Changes are coming to Washington Apple Health (Medicaid) in 2018 for Chelan, Douglas, and Grant counties HCA 19-066 (10/17) If you have the following type of Apple Health Plan: Starting January 1, 2018: Amerigroup You will remain with the same health plan. Please contact Member Services at 1-877-644-4613 to help resolve the issue. Apple Health (Medicaid) clients will continue to have access to all of the same services they currently do, but the state will pay for them differently. 0 1 2. Related Questions. Medicaid is the federally matched medical aid program under Title XIX of the Social Security Act (and Title XXI of the Social Security Act for the Children’s Health Insurance Plan) that covers the Categorically Needy (CN) and Medically Needy (MN) programs. Covers the shingles vaccination for clients age 60 and older. More on Apple Health (Medicaid) Enrollment; View Our … Medical providers taking part in Washington’s Medicaid program (Apple Health) must accept payment from the agency as payment in full. Be the first to answer! If a service was delivered that is not covered under Apple Health (Medicaid), you may be sent a bill. Washington Apple Health For children in foster care or adoption support, and former foster care youth . Make note, every state’s Medicaid program will cover the cost of nursing home care for seniors and disabled persons who require this type of care and meet eligibility requirements. Washington Apple Health for Kids provides medical, dental, vision and mental health benefits to children under age 19. 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 1. To enroll in a Community Health Plan of Washington Medicaid or Medicare Advantage plan, you must be eligible and live in our Medicare service area (Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Franklin, Grant, King, Kitsap, Lewis, Pierce, Okanogan, Skagit, Snohomish, Spokane, Thurston, Walla Walla,Whatcom, Yakima counties in Washington state) or Medicaid regions. 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, Find out what Apple Health (Medicaid) is currently working on, Find out how the Apple Health (Medicaid) program works, Washington Apple Health (Medicaid) programs eligibility overview, Apple Health stakeholder training and education, Website feedback: Tell us how we’re doing, Provide high-quality health care through innovative health policies and purchasing strategies. Learn more about your customer service options. One of the great benefits of Apple Health is that there is no deductible or medical/prescription copays. Public Employees Benefits Board rulemaking. In Washington, the state Medicaid program is referred to as Washington Apple Health, or Apple Health, for short. Due to COVID-19, HCA’s lobby is closed. To be eligible you must: Be a Washington resident. Contact your employer's health plan administrator if you have questions about your coverage. Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. School Employees Benefits Board rulemaking. It will cover and coordinate your physical and behavioral health (mental health and drug and alcohol treatment) services. The term multi-state health insurance might lead you to believe that you would be covered out of state for your medical insurance, but some multi-state plans restrict the coverage areas, or may not cover you out of state. Washington Apple Health is health coverage for low-income adults, children and families. Washington State All Payer Claims Database (WA-APCD) Announcements. Molina Healthcare's Integrated Managed Care (IMC) Health Plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. Medicare and Washington Apple Health (Medicaid) also cover breast reconstruction surgery and services after a mastectomy. Note: This list is for general information only and does not guarantee Apple Health will cover the service. What does this mean? If a service you need is not listed, check with your health care provider or your health plan. Apple Health managed care plans will start to cover behavioral health treatment services (mental health and substance use disorder treatment), along with physical health services. Blue Shield of California was one of the last individual/family insurance carriers to offer a National PPO network through the BlueCard program, and this has been discontinued for 2019. Washington Apple Health (Medicaid) - Whole-person Care Apple Health (Medicaid) is shifting to whole-person care. Benefits of Community Health Plan of Washington care Our three enhanced plans offer different services and benefits to fit your life. Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. Because dental coverage for children 18 or younger is considered an essential health benefit, an annual out-of-pocket maximum applies to any dental plan your child is enrolled in. The Academy of Pediatric Dentistry (AAPD) recommends all children see a dentist by 12 months of age. Rule notices 2020. Washington State … Behavioral health and recovery rulemaking. Enrollment is done through Washington Healthplanfinder, www.wahealthplanfinder.org. Rule notices. CHPW APPLE HEALTH PLAN. But we know being healthy is about more than just doctor visits, so the benefits and services we offer are designed to make a difference in your life. Rule notices … In general, health insurance providers/networks vary by state. Connect with us. 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. Asked by Wiki User. Note: This list is for general information only and does not guarantee Apple Health will cover the service. Apple Health offers complete major medical coverage for individuals who meet the eligibility requirements. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. This program offers … Cancel Molinalogo. Upcoming public hearings. This is not a … Are there copays or deductibles with Washington Apple Health? changes to Washington Apple Health (Medicaid) in Clallam County Changes are coming January 1, 2020 to Apple Health This change will not reduce any benefits. Rulemaking . Anyone between ages 19 to 65, who meets income standards, is eligible. Washington Apple Health for Kids (Children's Medicaid) is affordable health insurance offered by the State for children in Washington. 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, program benefit packages and scope of service, Health care coverage program benefit packages and scope of service categories, Eligibility requirements for Apple Health, Website feedback: Tell us how we’re doing, Appointments with a doctor or health care professional for necessary care, Treatment for chemical or alcohol dependence, Pediatric services, including dental and vision care, Limited dental and vision care for adults, Transportation to and from medical appointments, when necessary, An interpreter for your appointment, if you do not speak English (arranged through your provider). Find benefits BEHAVIORAL HEALTH 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. Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. doctor and emergency room visits; care for children (including dental and eye care) prescriptions § 447.15; WAC 182-502-0160; WAC 182-502-0010(2) (g). Apple Health (Medicaid) rulemaking. Check the medical benefits book from your health plan for additional covered benefits and services. * (You may have heard this referred to as integrated managed care or IMC transition.) Online: visit Washington Healthplanfinder. Starting in 2019, Apple Health (Medicaid) Managed Care plans will cover behavioral health treatment services, in addition to the already covered physical health services. Only some MSP plans offer coverage nationally or across different states. Be between 19 and 65 years old. To view additional services that may be provided under specific Apple Health programs (if the individual meets all the criteria required to receive the service), visit the program benefit packages and scope of service page. In Washington State, Medicaid is called Apple Health. Not be incarcerated. Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage. You can get coverage for everything from gambling addiction support groups to psychiatric hospital care. Apple Health is shifting to whole-person care. Washington info is loading. 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. Washington Apple Health is the new name for Medicaid in Washington state. Washington Apple Health Apple Health - Family Clinic XYZ 555-555-5555 OV $0 / ER $0 / RX $0 003858 CHWA 200000000WA Please see back of card for important information. Washington Medicaid includes a very comprehensive mental and behavioral health program. Dental is not an essential health benefit for adults so the same annual out-of-pocket maximum does … Expands providers of mental health services.   Removes limits on mental health professional visits. 2. It offers all the care you need, as well as many extra benefits that go beyond Apple Health alone. Usually, no. Go. The brand name may be shortened to “Apple Health.”. 3. Integrated Managed Care. Does Washington apple health cover you out of state? Washington Apple Health Application - Washington free download and preview, download free printable template samples in PDF, Word and Excel formats Self-funded health plans must apply for an exemption from the federal government if they wish to exclude the coverage. Apple Health (Medicaid) + behavioral health We provide all your Apple Health (Medicaid) benefits, like care from a PCP you choose, prescriptions and much more — at no cost to you. Apple Health for Pregnant Women (Medicaid) ... For more details, especially if you are pregnant and under age 21, please contact the Help Me Grow Washington Hotline at 1-800-322-2588. Learn which services are covered under Apple Health (Medicaid) programs. 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. 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