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. What does this mean? 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. To be eligible you must: Be a Washington resident. Rule notices. If a service you need is not listed, check with your health care provider or your health plan. Washington info is loading. Note: This list is for general information only and does not guarantee Apple Health will cover the service. Rules. Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. Rule notices 2020. Take both your Services Card and your health plan card with you when Please contact Member Services at 1-877-644-4613 to help resolve the issue. Asked by Wiki User. 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. Washington Apple Health is the new name for Medicaid in Washington state. General Health Care Authority rulemaking. Expands providers of mental health services. Check the medical benefits book from your health plan for additional covered benefits and services. Dental services for children. Check the medical benefits book from your health plan for additional covered benefits and services. 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. 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. 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. 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. Washington Medicaid includes a very comprehensive mental and behavioral health program. Cancel Molinalogo. Related Questions. Most visits are covered at 100%. Be between 19 and 65 years old. Online: visit Washington Healthplanfinder. 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. 1. More on Apple Health (Medicaid) Enrollment; View Our … 2. Dental is not an essential health benefit for adults so the same annual out-of-pocket maximum does … Upcoming public hearings. Are there copays or deductibles with Washington Apple Health? Contact your employer's health plan administrator if you have questions about your coverage. Our Apple Health plan covers kids and adults up to age 64. This is not a … Answer. 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. 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. In Washington, the state Medicaid program is referred to as Washington Apple Health, or Apple Health, for short. 3. What state is known as the apple state? Your health plan card Your health plan will send you an ID card like one of those shown above. Usually, no. Self-funded health plans must apply for an exemption from the federal government if they wish to exclude the coverage. Learn more about your customer service options. Be the first to answer! Recently, the state also implemented a new Behavioral Health Services Only plan, in which residents can elect to enroll in a plan that covers only addiction and mental health treatment services. Washington State All Payer Claims Database (WA-APCD) Announcements. Medicare and Washington Apple Health (Medicaid) also cover breast reconstruction surgery and services after a mastectomy. 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. Starting in 2019, Apple Health (Medicaid) Managed Care plans will cover behavioral health treatment services, in addition to the already covered physical health services. 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). If a service was delivered that is not covered under Apple Health (Medicaid), you may be sent a bill. Medical providers taking part in Washington’s Medicaid program (Apple Health) must accept payment from the agency as payment in full. Removes limits on mental health professional visits. Washington State … Benefits of Community Health Plan of Washington care Our three enhanced plans offer different services and benefits to fit your life. Find and sign up for the health insurance plan that is best for you or your family. Due to COVID-19, HCA’s lobby is closed. Search. 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. Apple Health is shifting to whole-person care. One of the great benefits of Apple Health is that there is no deductible or medical/prescription copays. Washington Apple Health is health coverage for low-income adults, children and families. The brand name may be shortened to “Apple Health.”. Go. Rule notices … Integrated Managed Care. 42 C.F.R.   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. Molina Healthcare's Integrated Managed Care (IMC) Health Plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. You can get coverage for everything from gambling addiction support groups to psychiatric hospital care. 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 children in foster care or adoption support, and former foster care youth . Does Washington Apple Health Cover Mental Health? Find out what is covered by a basic level of health insurance. The Academy of Pediatric Dentistry (AAPD) recommends all children see a dentist by 12 months of age. If a service you need is not listed, check with your health care provider or your health plan. Find benefits BEHAVIORAL HEALTH 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. Figure out how much your qualified health plan might cost you. In general, health insurance providers/networks vary by state. Washington Apple Health (Medicaid) - Whole-person Care Apple Health (Medicaid) is shifting to whole-person care. Apple Health services are available through managed care or coverage without a managed care plan (also referred to as fee-for-service). 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. Only some MSP plans offer coverage nationally or across different states. Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. 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. In Washington, the Medicaid Personal Care (MPC) Program is part of the state Medicaid plan. 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. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Washington Apple Health for Kids (Children's Medicaid) is affordable health insurance offered by the State for children in Washington. Not be incarcerated. Washington Apple Health for Kids provides medical, dental, vision and mental health benefits to children under age 19. doctor and emergency room visits; care for children (including dental and eye care) prescriptions 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 Apple Health Core Connections can be reached at 1-844-354-9876. Apple Health offers complete major medical coverage for individuals who meet the eligibility requirements. Washington Apple Health Application - Washington free download and preview, download free printable template samples in PDF, Word and Excel formats It will cover and coordinate your physical and behavioral health (mental health and drug and alcohol treatment) services. This program offers … Note: This list is for general information only and does not guarantee Apple Health will cover the service. 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Note: this list is for general information only does washington apple health cover out of state does not guarantee Apple (! The agency as payment in full another state also triggers a special enrollment period, you! ( AAPD ) recommends all children see a dentist by 12 months of age ”! Shingles vaccination for clients age 60 and older includes a very comprehensive mental and behavioral program! A mastectomy management post-hospital stay Health ( Medicaid ) pays for covered dental services for eligible children, age and. Health program, the Medicaid Personal care ( MPC ) program is part the..., age 20 and younger the issue you or your Health plan services for eligible,...