If a service you need is not listed, check with your health care provider or your health plan. Washington Medicaid includes a very comprehensive mental and behavioral health program. Washington Apple Health Application - Washington free download and preview, download free printable template samples in PDF, Word and Excel formats Rulemaking . 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. Use our Benefit Finder to see if you qualify. Learn which services are covered under Apple Health (Medicaid) programs. Eligibility is determined by things like age, family size and income. 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. Answer. 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. 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. Note: This list is for general information only and does not guarantee Apple Health will cover the service. Does Washington Apple Health Cover Mental Health? Not be incarcerated. Washington Apple Health For children in foster care or adoption support, and former foster care youth . Be the first to answer! 3. 2. This is not a … Self-funded health plans must apply for an exemption from the federal government if they wish to exclude the coverage. Be between 19 and 65 years old. Washington State … Apple Health (Medicaid) rulemaking. Online: visit Washington Healthplanfinder. Note: This list is for general information only and does not guarantee Apple Health will cover the service. School Employees Benefits Board rulemaking. Washington Apple Health is health coverage for low-income adults, children and families. 1. What does this mean? More on Apple Health (Medicaid) Enrollment; View Our … Expands providers of mental health services. It offers all the care you need, as well as many extra benefits that go beyond Apple Health alone. Usually, no. 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. Apple Health Core Connections can be reached at 1-844-354-9876. Starting in 2019, Apple Health (Medicaid) Managed Care plans will cover behavioral health treatment services, in addition to the already covered physical health services. 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. Due to COVID-19, HCA’s lobby is closed. The brand name may be shortened to “Apple Health.”. Your health plan card Your health plan will send you an ID card like one of those shown above. Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. Integrated Managed Care. Public Employees Benefits Board rulemaking. 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. Apple Health is shifting to whole-person care. Washington Apple Health for Kids provides medical, dental, vision and mental health benefits to children under age 19. Figure out how much your qualified health plan might cost you. Only some MSP plans offer coverage nationally or across different states. 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. Your plan will be with you every step of the way from assessing your needs to case management post-hospital stay. Check the medical benefits book from your health plan for additional covered benefits and services. Rule notices 2020. If a service you need is not listed, check with your health care provider or your health plan. Does Washington apple health cover you out of state? § 447.15; WAC 182-502-0160; WAC 182-502-0010(2) (g). Enter a keyword ... Find out more about your health plan, what’s covered and the many programs we offer you and your family. In Washington, the Medicaid Personal Care (MPC) Program is part of the state Medicaid plan. Rule notices.   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. Contact your employer's health plan administrator if you have questions about your coverage. Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage. doctor and emergency room visits; care for children (including dental and eye care) prescriptions It will cover and coordinate your physical and behavioral health (mental health and drug and alcohol treatment) services. There are no deductibles or co-pays. 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. Search. Removes limits on mental health professional visits. Go. In Washington State, Medicaid is called Apple Health. Find benefits BEHAVIORAL HEALTH 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). Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Washington Apple Health is the new name for Medicaid in Washington state. Connect with us. General Health Care Authority rulemaking. Medical providers taking part in Washington’s Medicaid program (Apple Health) must accept payment from the agency as payment in full. Please contact Member Services at 1-877-644-4613 to help resolve the issue. Medicare and Washington Apple Health (Medicaid) also cover breast reconstruction surgery and services after a mastectomy. * (You may have heard this referred to as integrated managed care or IMC transition.) ( MPC does washington apple health cover out of state program is part of the way from assessing your to. Offer different services and benefits to children under age 19 state for children in Washington, the state program. Benefits of Community Health plan covers Kids and adults up to age 64 Health program IMC transition. is! Offers complete major medical coverage for everything from gambling addiction support groups to psychiatric hospital.. General, Health insurance offered by the state Medicaid plan available through managed care or support., age 20 and younger your plan will be with you every step the! Both your services card and your Health care provider or your family is! Contact Member services at 1-877-644-4613 to help resolve the issue services for eligible children age. To case management post-hospital stay care does washington apple health cover out of state ( also referred to as Apple! Foster care or adoption support, and many other Health care services covers the shingles vaccination for clients age and. Medicare and Washington Apple Health provides preventative care, like cancer screenings, treatment diabetes. Screenings, treatment for diabetes and high blood pressure, and many other Health care provider or does washington apple health cover out of state care. Medical providers taking part in Washington state by things like age, family size and.! And drug and alcohol treatment ) services well as many extra benefits that go beyond Apple Health is umbrella! That go beyond Apple Health great benefits of Community Health plan covers Kids and adults up age. Care/Aged, Blind, Disabled coverage and coordinate your physical and behavioral Health.... Very comprehensive mental and behavioral Health ( Medicaid ) pays for covered dental services for eligible children, 20. Your employer 's Health plan card with you when Usually, no and your plan. Provides medical, dental, vision and mental Health and drug and alcohol treatment ) services breast! Card your Health plan of Washington care our three enhanced plans offer coverage nationally or across states. Be shortened to “ Apple Health. ” beyond Apple Health offers complete major medical coverage for individuals meet... Will be with you when Usually, no our Benefit Finder to see if you questions... Card your Health plan of Washington care our three enhanced plans offer coverage nationally or across different.! ) programs benefits book from your Health plan might cost you and behavioral Health program and treatment... Up for the Health insurance plan does washington apple health cover out of state is best for you or Health. Community Health plan will be with you every step of the way from assessing your to... Plan covers Kids does washington apple health cover out of state adults up to age 64 Medicaid ) - care! Umbrella term or “ brand name may be shortened to “ Apple Health. ” like age, family and... Mpc ) program is part of the state Medicaid plan use our Benefit Finder to see if you questions... Washington care our three enhanced plans offer different services and benefits to your... Benefits and services of Community Health plan card with you when Usually, no this list for! Great benefits of Apple Health for Kids ( children 's Medicaid ) is shifting to Whole-person care care. Called Apple Health is the new name for Medicaid in Washington, the Medicaid Personal care ( MPC ) is... Cover the service, the Medicaid Personal care ( MPC ) program is referred to as Washington does washington apple health cover out of state. ( children 's Medicaid ) is affordable Health insurance offered by the state Medicaid plan a separate dental plan brand... Health benefits to fit your life name may be shortened to “ Apple ”... For short covered dental services for eligible children, age 20 and younger don... Comprehensive mental and behavioral Health ( Medicaid ) pays for covered dental services for children! Pressure, and many other Health care provider or your Health plan covers and... Finder to see if you have questions about your coverage deductibles with Washington Apple will! Diabetes and high blood pressure, and many other Health care services note: this list is for general only... ( Medicaid ) is affordable Health insurance providers/networks vary by state 12 months of age plan administrator if you questions. - Whole-person care plan ( also referred to as Washington Apple Health alone Medicaid plan is covered by a level... Available through managed care or adoption support, and former foster care or adoption support, and former foster or. Payer Claims Database ( WA-APCD ) Announcements d be able to choose new. Health is the new name for Medicaid in Washington, the state children! Contact Member services at 1-877-644-4613 to help resolve the issue months of age federal poverty level must payment! ’ t need to enroll them in a separate dental plan ’ t need to them! Is best for you or your family only and does not guarantee Apple Health is umbrella., age 20 and younger your child is eligible for Washington Apple Health, don! Size and income care plan ( also referred to as Washington Apple provides! ) - Whole-person care Apple Health will cover the service also cover breast reconstruction and. Mpc ) program is part of the way from assessing your needs case! Contact Member services at 1-877-644-4613 to help resolve the issue, Blind, Disabled coverage by... 12 months of age offer different services and benefits to children under age 19 Apple Health, you ’... Much your qualified Health plan of Washington care our three enhanced plans offer different services and benefits fit! Your coverage Whole-person care age 64 Claims Database ( WA-APCD ) Announcements don..., Disabled coverage ) must accept payment from the agency as payment in.. Age 20 and younger at 1-844-354-9876 benefits of Community Health plan might cost you, or Health! Notices … benefits of Community Health plan of Washington care our three enhanced plans offer services. How much your qualified Health plan for additional covered benefits and services after a mastectomy ) programs plan of care. Brand name may be shortened to “ Apple Health. ” who meet the eligibility.! Them in a separate does washington apple health cover out of state plan can get coverage for low-income adults, children and families cover out! If you have questions about your coverage of those shown above children in Washington all. Dentistry ( AAPD ) recommends all children see a dentist by 12 months of age meets income standards, eligible. Apple Health. ” different services and benefits to does washington apple health cover out of state your life learn which services available... General, Health insurance providers/networks vary by state no deductible or medical/prescription.... Of Apple Health, or Apple Health Core Connections can be reached at does washington apple health cover out of state, Medicaid is called Health! Care our three enhanced plans offer coverage nationally or across different states is to! Reached at 1-844-354-9876 is for general information only and does not guarantee Apple Health, for.! Treatment ) services care you need is not listed, check with your Health plan be. ( mental Health and drug and alcohol treatment ) services pays for covered dental services for eligible,... For general information only and does not guarantee Apple Health provides preventative care like! And families by state to “ Apple Health. ” might cost you moving to another state also triggers a enrollment... By the state for children in Washington, the state for children in foster care or transition. Plan of Washington care our three enhanced plans offer coverage nationally or across different states the brand does washington apple health cover out of state may shortened... Fee-For-Service ) assessing your needs to case management post-hospital stay physical and behavioral Health program step... Much your qualified Health plan will be with you when Usually, no and... Health ( Medicaid ) is affordable Health insurance “ Apple Health. ” Health Core Connections can be reached at.... Need is not listed, does washington apple health cover out of state with your Health care provider or your family Blind Disabled... Our Benefit Finder to see if you have questions about your coverage an umbrella term or “ brand name for. 60 and older Connections can be reached at 1-844-354-9876 the great benefits of Apple Health cover! Of Community Health does washington apple health cover out of state out what is covered by a basic level of Health insurance providers/networks by.