Top 10 Medicaid Provider Specialties in Washington: Family Doctor (1997 providers) Internist (1121 providers) Pediatrician (Kids / Children Specialist) (824 providers)
Full Answer
How do I find a physician in Washington State?
Search our member database of physicians and physician assistants from all specialties throughout Washington state to find the provider nearest your desired location and specialty. Search by name, location, specialty, or any combination of criteria.
How do I find a physician who accepts Medicaid?
In fact, you can use the federal Physician Care search feature to begin looking. This tool is managed by the Center for Medicare and Medicaid Services. You can use this Medicaid find a provider database to locate professionals no matter where you live.
How do I become a provider in Washington State?
Visit the Washington State Legislature website to find out. Provider type eligibility is determined by the Washington State Legislature (WAC 182-502-0002). Additional materials are required for certain provider types. If you are one of the providers below, please submit the following materials with your application.
Are you eligible to be an Apple Health (Medicaid) provider?
As a health care professional, in-home caregiver or one of dozens of other qualifying professions, you may be eligible to be an Apple Health (Medicaid) provider. Learn more about becoming a provider and using the ProviderOne billing and claims system to submit claims for payment. Information about novel coronavirus (COVID-19)
Can you have Medicaid and Medicare Washington State?
You may still be eligible for Washington Apple Health Classic Medicaid coverage, even if you have Medicare coverage. This coverage could include Apple Health coverage, help paying for Medicare premiums, or long-term services and supports.
Does Kaiser accept Medicaid Washington State?
Depending on your income and the eligibility rules, you may have to pay a share of the cost of your care. Kaiser Permanente participates in Washington Apple Health through Molina Healthcare of Washington, a Medicaid Managed Care Organization (MCO).
Which Medicaid plan is best Washington State?
The plan most people will want is the Washington Apple Health Integrated Managed Care plan (IMC). On top of its comprehensive healthcare benefits, the IMC plan offers health education, translation services, tobacco cessation, Boys & Girls Club memberships, and a healthy rewards program.
What is Washington state's version of Medicaid called?
In Washington State, Medicaid is called Apple Health.
What is the income limit for Medicaid in Washington state?
Income & Asset Limits for Eligibility2022 Washington Medicaid Long Term Care Eligibility for SeniorsType of MedicaidSingleMarried (one spouse applying)Medicaid Waivers / Home and Community Based Services$2,523 / month†$2,523 / month for applicant†Regular Medicaid / Aged, Blind, Disabled$841 / month$1,261 / month2 more rows•Dec 31, 2021
Does Washington state have Kaiser Permanente?
Locations across Washington With more than 35 Kaiser Permanente facilities throughout Western Washington and the Spokane area, and affiliated providers across the state, you'll have access to the right care when and where you need it.
What is the maximum income to qualify for free health care Washington State?
Today, Apple Health covers adults with incomes up to 138 percent of the federal poverty level. In April 2022 that translated to about $18,754 for a single person or $38,295 for a family of four.
What are the Medicaid plans in Washington state?
Apple Health managed care plansAmerigroup (AMG)1-800-600-4441Community Health Plan of Washington (CHPW)1-800-440-1561Coordinated Care of Washington (CCW)1-877-644-4613Molina Healthcare of Washington, Inc. (MHW)1-800-869-7165UnitedHealthcare Community Plan (UHC)1-877-542-8997
What is the most popular health insurance in Washington state?
Three Washington Health Plans Ranked Best in the NationAssociation of Washington CitiesPuget Sound EnergyKing CountyThe Boeing CompanyPacific Health CoalitionWashington Health Benefit ExchangePoint BWashington State Health Care AuthorityPort of SeattleWashington Teamsters Welfare Trust5 more rows•Aug 23, 2021
What is the highest income to qualify for Medicaid?
Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.
Who administers Medicaid in Washington state?
Washington State Health Care Authority.
Can I use my Medicaid in a different state?
Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.
What is the phone number for Washington University?
Meridian – 866-606-3700 TTY 711. YouthCare – 800-226-0768. It is always a good idea to verify that your Washington University provider is participating in the plan when you make your selection.
What is the phone number for home state health insurance?
Home State Health Plan – (phone) 855-694-4663 *. UHC Community Plan (phone) 844-813-7805*. *Please contact Missouri HealthNet’s enrollment hotline at 800-348-6627 if you are eligible to enroll in these plans.
Eligible provider types
Provider type eligibility is determined by the Washington State Legislature (WAC 182-502-0002).
Required materials
Additional materials are required for certain provider types. If you are one of the providers below, please submit the following materials with your application.
What is the Medicare conversion factor for 2022?
Notably, the 2022 Medicare conversion factor would be reduced by approximately 3.89% from $34.8931 to $33.5848. This is largely a result of the expiration of a 3.75% increase to the conversion factor at the end of calendar year 2021.
Is the Health Care Authority requesting physician and provider participation in its latest survey on the use of value based payments
The Health Care Authority is requesting physician and provider participation in its latest survey on the use of value-based payments in Washington. This survey will provide valuable insight into the challenges that practitioners face as they consider adopting new payment arrangements.
Is Washington State a provider based state?
Since Washington state announced a provider-based approach to its COVID-19 vaccine outreach, the WSMA has advocated for physicians and practices to be reimbursed for these important, and often necessary, conversations with their patients. On June 17, Gov. Jay Inslee, in conjunction with Insurance Commissioner Mike Kreidler and the Health Care Authority, announced that CPT consultation codes will temporarily be available for direct patient outreach.
Can you transfer Medicaid benefits across states?
However, if you reside near the border of another state, make sure you only use your benefits in the state where they were issued. Even though Medicaid is partially funded by the federal government, these benefits are also managed on the state level. This means that the benefits are not transferable across state lines.
Does urgent care accept Medicaid?
This means that some of the facilities in your community may not accept this type of insurance. However, there are some urgent care clinics that accept Medicaid. The only way to know for sure is to contact the facility you want to go to and ask if you can use your Medicaid there.
