washington medicaid expedited prior authorization list

How to apply for Medicaid.. Prior authorization is required. The types of services that help an adult remain at home.. Finding other places to live and get care if the adult can no longer live at home.. Finding caregiver resources and information.. Ways to stay independent as long as possible.. Find in-depth information about the rules and laws that govern Washington State’s Medicaid program. Online: »visit the Washington State Medicaid website »visit the Authorization for Services webpage »report provider and client problems »more contact info Fax Number: (800) 767-7188 . Prior authorization and medical necessity processes in fee-for-service delivery systems are established, defined and administered at state/territory discretion and may vary depending on the benefit. Phone: (800) 562-3022 ext. I. NFORMATION. 52018. M. EMBER . Learn More About. (1) The expedited prior authorization process (EPA) is designed to eliminate the need for written and telephonic requests for prior authorization for selected medical equipment procedure codes. Molina Healthcare of Washington Medicaid Prior Authorization Request Form . Phone Number: (800) 869-7175 . Molina Healthcare of Washington Phone: (800) 213-5525 Option 1-2-2 | Fax: (800) 869-7791 Urgent . (2) The medicaid agency requires a provider to create an authorization number for EPA for selected medical equipment procedure codes. CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. Reauthorization Patient Information . This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month Effective Date 1/01/20. Prior Authorization Code Search. Contact Washington State Medicaid. The Health Care Authority (HCA) would like to remind providers of the Washington Apple Health fee-for-service (FFS) expedited authorization (EA) criteria for buprenorphine monotherapy for pregnant clients. Plan: Molina Medicaid Other: Member Name: DOB: / / Member ID#: Phone: ( ) - Service Type: Elective/Routine. To request prior authorization, please submit your request online or by phone. First Name: MI: Last Name: DOB: Member ID: Physician Information . Washington Medicaid-Approved Preferred Drug List. • Online: Use the Prior Authorization and Notification tool on Link. Effective January 1, 2021. UHCprovider.com To request prior authorization, please submit your request online or by phone. Legend . New state rules and the WSMA Prior Authorization Navigator. Email: [email protected] Go to . This EA allows pharmacies to submit a claim for a seven (7) day supply without a prior authorization. Procedures Requiring Prior Authorization. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled.

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