Health Care Programs and Services

• Alcohol and Substance Abuse - Chemical dependency recovery services
• Billing Instructions / Numbered Memos - Billing instructions and updates
• Children's Health Insurance Program - (SCHIP) Children's health insurance for families above Medicaid income limits
• Children's Health Program - (CHP) Health care for children who are ineligible for Medicaid
• Chronic Care Management - Pilot program in care management for the chronically ill
• Consumer Assessment of Health Plans Survey - Customer survey of Medicaid clients
• Customer Publications - HRSA publications that describe services for clients
• Disability Determination Services - Social Security disability determination offices
• Electronic Claims Submission System - WAMedWeb provider claims submission system
• Eligibility for Medical Programs - General Medicaid eligibility information
• Family Planning - Medicaid family planning programs
• First Steps - Medicaid maternity and infant care
• GAU Managed Care - A pilot General Assistance program for King and Pierce County clients who are unable to work
• Health Insurance Portability and Accountability Act (HIPAA) - Information for providers about current federal medical privacy laws
• Healthy Kids Now  - Health coverage programs for children
• Healthy Options - Managed Care - Medicaid program for adults and families
• Hospital Information - Billing information for hospitals that treat Medicaid patients
• Interpreter Services - Information for providers who need interpreters for Medicaid clients
• Liens/Third Party Recovery - Information about coordination of benefits between Medicaid and other insurers
• MMIS / ProviderOne - Medicaid Management Information System for providers
• Medicaid Administrative Match - Matching funds to support community enrollment in Medicaid programs
• Medicare Part D - Patient information about Medicare prescription drug benefits
• Mental Health - Mental health programs
• OPPS (Outpatient Prospective Payment System) - Reimbursement information for hospitals
• Patient Review & Coordination - A program that coordinates client care with one provider and one pharmacy
• Pharmacy Information - General information about Medicaid pharmacy services
• Professional Rates - Medicaid billing information for fee-for-service providers
• Provider Publications/Fee Schedules - Billing instructions and Numbered Memos (billing updates)
• Provider Enrollment - information on how to become a Medicaid provider
• State Psychiatric Hospitals - Western State Hospital, Eastern State Hospital, and the Child Study Treatment Center

• Stop smoking assistance for Medicaid clients

• Transportation Services - General information to help Medicaid patients get to and from appointments
• Title XIX Medicaid Advisory Committee - A group that oversees Medicaid operations, programs, and planning
• Washington Administrative Code (WAC)
• Washington Administrative Code (WAC) Updates in process
• Washington Medicaid Integration Partnership (WMIP) - Long-term managed care information pilot program in Snohomish county
• Washington Medicaid State Plan - The plan that details how Washington will spend federal Medicaid funding

For comments or questions regarding health and recovery services, email contact us