WA HCA 18-001P 2018 free printable template
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Application health Care Coverage(and to find out if you can get help with costs) Use this application to see what health care coverage you qualify for: Apply faster online Information you will need
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How to fill out WA HCA 18-001P
How to fill out WA HCA 18-001P
01
Obtain the WA HCA 18-001P form from the Washington State Healthcare Authority website.
02
Fill in your personal information such as name, address, date of birth, and Social Security number at the top of the form.
03
Indicate your Medicaid eligibility status by checking the appropriate box.
04
Complete the section regarding your household information and the number of individuals in your household.
05
Provide details of your income sources, including wages, benefits, and other income.
06
Sign and date the form to certify that the information provided is accurate.
07
Submit the completed form to the designated address as listed on the form instructions.
Who needs WA HCA 18-001P?
01
Individuals seeking Medicaid assistance in Washington State.
02
Families or individuals who have been informed they need to provide their health coverage information for Medicaid eligibility.
03
Anyone applying for financial assistance for healthcare services through the Washington Healthcare Authority.
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What is the 800 number for Washington Health Plan Finder?
The Customer Support Center is available at 1-855-WAFINDER (1-855-923-4633).
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Learn more. Molina's BHSO health plan is designed to provide Washington Apple Health (Medicaid) Fee-for-service members with mental health and substance use disorder treatment services. Together with our behavioral health providers, our goal is to help keep you well.
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Overview. Washington Healthplanfinder has a rating of 1.25 stars from 8 reviews, indicating that most customers are generally dissatisfied with their purchases. Washington Healthplanfinder ranks 78th among Health Insurance sites.
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Proof of Income or Deductions Payroll statements for the last 60 days. Your most recent tax return (first two pages) Self-employment Profit and Loss document for the past three months.
What is the phone number for Washington State healthcare?
Call the Health Care Authority at 1-800-562-3022 (TRS: 711).
What is proof of income for Washington Healthplanfinder?
Proof of Income or Deductions Payroll statements for the last 60 days. Your most recent tax return (first two pages) Self-employment Profit and Loss document for the past three months.
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What is WA HCA 18-001P?
WA HCA 18-001P is a form used by the Washington State Healthcare Authority for reporting purposes related to healthcare services.
Who is required to file WA HCA 18-001P?
Providers of healthcare services, particularly those participating in Medicaid or similar programs in Washington State, are required to file WA HCA 18-001P.
How to fill out WA HCA 18-001P?
To fill out WA HCA 18-001P, provide accurate information regarding the healthcare services rendered, including patient details, diagnosis codes, and treatment provided, ensuring compliance with the guidelines provided by the Washington State Healthcare Authority.
What is the purpose of WA HCA 18-001P?
The purpose of WA HCA 18-001P is to collect standardized data from healthcare providers to ensure accountability, quality, and efficiency in healthcare service delivery within the state.
What information must be reported on WA HCA 18-001P?
The information that must be reported on WA HCA 18-001P includes patient demographics, dates of service, healthcare provider details, services performed, and relevant diagnosis codes.
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