Departments and Agencies

Forms
Encounter Data Reporting Guide - Health Care Authority - hca wa
Healthy Options Medical Benefit Book - Health Care Authority - hca wa
E M P L OY E E E N R O L L M E N T G U I D E Your PEBB Benefits for 2014 Forms Inside HCA 50-100 (11/13) Contact the Plans Website addresses Customer service phone numbers TTY Customer service phone numbers (deaf, hard of hearing, or speech
Provider Selection - hca wa
????? ????????? (Enrollment Form) - Health Care Authority - hca wa
Section 1915(b) Waiver Proposal
Request for Bariatric Surgery Coverage - hca wa
How to use your private health insurance and Services Card to receive health care - hca wa
CITIZENSHIP AFFIDAVIT - hca wa
Medicaid Update - hca wa
Eligibility Expedited Prior Authorization (EPA) Criteria - Health Care ... - hca wa
Enrollees in Medical Programs 12 Months Summary Report - hca wa
Affordable Care Act Provider Screening and Enrollment ... - hca wa
Surgery Prior Authorization through Qualis Health Frequently Asked ... - hca wa
Tooth Chart - hca wa
PREGNANT WOMAN ASSESSMENT QUESTIONS - hca wa
2015 Retiree Coverage Election/Change
2015 Washington State Health Care Authority Health Policy ... - hca wa
ProviderOne Claim Adjustment/Void
PEBB Benefit Eligibility Worksheet C-2 - Employees currently ... - hca wa
This is a request to cancel enrollment in a PEBB Medicare Advantage plan
Change forms previously submitted - hca wa
Final Demonstration Agreement - Health Care Authority - hca wa
How are my health premiums paid - hca wa
Application for Pregnant Teen Health Care Coverage (for Teens ... - hca wa
for Community Partners - hca wa
Washington State Employees, We are excited to announce that our ... - hca wa
Medicaid Drug Coverage List - hca wa
How to Register for an NPI - hca wa
Help Using PEBB's My Account - hca wa
Eligibility Expedited Prior Authorization (EPA) Criteria - hca wa
Chemical Dependency Treatment - hca wa
options for seniors and - hca wa
CompanyPlan Name, Address, - hca wa
Rural Health Clinics Washington State Health Care Authority Medicaid Provider Guide Rural Health Clinics Refer to Chapter 182-549 WAC A Billing Instruction Rural Health Clinics About this guide This guide, by the Health Care Authority (the
Non-Emergency Transfer Request - hca wa
Submit Nursing Home Institutional Claims using Templates
October 1, 2011 - May 31, 2012
Adding a Newborn in Healthplanfinder Scenario: Mother is open on ... - hca wa
Submit a Professional Claim with Primary Insurance other than ... - hca wa
Appendix I: Completing the CMS-1500 claim form - Health Care ... - hca wa
Eligibility Overview
ard(PEBBoa rd)approvedchangestom - hca wa
Convention and tourism tax - food establishment (RD-107) and instructions.pdf - hca wa
Contractor Intake Form - hca wa
Employee Authorization for Payroll Deduction to Health Savings ... - hca wa
() J2323 Request - hca wa
Creating Users and Adding profiles to user accounts - hca wa
Patient Review and Coordination Guide - Health Care Authority - hca wa
06 Kaiser California Region Group Enrollment-Change Form.doc. Nar-Anon - hca wa
Billing a Medicaid Client - Health Care Authority - hca wa
Exhibit C Health Homes 1 Health Homes Definitions 1.1. Aging and ... - hca wa
Employee Enrollment Guide - Health Care Authority - hca wa
Durable Medical Equipment - Health Care Authority - hca wa
Good Faith Agreement - hca wa
UMP CDHP 2015 Certificate of Coverage - hca wa
Providence Holy Family Hospital - hca wa
ORTHODONTIC SERVICES Provider Guide - hca wa
Private Duty Nursing for Children