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  • Molina Of Washington Prior Authorization Form 2020

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Contact Information Provider ServicesPhone (855) 322-4082 Fax (425) 424-1172 / (877) 814-0342ClaimsPhone (855) 322-4082 PO Box 22612 Long Beach, CA 90801Member ServicesPhone (800) 869-7165 Fax (800) 816-3778Mailing AddressMolina Healthcare of Washington PO Box 4004 Bothell, WA 98041-40041 more row • Jun 11, 2020

Molina Healthcare's Apple Health (Medicaid) health plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs.

Washington Apple Health is health coverage for low-income adults, children and families. Eligibility is determined by things like age, family size and income. Enrollment is done through Washington Healthplanfinder, .wahealthplanfinder.org.

Claims submitted electronically must use EDI payor ID number – 38336.

Claims for services provided to Molina members should be submitting within six months (180 days) of the date of service unless otherwise agreed upon in the Participating Provider Agreement.

Molina accepted locally for Medicaid as Community Health Plan of Washington departs. As of the start of the new year, Community Health Plan of Washington(CHPW) is no longer operating in Grays Harbor County. In response to their departure, GHCH says that they have partnered with Molina as of January 1st.

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. Learn more.

What Is Apple Health? Apple Health is the name for Medicaid in Washington. Apple Health is free or low-cost health insurance coverage for those who qualify. Covered services include primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232