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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Individual providers, or IPs, are people who provide in-home caregiving to another person, a client, who is eligible for Medicaid in-home care services. IPs must take training and get certified. They are employed by the Consumer Direct Care Network of Washington.
You may contact the Medicaid Purchasing Administration's Customer Service Center at 1-800-562-3022. (or TTY at 1-800-848-5429) or online at Washington State Medicaid Customer Service.
To find out if you are already an Apple Health (Medicaid) provider, please call Provider Enrollment at 1-800-562-307. Phones are open on Tuesdays and Thursdays from a.m. to p.m. (closed from noon to 1 p.m.).
ProviderOne is the computer system that coordinates with the health plans. It also sends you letters and handbooks. The number on the card is your ProviderOne client number. Your Services Card does not contain any personal information except your name, your ProviderOne client number, and the issue date.
You may contact the Medicaid Purchasing Administration's Customer Service Center at 1-800-562-3022. (or TTY at 1-800-848-5429) or online at Washington State Medicaid Customer Service.
Call the Washington State Health Care Authority at 1-800-562-3022.