Apple Health New Enrollment Policy

HCA Apple Health

PROVIDER ALERT

Washington Apple Health New Enrollment Policy

This is the first of three Provider Alerts on the Health Care Authority’s (the agency’s) future Washington Apple Health managed care enrollment policy.

Beginning in April 2016, eligible clients will be enrolled into managed care organizations (MCOs) as soon as possible after application for benefits or eligibility renewal. This includes backdating a client’s enrollment to the first day of the current month.

This change requires providers to know when a client is successfully enrolled and which MCO the client is enrolled in. MCOs will have retroactive authorization and notification policies in place.

A webinar is scheduled for March 17, 2016, and all interested stakeholders are invited to attend.  A recorded version of the webinar will be available a few days after the live version.  Instructions on how to participate in the webinar will be shared in a future notice.

The agency welcomes stakeholder questions. These questions will be used in the webinar and in a pre-implementation Q&A document.

Please send questions to hcamcprograms@hca.wa.gov.

Additional notices will be sent to stakeholders on March 1st and March 15th.