Effective Date 1/01/20. Fax Number: (800) 767-7188 . Prior authorization and medical necessity processes in fee-for-service delivery systems are established, defined and administered at state/territory discretion and may vary depending on the benefit. The Health Care Authority (HCA) would like to remind providers of the Washington Apple Health fee-for-service (FFS) expedited authorization (EA) criteria for buprenorphine monotherapy for pregnant clients. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. New state rules and the WSMA Prior Authorization Navigator. First Name: MI: Last Name: DOB: Member ID: Physician Information . Procedures Requiring Prior Authorization. Phone: (800) 562-3022 ext. (2) The medicaid agency requires a provider to create an authorization number for EPA for selected medical equipment procedure codes. Washington Medicaid-Approved Preferred Drug List. Prior authorization is required. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled. UHCprovider.com This EA allows pharmacies to submit a claim for a seven (7) day supply without a prior authorization. M. EMBER . Online: »visit the Washington State Medicaid website »visit the Authorization for Services webpage »report provider and client problems »more contact info Effective January 1, 2021. • Online: Use the Prior Authorization and Notification tool on Link. Go to . Molina Healthcare of Washington Medicaid Prior Authorization Request Form . How to apply for Medicaid.. Legend . CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. To request prior authorization, please submit your request online or by phone. Reauthorization Patient Information . Email: ASKMEDICAID@dshs.wa.gov. Plan: Molina Medicaid Other: Member Name: DOB: / / Member ID#: Phone: ( ) - Service Type: Elective/Routine. I. NFORMATION. Phone Number: (800) 869-7175 . 52018. Molina Healthcare of Washington Phone: (800) 213-5525 Option 1-2-2 | Fax: (800) 869-7791 Urgent . To request prior authorization, please submit your request online or by phone. Learn More About. Prior Authorization Code Search. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. (1) The expedited prior authorization process (EPA) is designed to eliminate the need for written and telephonic requests for prior authorization for selected medical equipment procedure codes. QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month The types of services that help an adult remain at home.. Finding other places to live and get care if the adult can no longer live at home.. Finding caregiver resources and information.. Ways to stay independent as long as possible.. Find in-depth information about the rules and laws that govern Washington State’s Medicaid program. Contact Washington State Medicaid.