Effective January 1, 2021. I. NFORMATION. First Name: MI: Last Name: DOB: Member ID: Physician Information . Phone: (800) 562-3022 ext. • Online: Use the Prior Authorization and Notification tool on Link. CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. 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. Legend . Go to . 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. 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. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled. Washington Medicaid-Approved Preferred Drug List. (2) The medicaid agency requires a provider to create an authorization number for EPA for selected medical equipment procedure codes. Prior authorization is required. Reauthorization Patient Information . Effective Date 1/01/20. (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. 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. Molina Healthcare of Washington Medicaid Prior Authorization Request Form . QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month Molina Healthcare of Washington Phone: (800) 213-5525 Option 1-2-2 | Fax: (800) 869-7791 Urgent . Phone Number: (800) 869-7175 . Email: ASKMEDICAID@dshs.wa.gov. This EA allows pharmacies to submit a claim for a seven (7) day supply without a prior authorization. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. Contact Washington State Medicaid. Plan: Molina Medicaid Other: Member Name: DOB: / / Member ID#: Phone: ( ) - Service Type: Elective/Routine. Learn More About. 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