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Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State

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Page 1: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 2: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 3: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 4: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 5: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 6: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 7: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 8: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 9: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.chcf.net/chcfweb/sbc/wa-rms/?userID=TnixonTy
Page 10: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 11: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 12: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 13: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 14: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/billers-providers/programs-and-services/medicaid-administrative-claiming-mac
https://www.cms.gov/research-statistics-data-and-systems/computer-data-and-systems/medicaidbudgetexpendsystem/downloads/schoolhealthsvcs.pdf
https://www.chcf.net/
Page 15: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
mailto:[email protected]
Page 16: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf
https://www.hca.wa.gov/assets/billers-and-providers/medicaid101medicalworkshop.pdf
•Dental provider workshop
https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules
Page 17: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 18: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/assets/billers-and-providers/dental-20190101.xlsx
Page 19: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.govinfo.gov/app/details/USCODE-2010-title42/USCODE-2010-title42-chap7-subchapXIX-sec1396u-2
Page 20: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 21: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 22: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/assets/webinar_BillingaClient.pdf
https://www.hca.wa.gov/assets/billers-and-providers/webinar_billingaclientfaq.pdf
https://www.hca.wa.gov/assets/billers-and-providers/ProviderOneDDEAuthorizationSubmissionMEDICAL.pdf
https://www.hca.wa.gov/assets/billers-and-providers/ProviderOneDDEAuthorizationSubmissionDENTAL.pdf
https://www.hca.wa.gov/assets/billers-and-providers/ProviderOneDDEAuthorizationSubmissionDME.pdf
https://www.hca.wa.gov/assets/billers-and-providers/webinar_pharmacy_pa.pdf
Page 23: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 24: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 25: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 26: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 27: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 28: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 29: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/billers-providers-partners/programs-and-services/program-benefit-packages-and-scope-services
https://www.hca.wa.gov/assets/billers-and-providers/Tribal-health-bg-20190401.pdf
https://www.hca.wa.gov/assets/billers-and-providers/FQHC-bg-20190401.pdf
Page 30: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 31: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 32: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 33: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf
Page 34: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 35: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/sites/default/files/billers-and-providers/fs_spenddownstepbystep.pdf
Page 36: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://fortress.wa.gov/hca/p1contactus/
https://www.hca.wa.gov/assets/billers-and-providers/physician-related-bg-20190401.pdf
Page 37: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.medicaid.gov/federal-policy-guidance/downloads/sho022616.pdf
https://www.medicaid.gov/federal-policy-guidance/downloads/faq11817.pdf
Page 38: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.medicaid.gov/federal-policy-guidance/downloads/faq11817.pdf
Page 39: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/about-hca/apple-health-medicaid/apple-health-dental-moving-managed-care
Page 40: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 41: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/contact-hca
https://www.waproviderone.org/client/
https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/change-my-health-plan
Page 42: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 43: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
https://www.hca.wa.gov/assets/encounter_def_state_plan_092117.pdf
https://www.medicaid.gov/medicaid/program-integrity/ncci/index.html
Page 44: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 45: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 46: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 47: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 48: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 49: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
Page 50: Tribal compliance and operations workgroup (April 10, 2019) · 2019. 4. 10. · IRelations,Proü' Profile EXT Pro. Super User first Name: InquiryEnd0ate: 040/2019 Washington State
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
http://www.hca.wa.gov/tribal/Pages/index.aspx

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