How do I contract with Washington state Medicaid for Behavioral Health?
UnitedHealthcare offers UnitedHealthcare Dual Complete® (HMO D-SNP) H5008-002-000 plans for Washington and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.
Does UnitedHealthcare cover alcohol and drug rehab?
In Washington, the name of Medicaid is Washington Apple Health. If you are enrolled in Apple Health, you qualify to get treatment for a substance use disorder. If you are not enrolled, find out if you are eligible, then apply for Apple Health through Washington Healthplanfinder. For 24-hour emotional support, and referrals to treatment and recovery services anywhere in the state, call …
Does Washington state Medicaid cover substance abuse treatment?
· United Healthcare insurance plans will help clients in Washington pay for the cost of a drug and alcohol treatment center. United Healthcare insurance does contract with different service providers, to ensure its clients can receive discounted and affordable rates with drug addiction treatment. United Healthcare insurance can help pay for group therapy that is …
What are the benefits of UnitedHealthcare dual complete special needs plans?
Washington UnitedHealthcare Dual Complete® Special Needs Plans. UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams. Members must have Medicaid to enroll.
What does UnitedHealthcare dual complete consist of?
A UnitedHealthcare Dual Complete plan is a DSNP that provides health benefits for people who are “dually-eligible,” meaning they qualify for both Medicare and Medicaid. Who qualifies? Anyone who meets the eligibility criteria for both Medicare and Medicaid is qualified to enroll in a DSNP.
Does UHC cover all 50 states?
About the Business UnitedHealthcare Community & State participates in programs in 25 states plus Washington D.C. serving over six million beneficiaries of acute and long-term care Medicaid plans, the Children's Health Insurance Program (CHIP), Special Needs Plans and other federal and state health care programs.
What is Washington provider1?
ProviderOne means the Washington state consolidated single payment system for Medicaid, medical and similar health care provider claims. All SBHS claims are paid through the ProviderOne system.
Is UHC dual complete primary to Medicare?
UHC Dual Complete plans cover everything found in Original Medicare (Medicare Part A and Part B). That includes both inpatient and outpatient care and durable medical equipment (DME).
What is a dual complete RP?
UnitedHealthcare Dual Complete RP. Health Maintenance Organization (HMO) plans use a network of contracted local physicians and hospitals to provide member care. Generally, members must use these care providers to receive benefits for covered services, except in emergencies. Some HMO plans do not require referrals for specialty care.
What is a dual SNP?
UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid . These SNP plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams. Members must have Medicaid to enroll. Plan names vary by state and may include one or more ...
What is SNP insurance?
These SNP plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams. Members must have Medicaid to enroll. Plan names vary by state and may include one or more of the following: UnitedHealthcare Dual Complete. UnitedHealthcare Dual Complete Choice.
What is an HMO plan?
Health Maintenance Organization (HMO) plans use a network of contracted local physicians and hospitals to provide member care. Generally, members must use these care providers to receive benefits for covered services, except in emergencies. Some HMO plans do not require referrals for specialty care.
Do POS plans require referrals?
Some POS plans do not require referrals for specialty care. Preferred Provider Organization (PPO) plans work with a network of contracted local physicians and hospitals, but also allows members the flexibility to seek covered services from outside of the contracted network, usually at a higher cost.
Do you need a referral for PPO?
Members do not need a referral for specialty care. PPO plans are available as either local PPO (certain counties within a state) or regional PPO (RPPO) offerings. RPPOs serve a larger geographic area - either a single state or a multi-state area.
What is a point of service plan?
Point of Service (HMO-POS) plans include all the features of HMO plans plus the ability to go outside the contracted network for certain health care services - typically at a higher cost. Some POS plans do not require referrals for specialty care.
What is dual diagnosis treatment?
behavioral therapies. dual-diagnosis treatment. UnitedHealthCare provides employer and private plans, community plans, Medicare plans, and Medicaid plans. In other words, one person’s plan and level of coverage may vary greatly from that of the next.
Does United Healthcare cover addiction?
UnitedHealthCare is one of the largest insurance providers in the United States covering millions of individuals on a variety of different plans. Depending on your plan, UHC may cover up to 100 percent of your stay at an inpatient drug and alcohol treatment center. Rehab Centers That Accept United Healthcare United Healthcare Coverage For Addiction ...
What is the UHC plan?
UnitedHealthCare is one of the largest insurance providers in the United States covering millions of individuals on a variety of different plans. Depending on your plan, UHC may cover up to 100 percent of your stay at an inpatient drug and alcohol treatment center.
What is dual eligible Medicare?
A dual-eligible individual has both Medicare coverage and Apple Health coverage. This includes physical and behavioral health care coverage. If you are a dual-eligible client, Medicare is your primary coverage for your physical health care needs. You also have Apple Health as secondary coverage. Dual-eligible clients also have behavioral health ...
What is dual eligible?
Who is a dual-eligible individual? A dual-eligible individual has both Medicare coverage and Apple Health coverage. This includes physical and behavioral health care coverage. If you are a dual-eligible client, Medicare is your primary coverage for your physical health care needs. You also have Apple Health as secondary coverage.
What is a D-SNP?
A D -SNP also improves your care coordination. Being in a D-SNP makes it easier for your providers to make referrals and plan your treatment. You may choose the same managed care plan for both D-SNP and BHSO coverage. If so, the plan covers both your physical health care and your behavioral health care needs. Some D-SNP plans offer supplemental ...
What happens if UHG policies conflict with state contract?
If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.
What is a dual SNP?
UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Members must have Medicaid to enroll.
What is WISE Opens in a New Window?
WISe Opens in a new window open_in_new is a voluntary service that takes a team approach to meeting the needs of children and youth. It provides intensive mental health services to support you and your family in meeting your goals.
Is UnitedHealthcare a Medicare Advantage?
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
How to contact Medicare Advantage?
For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048) , 24 hours a day/7 days a week or consult www.medicare.gov. You must have both Part A and B to enroll in a Medicare Advantage plan. Members may enroll in the plan only during specific times of the year.
What is the number to call for TTY?
and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778 or consult www.socialsecurity.gov; or your Medicaid Office.
How long does Medicare open enrollment last?
For Medicare Supplement Insurance Only: Open enrollment lasts 6 months and begins the first day of the month in which you are 65 or older and enrolled in Medicare Part B. Some states have an open enrollment period for eligible individuals under the age of 65, and a second enrollment period when they turn 65.
What is the phone number for Medicare?
This information is available for free in other formats and languages. Please call our customer service number at 1-800-555-5757, TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week. Esta información está disponible sin costo en otros idiomas.
How to file a complaint with Medicare?
Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days a week or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.