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Phone Number: (800) 869-7175 . Learn More About. New state rules and the WSMA Prior Authorization Navigator. (2) The medicaid agency requires a provider to create an authorization number for EPA for selected medical equipment procedure codes. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. Prior authorization is required. QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month I. NFORMATION. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled. Prior Authorization Code Search. 52018. Contact Washington State Medicaid. UHCprovider.com Procedures Requiring Prior Authorization. Molina Healthcare of Washington Medicaid Prior Authorization Request Form . Effective Date 1/01/20. Fax Number: (800) 767-7188 . (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. CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. • Online: Use the Prior Authorization and Notification tool on Link. How to apply for Medicaid.. To request prior authorization, please submit your request online or by phone. To request prior authorization, please submit your request online or by phone. Go to . This EA allows pharmacies to submit a claim for a seven (7) day supply without a prior authorization. First Name: MI: Last Name: DOB: Member ID: Physician Information . Washington Medicaid-Approved Preferred Drug List. Molina Healthcare of Washington Phone: (800) 213-5525 Option 1-2-2 | Fax: (800) 869-7791 Urgent . Online: »visit the Washington State Medicaid website »visit the Authorization for Services webpage »report provider and client problems »more contact info Reauthorization Patient Information . Effective January 1, 2021. M. EMBER . Plan: Molina Medicaid Other: Member Name: DOB: / / Member ID#: Phone: ( ) - Service Type: Elective/Routine. 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. Email: ASKMEDICAID@dshs.wa.gov. 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