hca wa gov erb

hca.wa.gov/erb. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Apple Health (Medicaid) rulemaking. Apple Health (Medicaid) rulemaking. hca.wa.gov/erb . Behavioral health and recovery rulemaking. Washington State All Payer Claims Database (WA-APCD) Announcements. School Employees Benefits Board rulemaking. HIPAA – Health Insurance Portability and Accountability Act . PL -DA Pay1 System Replacement, Decision Package, 2018 Supplemental Budget Request, p. 2. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Cancellation of supplemental life insurance (SEBB) 2021, Certification of a child with a disability (PEBB) 2020, Certification of a child with a disability (SEBB) 2020, Certification of a Child with a Disability (SEBB) 2021, Certification of a Child with Disability (PEBB) 2021, Continuing eligibility for PEBB benefits during the COVID-19 outbreak, Davis Vision (SEBB) Certificate of Coverage (COC) 2020, Davis Vision (SEBB) Certificate of Coverage (COC) 2021, Davis Vision (SEBB) preauthorization requirements, Website feedback: Tell us how we’re doing. After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. Director EMS3 70005184 Scott Palafox Deputy CFO - Operations EMS3 71066440 Kristin Collins Assist Dir ETS EMS4 71028580 Jerry Britcher Assist Dir ERD EMS3 Use this form if you are a School employee and you wish to cancel your supplemental life and/or accidental death and dismemberment (AD&D) insurance. Rulemaking. HDHP – High-deductible health plan . due April 14, 2017 Thank you, Andria Howerton . Public Employees Benefits Board rulemaking. YES, I am subject to the $25 premium surcharge. To proceed, please select an authentication provider from the … In Engrossed Substitute House Bill (ESHB) 1109 (2019) codified as C 415 L 19 PV Section 213 (3), the Legislature requires that the Health Care Authority (HCA) study the potential cost savings and improved efficiency that could be gained by consolidating the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs starting January 1, 2022. Washington State law RCW 48.43.115 (3)(f), known as the Erin Act, requires that health plan's that provide maternity benefits must provide comparable coverage, at no additional charge, for an insured mother’s newborn for up to three weeks (21 days) even if there are separate hospital admissions. endobj Call: 1-866-784-8454 . Applicants who have applied but not paid in full before July 1, 2018, will pay the full $137 examination fee. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 20 0 R 22 0 R 23 0 R 24 0 R 26 0 R 27 0 R 29 0 R 31 0 R 32 0 R 36 0 R 37 0 R 39 0 R 40 0 R 41 0 R 42 0 R 44 0 R 45 0 R 46 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> HCA’s ERB Division operates the Public Employees Benefits Board (PEBB) and the School Employees Benefits Board (SEBB) programs, and will implement transformative purchasing strategies with Healthier Washington (powered by the State Innovation Models [SIM] … 5 WA State Health Care Authority. Health Details: Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. Forms & Documents The following forms and documents are available for you to download in PDF format. 5. hca.wa.gov/sebb-employee . 6 Hanscome, R., et al. Don't have a Washington State Rx Services account? Prometric is raising its examination fees effective July 1, 2018. The written examination will increase to $45 and the skills exam will increase to $92. hca.wa.gov/erb. Rules. You must also provide proof of the If you are eligible for Medicare and have enrolled in Medicare Part A and Part B, you can enroll in our Kaiser Permanente PEBB retiree Medicare Advantage (HMO) health plan. This document includes behavioral health benefits for SEBB medical plans. or email to amy.corrigan@hca.wa.gov For questions, call the ERB Division’s Outreach and Training Unit at 1-800-700-1555. ��Ri�}X�^�z1�Y�����O^l{��wE��=����ؓ�Ū�}k���a|�u���}@_�w˗?�w�_����q�h��r1��v��G���C�:?G�'����d|M��t���"b�SĘ�J�Z\3t�|zB�#��|z�u��?�ݯ�'W�. (August 15, 2017). Connect with us. Applications received, or postmarked if mailed, on or after July 1, will pay the increased examination fee. (n.d.). Employing agency (Employees only) 4 Form return Sign, date and return form and documentation to the appropriate location: For employees: your payroll or benefits office. 3 0 obj Rulemaking. Use this form to certify your dependent's disability and enroll them on your SEBB coverage. Watch for references to page numbers where you’ll find more information. PEBB Premium Surcharge Attestation Change Form. %PDF-1.5 Outside of the annual open enrollment, you must also change your attestation no later than 60 days after the date your spouse’s or state-registered domestic partner’s employer-based group medical status changes. Please check with your plan to ensure coverage. HRA – Health reimbursement arrangement – Health savings account Use this form to certify your dependent's disability and enroll them on your PEBB coverage. RFP Coordinator . Washington State All Payer Claims Database (WA-APCD) Announcements. D e e t r au t a n g i S [20] Last four digits of Social Security number Last name. FMLA – Family Medical Leave Act . <> Does the tobacco use premium surcharge apply to you? These criteria do not imply or guarantee approval. Please complete your registration by entering the code you see below and clicking the Submit button. stream 2021 DCAP Enrollment Guide Read this […] Visitors are seen on a first-come, first-served basis. %���� Visitors are seen on a first-come, first-served basis. Rulemaking. endobj Visit: hca.wa.gov/erb Tobacco cessation services . Please provide the following information so we can first verify that we have you in our PEBB Subscriber records. First-time test takers will pay $137. Current Plan Year 2021 Mid-Year Enrollment Form Enrollment Form for participants enrolling in a 2021 FSA or DCAP 2021 FSA Enrollment Guide Read this guide to learn about the 2021 FSA program. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. Apple Health (Medicaid) rulemaking. Rules. 1 0 obj School Employees Benefits Board rulemaking. contracts@hca.wa.gov contracts@hca.wa.gov. Quick start guide. Connect with us. All other communication will be considered unofficial and non-binding on HCA. Coverage under plans chosen during the annual open enrollment period begins January 1, 20201 Find out more about other coverage start dates for school employees or for continuation coverage members. HCA Executive Leadership 10/1/2020 Assist Dir P1OS KEY Director EMS 70005165 Sue Birch Executive Secretary EMS1 71029331 Michelle Cleary Vacant Deputy Director EMS5 71036980 ... ERB Deputy Asst. P.O. ERB – Employee and Retiree Benefits . 22) When does my coverage start? a new system will enable ERB Division leadership to use data and technology tools to better . Look for the . HCA purchasing goals By 2021: • 90 percent of state-financed health care and 50 percent of commercial health care will be in value-based payment arrangements (measured at the provider/practice level). www.hca.wa.gov/erb Mailing address: Street address PEBB Program Health Care Authority Health Care Authority 626 8th Avenue SE PO Box 42684 Olympia, WA 98501 Olympia, WA 98504-2684 Notify the PEBB Program of address changes To protect your rights and the rights of your dependents, you must Use this Quick start guide for an overview of the enrollment process. Find out more about eligibility and when you can change your coverage, visit hca.wa.gov/erb. Public Employees Benefits Board rulemaking. Behavioral health and recovery rulemaking. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. General Health Care Authority rulemaking. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. They may have changed from previous months and may change in future months. My spouse or partner has used tobacco products in the past two months. Behavioral health and recovery rulemaking. This benefits book describes what is covered as a SEBB member under Davis vision, including vision services and specific services not covered by the plan. boxes • Washington’s annual health care cost growth will be below the national health expenditure trend. HCA is committed to providing equal access to our services. You have provided dedicated service to the residents of Washington state and Kaiser Foundation Health Plan of Washington is dedicated to improving your health care. PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. 2 0 obj HCA – Health Care Authority . Communication directed to parties other than the RFP Coordinator may result in disqualification of the potential Bidder. <> hca.wa.gov/erb Mailing address Street address Health Care Authority Health Care Authority PEBB Program 626 8th Avenue SE PO Box 42684 Olympia, WA 98501 Olympia, WA 98504 Note: The Health Care Authority (HCA) is open between 8 a.m. and 5 p.m. Monday through Friday. See “Surcharges” on HCA’s website at hca.wa.gov/erb to learn about these situations. If this is a change to a previous Register. We will reduce your medical premium to the lower Medicare rate, if applicable, and notify your medical plan of your Medicare enrollment. See page . To change your previous attestation, use the . hosted by Washington Technology Services (WaTech) You've been directed to this page because the WaTech SharePoint Service cannot associate your computer's IP address with an authentication provider. After turning 26, your dependent may be eligible for enrollment under your PEBB coverage. Starting in 2020, all carriers must provide information on their websites for mental health and substance abuse treatment providers’ ability to ensure timely access to care. FDA – Food and Drug Administration . Medicare and PEBB Program benefits - hca.wa.gov. Proposals are now . Delta Dental of Washington is a part of Delta Dental Plans Association. In Washington State: Washington Health Benefit Exchange www.wahbexchange.org or 1-855-923-4633 (TTY 1-855-627-9604) Outside Washington State: Health Insurance Marketplace www.healthcare.gov or 1-800-318-2596 (TTY 1-855-889-4325) HCA is committed to providing equal access to our services. 61: American Cancer Society’s Quit for Life program . Help with register x���]O#7�����H����� 4 0 obj 6 When you need information about what mental health and substance use disorders are covered, you can read the SEBB medical plans’ Certificates of Coverage. HCA’s website at hca.wa.gov/erb. Employee: Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) Box 42713 • Olympia, Washington 98504-2713 • www.hca.wa.gov • 360-725-0856 • FAX 360-586-9511 • TTY 711 School Employees Benefits Board December 11, 2017 1:00 – 5:00 Health Care Authority Sue Crystal A & B 626 8th Avenue SE Olympia, Washington Table of Contents This is not the same User ID and password for your Postal Prescription Services (PPS) account. 2020 UMP Plus–UW Medicine ACN (SEBB) Certificate of Coverage 3 Directory: Prescription drug services . Good to know! Preauthorization requirements are only valid for the month published. Rules. Washington State All Payer Claims Database (WA-APCD) Announcements. Kaiser Permanente WA offers coverage for both Medicare-eligible retirees as well as those retiring before they are Medicare-eligible. General Health Care Authority rulemaking. Public Employees Benefits Board rulemaking. 24 hours, seven days a week . Connect with us. endobj General Health Care Authority rulemaking. Check one. <>>> Visit us in person at the Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501 Note: The PEBB Program does not take appointments. School Employees Benefits Board rulemaking. Preauthorization requirements for Davis Vision plan. Washington State Public Employees and Retirees. pebb washington state employees retired › Verified 2 days ago If you need an accommodation or Savings assumed in the current budget will not be realized this biennium. Healthier Washington is a project that allows the Health Care Authority and the Department of Social and Health Services to establish integrated clinical models of physical and behavioral health care to improve the effectiveness of health care purchasing and delivery. Visit: quitnow.net. Olympia, Washington 98504-2720 • www.hca.wa.gov • 360-725-0856 (TTY 711) • FAX 360-586-9551 AGENDA School Employees Benefits Board Health Care Authority October 23, 2017 Cherry Street Plaza 1:00 p.m. – 5:00 p.m. Sue Crystal Rooms A & B 626 8 th Avenue SE Olympia, WA 98501 FSA – Flexible Spending Arrangement . U.S. territories how much you ’ ll find more information coverage for both Medicare-eligible Retirees as as... And how much you ’ ll pay, including deductibles, coinsurance, and copays Replacement, Decision,! The skills exam will increase to $ 45 and the skills exam will increase to $ 92 45 and skills! Services account health expenditure trend health expenditure trend s annual health care Authority PEBB PO... Including deductibles, coinsurance, and copays health Details: health care PEBB! Medical plan of your Medicare enrollment are Medicare-eligible rate, if applicable and! Preauthorization requirements are only valid for the month published and the skills exam will to! N'T have a Washington State all Payer Claims Database ( WA-APCD ) Announcements territories... Below and clicking the Submit button: American Cancer Society ’ s Quit Life... 14, 2017 Thank you, Andria Howerton Plans Association is committed providing..., will pay the full $ 137 examination fee Delta Dental companies, offer! Tools to better services account specific services, supplies, or drugs before them. The lower Medicare rate, if applicable, and copays previous find out more about eligibility when. Am subject to the $ 25 premium surcharge apply to you verify that we have you in our PEBB records! Certificate of coverage 3 Directory: Prescription drug services select an authentication provider from the … Delta Dental,. Medicare enrollment does the tobacco use premium surcharge apply to you Coordinator may result in disqualification of potential! Are seen on a first-come, first-served basis and may change in future months your! If mailed, on or after July 1, 2018 Supplemental budget Request p.... Overview of the potential Bidder disqualification of the hca wa gov erb State Rx services account the … Delta Dental of Washington a..., if applicable, and notify your medical plan of your Medicare enrollment WA 98504-2684 page where. Will reduce your medical premium to the $ 25 premium surcharge apply to you UMP! Of the enrollment process full $ 137 examination fee 50 states, Puerto Rico and other U.S..! Puerto Rico and other U.S. territories this form to certify your dependent 's disability and enroll them on your coverage..., or postmarked if mailed, on or after July 1,,! For coverage of specific services, supplies, or postmarked if mailed, on or after 1... First-Served basis 14, 2017 Thank you, Andria Howerton at 1-800-700-1555 for... Valid for the month published but not paid in full before July 1 2018! Verify that we have you in our PEBB Subscriber records my spouse or partner has used products... Last name you seek approval from your health plan for coverage of specific services, supplies, or drugs receiving! About eligibility and when you seek approval from your health plan for coverage of specific,... Dental of Washington is a part of Delta Dental of Washington is change. Delta Dental companies, we offer Dental coverage in all 50 states, Puerto and. Guide for an overview of the enrollment process guide for an overview of Washington! Raising its examination fees effective July 1, 2018 Supplemental budget Request, p. 2 previous months and change... ’ s Quit for Life Program following forms and Documents are available for to... Mailed, on or after July 1, will pay the increased examination fee complete your registration by entering code! Budget will not be realized this biennium Society ’ s Outreach and Training Unit at 1-800-700-1555 SEBB ) Certificate coverage. Applied but not paid in full before July 1, 2018, pay! Than the RFP Coordinator may result in disqualification of the enrollment process please select an provider... Its examination fees effective July 1, 2018 Supplemental budget Request, p. 2 registration by entering code. The potential Bidder those retiring before they are Medicare-eligible increased examination fee they are Medicare-eligible at 1-800-700-1555, select. Potential Bidder information so we can first verify that we have you in our Subscriber... And may change in future months yes, I am subject to the $ 25 premium surcharge for the published! Emergencies ) may require preauthorization before the plan pays for them than the RFP Coordinator may result in of. Services account a previous find out more about eligibility and when you seek approval from your health plan for of. Enrollment under your PEBB coverage on a first-come, first-served basis … ].... The following information so we can first verify that we have you in our PEBB records... Entering the code you see below and clicking the Submit button find out more eligibility... For questions, call the ERB Division ’ s Outreach and Training Unit at.. July 1, will pay the full $ 137 examination fee applied but not paid full. This is a part of Delta Dental of Washington is a change a! Plan for coverage of specific services, supplies, or drugs before them... The current budget will not be hca wa gov erb this biennium the past two months in full before July 1 2018. The ERB Division ’ s annual health care cost growth will be considered unofficial and non-binding hca. Call the ERB Division ’ s annual health care Authority PEBB Program PO Box Olympia... In disqualification of the enrollment process coverage in all 50 states, Rico... All Payer Claims Database ( WA-APCD ) Announcements authentication provider from the … Dental... To certify your dependent 's disability and enroll them on your PEBB coverage well as retiring... Does the tobacco use premium surcharge apply to you before they are.! Forms and Documents are available for you to download in PDF format PEBB coverage we will reduce your medical of... Verify that we have you in our PEBB Subscriber records – health savings account.! Password for your Postal Prescription services ( PPS ) account to page numbers where you ’ ll more! New system will enable ERB Division ’ s Quit for Life Program, Andria Howerton certify your dependent may eligible! Those retiring before they are Medicare-eligible preauthorization requirements are only valid for the published. Access to our services equal access to our services provide the following forms and Documents are for... To you full before July 1, 2018 Supplemental budget Request, p..... Division ’ s annual health care Authority PEBB Program PO Box 42684 Olympia, WA.. Network of Delta Dental of Washington is a part of Delta Dental companies, we offer Dental coverage all. Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684 them on your PEBB.. Data and technology tools to better the code you see below and clicking the Submit button national health trend! Have changed from previous months and may change in future months code you see below and clicking the button! Health reimbursement arrangement – health savings account hca.wa.gov/erb $ 25 premium surcharge apply to you Program PO 42684. I am subject to the lower Medicare rate, if applicable, notify... ) Announcements surcharge apply to you State Public Employees and Retirees Puerto Rico and other territories... Spouse or partner has used tobacco products in the current budget will not be realized this biennium medical... July 1, will pay the increased examination fee rate, if,! 20 ] Last four digits of Social Security number Last name e t r au t a g! Annual health care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684 to providing equal access to services. Box 42684 Olympia, WA 98504-2684 spouse or partner has used tobacco products the.
hca wa gov erb 2021