To assist providers and individuals to understand changes to Medicaid in January 2020, HCA has provided the following resources: • 2020 Changes to Washington Apple Health (Medicaid)(undefined) • 2020 Changes FAQ(undefined) • Clallam Changes(undefined) • Jefferson Changes(undefined) • Kitsap Changes(undefined) • Important News Outreach Card(undefined) • Sample Notice(undefined) • Sample Disenrollment Notice(undefined)

IMC SERI-NPI Questions & Answers(undefined) 2020 Behavioral Health Provider Services Reference Guide(undefined) Incarcerated Clients Guide(undefined) HCA Interim SERI Guide (1/23/2020)(undefined) HCA Guidance SERI Guide (6/21/2019)(undefined) Crosswalk for 2020 Health Behavior Assessment and Intervention CPT(undefined) IMC Inpatient FAQ(undefined) IMC Behavioral Health Billing for Dual-Eligable Clients(undefined)

MCO Contact List(undefined) Salish & Statewide Molina Contact List(undefined)

Amerigroup • Copy of All MCO_BH Roster Template(undefined) • Faculty Application 05/18/15(undefined) • FW9(undefined) • WAPEC-1168617 New Provider Contract Checklist(undefined) Coordinated Care • ABH Roster Template(undefined) Molina • 01-MHI-HDO Cred App-030314(undefined) • 02-Ownership & Disclosure Form 2017(undefined) • 03-MHW Attestation & Release Form(undefined) • Agency NPRF v.14 (BH1886) BNS Network(undefined) • Credentialing Cover Letter-MHW-IMC- 04/01/19(undefined) • Facility Cred App (BH808)-v12-04/01/18(undefined) • W-9(undefined) United Healthcare • Agency NPRF v.14 (BH1886) BNS Network(undefined) • Acility Cred App (BH808)-v12-04/01/18(undefined)

Regional Crisis Line One-Pager(undefined) Volunteers of America Crisis Line Business Card Sample(undefined) Volunteers of America Crisis Line Poster with Tags(undefined)

IMC Resources(undefined) Clallam County Integrated Managed Care Forum Presentation(undefined) FAQ Behavioral Health Supplemental Transactions(undefined) Integrated managed care behavioral health provider support during the COVID-19 pandemic(https://www.hca.wa.gov/assets/billers-and-providers/integrated-managed-care-BH-providers-COVID-19.pdf) Behavioral Health Data System (BHDS) data guide (https://www.hca.wa.gov/billers-providers-partners/behavioral-health-recovery/contractor-and-provider-resources) FAQ BH Supplemental Transactions(undefined)

Integrated Managed Care Timeline(undefined)

IMC MCO FAQ Version 7(undefined) IMC Provider Symposiums FAQ Summary(undefined) PDF of IMC Provider Readiness Assessment(undefined)