Claims & Encounters

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

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Contact Lists

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MCO Contact List Salish & Statewide Molina Contact List

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Credentialing & Rosters

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Amerigroup

• Copy of All MCO_BH Roster Template
• Faculty Application 05/18/15
• FW9
• WAPEC-1168617 New Provider Contract Checklist

Coordinated Care

• ABH Roster Template

Molina

• 01-MHI-HDO Cred App-030314
• 02-Ownership & Disclosure Form 2017
• 03-MHW Attestation & Release Form
• Agency NPRF v.14 (BH1886) BNS Network
• Credentialing Cover Letter-MHW-IMC- 04/01/19
• Facility Cred App (BH808)-v12-04/01/18
• W-9

United Healthcare

• Agency NPRF v.14 (BH1886) BNS Network
• Acility Cred App (BH808)-v12-04/01/18

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Provider Orientation

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

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IMC Timeline

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Integrated Managed Care Timeline

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General IMC Resources

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IMC Resources Clallam County Integrated Managed Care Forum Presentation FAQ Behavioral Health Supplemental Transactions Integrated managed care behavioral health provider support during the COVID-19 pandemic

Behavioral Health Data System (BHDS) data guide

FAQ BH Supplemental Transactions

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2020 IMC Communications

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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)

• 2020 Changes FAQ

• Clallam Changes

• Jefferson Changes

• Kitsap Changes

• Important News Outreach Card

• Sample Notice

• Sample Disenrollment Notice

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Crisis System Updates

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

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