The WSMA provides information on insurers and government programs operating in Washington state to help facilitate communications between physicians’ practices and health insurers.
Accountable Communities of Health
Advanced imaging pre-authorization process (website, PDF)
Apple Health (Washington Medicaid)
The Dr. Robert Bree Collaborative
Healthier Washington (Medicaid Transformation initiative)
Interpreter services
Managed care
Medicaid integrity contractors (MICs)
Payment schedules (all provider categories)
ProviderOne
Uniform Medical Plan
Washington Prescription Drug Program (Medicaid generic prescriptions and preferred drug list)
Washington State Agency Medical Directors' Group
WSMA resources on MACRA—the Medicare Access and CHIP Reauthorization Act of 2015
2019 -- Part B changes: CMS Fact Sheet
Accountable care organizations
Centers for Medicare and Medicaid Services (CMS)
HealthDataInsights, Inc. (HDI) recovery audit contractor (RAC) – Washington
HMS Federal Solutions, CMS recovery audit contractor (RAC) – Washington
New Medicare Card [formerly Medicare Social Security (Number) Removal Initiative]
Noridian – Medicare Part B carrier for Washington
Noridian Medicare email listserv
Participation Options
Private contracting “opt out” overview & affidavit
Washington Department of Labor and Industries (L&I) medical provider topics
L&I provider network and COHEs
Fee schedule information
Utilization review – Qualis Health
UnitedHealthcare Military & Veterans - Contract ended Dec. 31, 2017, replaced by Health Net Federal Services
Health Net Federal Services
TRICARE West region transition
Aetna
CIGNA
First Choice Health Network
Kaiser Permanente Washington
Premera Blue Cross
Regence BlueShield
United Healthcare