Health Insurers

The WSMA provides information on insurers and government programs operating in Washington state to help facilitate communications between physicians’ practices and health insurers.

To reach out to these insurers directly, download our list of Washington state health plan medical directors. If you have questions or need additional assistance, the WSMA’s Physician Practice Helpline is a free service available to WSMA members and their practice staff (non-members may access this service for a small fee). Learn more about the Helpline.

Medicaid/Washington State Health Care Authority

Accountable Communities of Health

Advanced imaging pre-authorization process (website, PDF)

Apple Health (Washington Medicaid)

The Dr. Robert Bree Collaborative

Health Information Technology program

Healthier Washington (Medicaid Transformation initiative)

Healthier Washington: WSMA Guide for Physician Practices
Foundational Community Supports program – WSMA Referring Providers guidance

Interpreter services

Managed care

Medicaid integrity contractors (MICs)

Program integrity
There are several MIC initiatives that seek to recoup overpayments made by state Medicaid programs. For questions, contact Bob Perna at the WSMA (rjp@wsma.org).

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