(1) The expedited prior authorization process (EPA) is designed to eliminate the need for written and telephonic requests for prior authorization for selected medical equipment procedure codes. Procedures Requiring Prior Authorization. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled. Email: ASKMEDICAID@dshs.wa.gov. First Name: MI: Last Name: DOB: Member ID: Physician Information . New state rules and the WSMA Prior Authorization Navigator. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. Effective Date 1/01/20. Phone Number: (800) 869-7175 . QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month The types of services that help an adult remain at home.. Finding other places to live and get care if the adult can no longer live at home.. Finding caregiver resources and information.. Ways to stay independent as long as possible.. Find in-depth information about the rules and laws that govern Washington State’s Medicaid program. (2) The medicaid agency requires a provider to create an authorization number for EPA for selected medical equipment procedure codes. I. NFORMATION. Molina Healthcare of Washington Phone: (800) 213-5525 Option 1-2-2 | Fax: (800) 869-7791 Urgent . This EA allows pharmacies to submit a claim for a seven (7) day supply without a prior authorization. Fax Number: (800) 767-7188 . Molina Healthcare of Washington Medicaid Prior Authorization Request Form . Prior Authorization Code Search. Reauthorization Patient Information . Prior authorization is required. Legend . Contact Washington State Medicaid. 52018. To request prior authorization, please submit your request online or by phone. M. EMBER . Phone: (800) 562-3022 ext. The Health Care Authority (HCA) would like to remind providers of the Washington Apple Health fee-for-service (FFS) expedited authorization (EA) criteria for buprenorphine monotherapy for pregnant clients. Effective January 1, 2021. Washington Medicaid-Approved Preferred Drug List. How to apply for Medicaid.. Plan: Molina Medicaid Other: Member Name: DOB: / / Member ID#: Phone: ( ) - Service Type: Elective/Routine. CareFirst CHPDC is the Washington DC provider of Medicaid and Alliance Benefits. Go to . UHCprovider.com To request prior authorization, please submit your request online or by phone. • Online: Use the Prior Authorization and Notification tool on Link. Learn More About. This list contains prior authorization requirements for care providers who participate with UnitedHealthcare Community Plan in Washington for inpatient and outpatient services. 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