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Cross Agency Desk Aid - Washington State Health Care Authority Flipbook PDF
Cross Agency Desk Aid Referral Communications Committee Last Updated 1/23/2014 Department of Social and Health Services
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Cross Agency Desk Aid Referral Communications Committee Last Updated 1/23/2015
Department of Social and Health Services Community Services Division Customer Service Contact Center 1-877-501-2233 1-877-980-9220 (Answer Phone) www.washingtonconnection.org
Home & Community Services Long Term Care (LTC) No call center at HCS. Contact your local office by checking at: http://adsaweb.dshs.wa.gov/hcs/maps.htm
www.washingtonconnection.org
Health Benefit Exchange Long-Term Care Specialty Unit
1-855-873-0642 (8am – 5pm closed Noon – 1pm) www.washingtonconnection.org 1-855-635-8305 (FAX)
1-888-338-7410 (FAX)
Washington Healthplanfinder Customer Support Center 1-855-923-4633 http://www.wahealthplanfinder.org// [email protected] 1-855-889-2266 (FAX)
Health Care Authority
Lead Organizations In-Person Assisters/ Navigators
Medical Assistance Customer Service Center (MACSC)
Medical Eligibility Determination Services (MEDS)
Lead Organization Contact Information available at:
1-800-562-3022
1-855-623-9357
https://fortress.wa.gov/hca/p1contactus/
https://fortress.wa.gov/hca/magiconta ctus/ContactUs.aspx
http://wahbexchange.org/howenroll/customer-support-network/
• Apply for, report changes or renew Food, Cash, and Child Care programs (SNAP, EBT, ABD/ HEN Referral, TANF, Refugee Assistance WorkFirst) • Apply for Classic Medicaid programs, SSI, 65+, and disabled • Request an appeal of Classic Medicaid, Food, Cash and Child Care programs • Answer Phone: Automated system where clients can check their DSHS benefits • For additional application assistance refer to the Public Access Directory for community partners: https://www.washingtonconnection .org/home/publicaccessdirectory.g o • Constituent Relations 1-800-8657801
• Long-term care nursing facility services • In home care
Hours of operation: 8:00 am – 5:00 pm, Monday – Friday (except state holidays).
Hours of operation: 8:00 am – 5:00 pm, Monday – Friday (except state holidays).
Hours of operation: 8:00 am – 5:00 pm, Monday – Friday (except state holidays).
Hours of operation: 7:30 am – 8:00 pm, Monday – Friday (except state holidays).
Hours of operation are generally 8:00 am – 5:00 pm, Monday – Friday (except holidays).
Hours of operation: 7:30 am – 5:00 pm, Monday - Friday (except state holidays).
Hours of operation: 8:00 am – 5:00 pm Monday - Friday (except state holidays).
Please have your Client ID or Social Security Number available.
Please have your Client ID or Social Security Number available.
Please have your Client ID or Social Security Number available.
Please have your HPF application ID or Social Security Number available.
For application issues, please have the HPF application ID available.
Please have your Application ID, Client ID, Provider One Client ID or Social Security Number available.
Please have your Application ID, Client ID or Social Security Number available.
• Assisted living or adult family home • Medicaid personal care
• Request an appeal for LTC programs
• WASHCAP (Food for households
• Medicaid programs for clients with developmental disabilities
• Hospice • Healthcare for Workers with Disabilities (HWD) program (S08) 1-800-871-9275
• Children’s institutional (K01) • Residential mental health eligibility questions
• Apply for or renew health care coverage (families, children, pregnant women and single adults)
• Health Insurance Premium Tax Credit (HIPTC) questions
• Qualified Health Plans (QHP) questions
• Small Business Health Options (SHOP) questions 1-855-256-9598 • Locate an HBE In-person Assister/Navigator or Broker http://wahbexchange.org/howenroll/customer-support-network/
whose only income is SSI/SSA)
• Residential Care Services
For system functionality visit Healthplanfinder Status Center: http://wahbexchange.org/customerresources/outages-and-maintenance/ • If an IPA needs to submit a Zendesk ticket • Questions about becoming a certified assister • To request outreach materials and presentations • HPF password reset or lockout: 1-855-256-9598
• ProviderOne Client Services Card • Provider billing and claims questions • Apple Health Managed Care enrollment, and questions • ProviderOne benefit coverage questions
• Apple Health Modified Adjusted Gross Income (MAGI) Medicaid eligibility questions (families, children, pregnant women and single adults) • Post-Eligibility Case Review questions or report changes • Apple Health for Kids premium payment questions (CHIP) • Request an appeal for Apple Health Programs
• Request an appeal for denial of HIPTC/QHP, Special Enrollment: www.wahbexchange.org/appeals or call for information: 1-855-859-2512
Department of Social and Health Services
Office of Insurance Commissioner (OIC) Statewide Health Insurance Benefits Advisors (SHIBA)
Division of Child Support (DCS)
1-800-562-6900
1-800-562-6900
1-800-442-5437 (KIDS)
http://www.insurance.wa.gov/
http://www.insurance.wa.gov/aboutoic/what-we-do/advocate-forconsumers/shiba/
http://www.dshs.wa.gov/dcs/
Consumer Advocacy
• Complaints against insurances companies, claim denials, poor service, coverage, cancellations, etc. • Insurance options • Legal rights: insurance laws & regulations • Health insurance appeals • Complaints against insurance agents/brokers/producers • Insurance fraud
• Understand your health care coverage options and rights • Medicare options- original, advantage, prescriptions & supplemental plans • Medicare coordination with Medicaid (dual), state & federal government retirees, veterans, private plans and HBE • Medicare Savings Program & lowincome subsidies • Evaluate and compare health insurance plans • Medicare complaints, questions and fraud prevention
• Establish Paternity and Child Support Orders
Additional Supports JP Morgan/Chase 1-888-328-9271 (24hrs) www.ucard.chase.com
EBT Card Replacement and Balance Information Change PIN number Client will need their EBT card number and Social Security Office of Financial Recovery 1-800-562-6114 DSHS Overpayments Premium Payments Estate Recovery
Tribal Resources
DSHS- Office of Indian Policy – (360) 902-7706 HBE- Tribal Liaison – Sheryl Lowe, 360-688-7749 or
HCA- Tribal Affairs Administrator – Jessie Dean 360-725-1649 or [email protected] Long-Term Care Ombudsman Program 1-800-562-6028 TTY: 1-800-737-7931
www.waombudsman.org
• • • • • • • • • •
Collect / Distribute Child Support Employer Support Negotiate Payment Plans Payment/EFT options 1-800-468-7422 Hearings and Conference Boards Outreach to Community Partners and Stakeholders Community Relations Unit 1-800-457-6202 Modify Orders Employer New Hire Reporting “Alternative Solutions Program” A Compassionate Portal To Child Support Services 360-664-5028 [email protected]
Hours of operation: 8:00 am – 5:00 pm, Monday - Friday (except state holidays).
Hours of operation: 8:00 am – 5:00 pm Monday - Friday (except state holidays).
Hours of operation: 8:00 am – 5:00 pm, Monday - Friday (except state holidays).
Please have your Application ID, Client ID, Provider One Client ID or Social Security Number available.
Please have your Application ID, Client ID or Social Security Number available.
Please have your Case Number, or Social Security Number available.
2-1-1 United Way Resources 1-877-211-9270 TTY: 253-682-1828 www.211.org
Provide information and referral for community resources and volunteer opportunities. Support community-based organizations network.
[email protected]
Protect, promote and advocate for residents in nursing homes, adult family homes, and assisted living facilities. Report mistreatment of residents in facilities.