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Washington Apple Health (Medicaid)Raadi Agabyo

Bixiyaha Daryeelka ee Aasaasiga ah

Xubin ka tirsan UnitedHealthcare Community Plan ahaan, mid ka mid ah waxyaabaha ugu horreeya ee aad rabto inaad sameyso waa inaad doorato Bixiyaha Daryeelka Aasaasiga ah (PCP). PCP-gaaga ayaa ku siin doona oo isku dubaridi doona dhammaan daryeelkaaga caafimaadka, oo ay ku jiraan inuu kuu gudbiyo takhasusleyaasha. Haddii aad u baahan tahay daryeel gaar ah oo uusan ku siin karin PCP-gaaga, isaga ama iyada ayaa kaa caawin doonaan inaad hesho takhasusle. If you do not choose a PCP, we will select one for you, which you can change later.

In addition one of our behavioral health providers will take care of your mental health and drug and alcohol treatment needs. If you need counseling, testing or need to see a behavioral health specialist, we will coordinate your behavioral health care needs.

Search our provider directory

Please feel free to call our Member Services line, at 1-877-542-8997 (TTY: 711) and we will be happy to help you find or change your PCP.

To find a PCP or a Specialist in our network, please visit these online directories for complete information, including names, addresses, specialties, new patient’s availability and languages spoken. If you would like us to provide you with a printed version at no cost, please call us, at 1-877-542-8997 (TTY: 711).

Raadi Bixiye Daryeel

Si aad uga warbixiso macluumaadka khaldan, u dir iimayl provider_directory_invalid_issues@uhc.com. Bogoskan iimaylka waxaa loogu talagalay xubnaha si ay uga warbixiyaan khaladaadka suurtagalka ah ee macluumaadka qofka (cinwaanka, telefoonka, iwm.) ee ku jira hagaha diiwaanka onlaynka ah ama waraaqaha. Ka warbixinta arrimaha iyadoo loo marayo bogoskan boostada waxay keeni doontaa in la gaaro xafiiska bixiyaha si loo xaqiijiyo dhammaan xogta dadka ee ku jira diiwaanka, taasoo qaadan karta qiyaastii 30 maalmood. Shakhsiyaadka sidoo kale waxay soo sheegi karaan khaladaadka suurtagalka ah iyagoo adeegsanaya telefoonka.

UHC Members should call the number on the back of their ID card, and non-UHC members can call 1-888-638-6613 (TTY 711).

Diiwaanka Bixiyaha

Clallam, Jefferson and Kitsap Counties
West King County
West Thurston and Mason Counties
West Southwest Counties - Clark, Skamania, Hood River, and Multnomah Counties
West Southwest of Pierce County - Cowlitz, Grays Harbor, Lewis, Pacific, Wahkiakum, Clatsop, and Columbia Counties
West Pierce County
West North of King County - Island, San Juan, Skagit, Snohomish, and Whatcom Counties

Eastern Washington Counties

Gurmadka iyo Daryeelka Degdega ah

Liiska Gurmadka iyo Daryeelka Degdega ah wuxuu kuu sheegayaa waxa gurmad dhab ah yahay wuxuuna ku siinayaa liiska xarumaha badan oo daryeelka degdega ah oo aad isticmaali karto. You can use these centers when you are sick or need medical care right away and your PCP is not available, but it's not a life-threatening situation. Xarumaha daryeelka degdegga ah badanaa way furan yihiin fiidkii iyo maalmaha fasaxa ah.

Qololka degdega ah (ERs) waxaa loogu talagalay dhaawacyada waaweyn ama jirrooyinka lama filaanka ah ee laga yaabo inay nafta halis geliyaan oo isla markaaba u baahan daryeel caafimaad. Markuu jiro gurmad, waa inaad wacdaa 911 ama tagtaa Qolka Gurmadka (ER) isla markiiba.

Vision Center

Search for a Vision Center near you.

Faa'iidooyinka ilkaha

For more information on your covered dental benefits contact:
Health Care Authority/ProviderOne 1-800-562-3022

Adeegyada Caafimaadka Dabeecadda

Caafimaadka maskaxda wuxuu muhiim u yahay sida caafimaadka jirka oo kale. That's why we have coverage for both.  You have access to mental health and substance use disorder treatment services, known together as behavioral health services. Behavioral health services can help you with personal problems that may affect you and your family. These problems may be stress, depression, anxiety or using drugs or alcohol.

Talk to your PCP today about any health or behavioral health problems you have. Your PCP will refer you to a behavioral health provider with UnitedHealthcare Community Plan. They can refer you to specialists, and other facilities, such as hospitals and substance abuse and treatment services.

You don't need a referral from your PCP to see behavioral health specialists in your plan or to access drug and treatment services.

There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor.

Search for a Medical and Behavioral Health Provider or Facility

Required care is 100% covered. If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care.

Waxaan daboolnaa:

  • Evaluation and assessment
  • Medication management and monitoring
  • Individual and group counseling
  • Peer support
  • Family counseling
  • Education about mental health, treatments and medications
  • Rehab case management
  • Withdrawal management (detox)
  • Opiate replacement treatment
  • Maaraynta kiiska
  • Iyo in ka badan

View additional health resources. Hel dheelitirnaanta, taageerada, iyo daryeelka aad u baahan tahay si aad ugu noolaato nolosha ugu caafimaadka badan ee suurtogalka ah.

You may also be eligible for additional grant funded services such as care coordination, family hardship services and recovery support services. These provide comprehensive community-based services that supplement your current benefits.

For more information on services available, please refer to your Member Handbook.

Hel Daawo

Raadi dawooyinka ay bixiso UnitedHealthcare Community Plan

Preferred Drug List

The UnitedHealthcare Community Plan Preferred Drug List (PDL) is a list of covered prescription drugs, and drugs needing prior authorization for enrollees in Washington Apple Health (Medicaid). Prior authorization is when your doctor has to call us before giving you the prescription to see if we will cover it.

Direct Member Reimbursement (DMR) Form

How do members get care?

If you are eligible, you can go to any dental provider who accepts Apple Health (Medicaid) insurance and is taking new patients. DentistLink is a free referral service that can connect you with a local dental provider who accepts patients with Apple Health (Medicaid).

  • Click here to search online for a dental provider 24/7
    • Call or text DentistLink at (844) 888-5465 to talk to a Referral Specialist and receive a referral 8am-5pm Monday-Friday
  • For other questions, including questions about what is covered by your dental insurance, call the Health Care Authority (HCA) at (800) 562-3022.

DentistLink | Get Connected to Dental Care

Find a dentist that accepts Apple Health. Text or call 844-888-5465 to reach one of our Dentistlink referral specialists directly for dental.

Macluumaadka diiwaangelinta

Visit Washington Healthplanfinder site for more information on eligibility and enrollment

Washington Healthplanfinder

Naga soo wac:
1-855-923-4633 / 1-855-627-9604 / TTY: 711

Tallaabooyinka Isdiiwaangelinta
Get the details

Apple Health (Medicaid) specialists can answer questions and help you enroll.

Naga soo wac:
1-877-553-0098TTY: 711

8:00 sn. to 5:00 gn. pacific time, Monday – Friday

Interpreter Services
Waxaan sidoo kale kaa caawin karnaa adeegyada turjubaanka, oo ay ku jiraan Luqadda Farahadalka Mareykanka. 

Naga soo wac:
1-877-553-0098 / TTY: 711

8:00 sn. ilaa 5:00 gn. waqtiga maxalliga ah, Isniinta – Jimcaha

Macluumaadka Xubinta

Waxaad geli kartaa mareegtayada xubinta loogu talagalay. Daabac kaararka aqoonsiga, iyo wax badan. Hoos ka daawo buug-gacmeedkayaga.

Mareegta Xubinta

Member Handbooks

Getting Started Guides

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