Services: Reentry Third Party Administrator (TPA)

About Washington State’s Reentry Initiative

Washington State’s 1115 Waiver Reentry Initiative improves the delivery of targeted prerelease health care services to Medicaid/CHIP- enrolled adults and youth in Washington State prisons, jails, and carceral facilities.

Provided up to 90-days prior to release, these Medicaid covered services help ensure a person’s health and successful reentry to their community.

Our Services

As the State’s Reentry TPA, CHPS offers carceral facilities and health care providers the following services to support participation in the State’s Reentry Initiative:

Technical Assistance Hub

Our dedicated Carceral Facility Specialists and multidisciplinary community-based teams provide in-person and virtual training, online resources, and assistance to carry out new processes to connect incarcerated individuals to prerelease care.

Access reentry technical assistance ➔

Claims Processing and Billing Support

Our Claims Clearinghouse processes reentry health service claims for carceral facilities and their provider partners. This process includes identifying and billing the appropriate payer for reentry health services and responding to specific billing inquiries.

Our Claims Help Desk team is available to answer questions about Medicaid billing, individual claims, submission errors, can help with the process to enroll as a Medicaid provider, and supports a variety of other provider billing needs.

Connect to Claims Help Desk ➔

Reentry Case Management

Our Reentry Case Management team supports both prerelease and post release case management for eligible fee-for-service Medicaid/CHIP enrollees. We coordinate care and connect individuals to the social services or community resources they may need.

Email[email protected]
Fax: 1-206-652-7053

Fair Hearings Coordination

We assist carceral facilities and incarcerated individuals who wish to appeal a Medicaid/CHIPApple Health (Medicaid) eligibility determination, when denied enrollment. Our team works with the Washington State Office of Administrative Hearings (OAH) to coordinate the process with carceral facilities on behalf of the individual.

Email: [email protected]
Fax: 1-206-652-7052

Contact Information

Toll Free Number:  1-800-461-0305

Available Monday – Friday 8:00am – 5:00pm

Technical Assistance Hub

Email: [email protected]

Fax: 1-206-652-7051

Claims Help Desk

Email: [email protected]

Fax: 1-206-652-7054

Reentry Case Management

Email: [email protected]

Fax: 1-206-652-7053

Fair Hearings Coordination

Email: [email protected]

Fax: 1-206-652-7052

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