Reentry Resources

Technical Assistance: Carceral Facilities and Providers

Find webinars, FAQs, and how-to job aids, to support participation in Washington’s 1115 Waiver Reentry Initiative, developed by our local team of Carceral Facility Specialists. Check back regularly for new materials.   

Questions about a specific claim or need information about provider Medicaid enrollment? Contact our Claims Help Desk at 1-800-461-0305 or email [email protected].

Reentry Resources

General Reentry Initiative Implementation Support

• Providing Methadone in Jails and Prisons: An explanation of a new approach to increase access to methadone in carceral settings

Health Insurance: Medicaid Claims and Billing Processes

Our Claims Help Desk provides one-to-one assistance for billing questions or specific claims. 

General Claims/Billing Information:

• Introduction to Claims and Billing Webinar
  • Introduction to Claims and Billing
• Required Claim Data Elements
• HCA’s provider billing guide website (external link)

CHPS Claims Clearinghouse Information:

• CHPS Clearinghouse Enrollment
• CHPS Provider Portal User Guide

Reentry Case Management

• Reentry Targeted Case Management: Medicaid Managed Care Enrollees
• Reentry Targeted Case Management: Medicaid Fee-for-Service Enrollees

Medicaid Eligibility and Fair Hearings Coordination

When incarcerated individuals apply for Washington State Medicaid Apple Health coverage, they may choose to appeal the decision and go through the Fair Hearings process if their enrollment is denied.  

• Resources will be added as they are available

 

Additional resources about the Reentry Initiative and reentry health services can be found on the Washington State Health Care Authority’s (HCA) website.