Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
fax prior auth
Fee-for-service prior authorization fax — general medical, dental and medical equipment requests
Official page read
Phone
No phone listed for this route
Fax
866-668-1214
Published hours
Not published in this record
Product, plan and location
medicaid Washington
Mailing address
Not researched for this route
Fax the typed General Information for Authorization form (HCA 13-835) as page 1 with all supporting documentation (no fax cover sheet). Direct data entry in ProviderOne is the alternative; HCA does not accept PA requests by mail. Applies to Apple Health fee-for-service, not MCO-enrolled clients.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
Have ready in your secure workspace
Ordering and rendering provider details
Service codes, requested dates and units
Existing authorization or submission reference
Questions to resolve
Is this the correct reviewer for this service and product?
Which documents are missing, and where should they be sent?
What is the case number and next status-check date?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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