Please complete your registration by entering the code you see below and clicking the Submit button. hca.wa.gov/erb . 5 WA State Health Care Authority. Does the tobacco use premium surcharge apply to you? FDA – Food and Drug Administration . See page . 1 0 obj Kaiser Permanente WA offers coverage for both Medicare-eligible retirees as well as those retiring before they are Medicare-eligible. or email to amy.corrigan@hca.wa.gov For questions, call the ERB Division’s Outreach and Training Unit at 1-800-700-1555. Connect with us. Watch for references to page numbers where you’ll find more information. To change your previous attestation, use the . All other communication will be considered unofficial and non-binding on HCA. Savings assumed in the current budget will not be realized this biennium. x���]O#7�����H����� 4 0 obj Applications received, or postmarked if mailed, on or after July 1, will pay the increased examination fee. In Washington State: Washington Health Benefit Exchange www.wahbexchange.org or 1-855-923-4633 (TTY 1-855-627-9604) Outside Washington State: Health Insurance Marketplace www.healthcare.gov or 1-800-318-2596 (TTY 1-855-889-4325) HCA is committed to providing equal access to our services. Preauthorization requirements for Davis Vision plan. Delta Dental of Washington is a part of Delta Dental Plans Association. HCA Executive Leadership 10/1/2020 Assist Dir P1OS KEY Director EMS 70005165 Sue Birch Executive Secretary EMS1 71029331 Michelle Cleary Vacant Deputy Director EMS5 71036980 ... ERB Deputy Asst. HCA’s ERB Division operates the Public Employees Benefits Board (PEBB) and the School Employees Benefits Board (SEBB) programs, and will implement transformative purchasing strategies with Healthier Washington (powered by the State Innovation Models [SIM] … We will reduce your medical premium to the lower Medicare rate, if applicable, and notify your medical plan of your Medicare enrollment. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Cancellation of supplemental life insurance (SEBB) 2021, Certification of a child with a disability (PEBB) 2020, Certification of a child with a disability (SEBB) 2020, Certification of a Child with a Disability (SEBB) 2021, Certification of a Child with Disability (PEBB) 2021, Continuing eligibility for PEBB benefits during the COVID-19 outbreak, Davis Vision (SEBB) Certificate of Coverage (COC) 2020, Davis Vision (SEBB) Certificate of Coverage (COC) 2021, Davis Vision (SEBB) preauthorization requirements, Website feedback: Tell us how we’re doing. Apple Health (Medicaid) rulemaking. YES, I am subject to the $25 premium surcharge. endobj Behavioral health and recovery rulemaking. Good to know! www.hca.wa.gov/erb Mailing address: Street address PEBB Program Health Care Authority Health Care Authority 626 8th Avenue SE PO Box 42684 Olympia, WA 98501 Olympia, WA 98504-2684 Notify the PEBB Program of address changes To protect your rights and the rights of your dependents, you must 3 0 obj 2 0 obj Box 42713 • Olympia, Washington 98504-2713 • www.hca.wa.gov • 360-725-0856 • FAX 360-586-9511 • TTY 711 School Employees Benefits Board December 11, 2017 1:00 – 5:00 Health Care Authority Sue Crystal A & B 626 8th Avenue SE Olympia, Washington Table of Contents Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 20 0 R 22 0 R 23 0 R 24 0 R 26 0 R 27 0 R 29 0 R 31 0 R 32 0 R 36 0 R 37 0 R 39 0 R 40 0 R 41 0 R 42 0 R 44 0 R 45 0 R 46 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You must also provide proof of the HCA purchasing goals By 2021: • 90 percent of state-financed health care and 50 percent of commercial health care will be in value-based payment arrangements (measured at the provider/practice level). RFP Coordinator . Rules. Please provide the following information so we can first verify that we have you in our PEBB Subscriber records. PL -DA Pay1 System Replacement, Decision Package, 2018 Supplemental Budget Request, p. 2. hca.wa.gov/erb. stream contracts@hca.wa.gov Public Employees Benefits Board rulemaking. Visit us in person at the Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501 Note: The PEBB Program does not take appointments. Healthier Washington is a project that allows the Health Care Authority and the Department of Social and Health Services to establish integrated clinical models of physical and behavioral health care to improve the effectiveness of health care purchasing and delivery. Please check with your plan to ensure coverage. Rules. Applicants who have applied but not paid in full before July 1, 2018, will pay the full $137 examination fee. due April 14, 2017 Thank you, Andria Howerton . D e e t r au t a n g i S [20] Last four digits of Social Security number Last name. They may have changed from previous months and may change in future months. Visit: hca.wa.gov/erb Tobacco cessation services . 6 Hanscome, R., et al. Look for the . Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. HCA – Health Care Authority . When you need information about what mental health and substance use disorders are covered, you can read the SEBB medical plans’ Certificates of Coverage. If this is a change to a previous Find out more about eligibility and when you can change your coverage, visit hca.wa.gov/erb. Olympia, Washington 98504-2720 • www.hca.wa.gov • 360-725-0856 (TTY 711) • FAX 360-586-9551 AGENDA School Employees Benefits Board Health Care Authority October 23, 2017 Cherry Street Plaza 1:00 p.m. – 5:00 p.m. Sue Crystal Rooms A & B 626 8 th Avenue SE Olympia, WA 98501 6 HIPAA – Health Insurance Portability and Accountability Act . %���� (n.d.). Current Plan Year 2021 Mid-Year Enrollment Form Enrollment Form for participants enrolling in a 2021 FSA or DCAP 2021 FSA Enrollment Guide Read this guide to learn about the 2021 FSA program. 61: American Cancer Society’s Quit for Life program . Call: 1-866-784-8454 . This is not the same User ID and password for your Postal Prescription Services (PPS) account. 22) When does my coverage start? Public Employees Benefits Board rulemaking. Prometric is raising its examination fees effective July 1, 2018. Register. Use this form to certify your dependent's disability and enroll them on your SEBB coverage. boxes General Health Care Authority rulemaking. Preauthorization requirements are only valid for the month published. FSA – Flexible Spending Arrangement . Starting in 2020, all carriers must provide information on their websites for mental health and substance abuse treatment providers’ ability to ensure timely access to care. School Employees Benefits Board rulemaking. <> FMLA – Family Medical Leave Act . This document includes behavioral health benefits for SEBB medical plans. After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. Behavioral health and recovery rulemaking. Quick start guide. School Employees Benefits Board rulemaking. Proposals are now . pebb washington state employees retired › Verified 2 days ago To proceed, please select an authentication provider from the … Director EMS3 70005184 Scott Palafox Deputy CFO - Operations EMS3 71066440 Kristin Collins Assist Dir ETS EMS4 71028580 Jerry Britcher Assist Dir ERD EMS3 Rules. Rulemaking. Connect with us. Public Employees Benefits Board rulemaking. Use this form if you are a School employee and you wish to cancel your supplemental life and/or accidental death and dismemberment (AD&D) insurance. My spouse or partner has used tobacco products in the past two months. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. Check one. First-time test takers will pay $137. a new system will enable ERB Division leadership to use data and technology tools to better . If you are eligible for Medicare and have enrolled in Medicare Part A and Part B, you can enroll in our Kaiser Permanente PEBB retiree Medicare Advantage (HMO) health plan. (August 15, 2017). General Health Care Authority rulemaking. ERB – Employee and Retiree Benefits . Visitors are seen on a first-come, first-served basis. Apple Health (Medicaid) rulemaking. 24 hours, seven days a week . Forms & Documents The following forms and documents are available for you to download in PDF format. Visitors are seen on a first-come, first-served basis. Washington State All Payer Claims Database (WA-APCD) Announcements. endobj HRA – Health reimbursement arrangement – Health savings account endobj Communication directed to parties other than the RFP Coordinator may result in disqualification of the potential Bidder. hca.wa.gov/erb. HCA’s website at hca.wa.gov/erb. Medicare and PEBB Program benefits - hca.wa.gov. General Health Care Authority rulemaking. If you need an accommodation or Rulemaking. These criteria do not imply or guarantee approval. Employee: Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) You have provided dedicated service to the residents of Washington state and Kaiser Foundation Health Plan of Washington is dedicated to improving your health care. ��Ri�}X�^�z1�Y�����O^l{��wE��=����ؓ�Ū�}k���a|�u���}@_�w˗?�w�_����q�h��r1��v��G���C�:?G�'����d|M��t���"b�SĘ�J�Z\3t�|zB�#��|z�u��?�ݯ�'W�. HCA is committed to providing equal access to our services. The written examination will increase to $45 and the skills exam will increase to $92. Rulemaking. hca.wa.gov/erb Mailing address Street address Health Care Authority Health Care Authority PEBB Program 626 8th Avenue SE PO Box 42684 Olympia, WA 98501 Olympia, WA 98504 Note: The Health Care Authority (HCA) is open between 8 a.m. and 5 p.m. Monday through Friday. %PDF-1.5 5. hca.wa.gov/sebb-employee . PEBB Premium Surcharge Attestation Change Form. Washington State law RCW 48.43.115 (3)(f), known as the Erin Act, requires that health plan's that provide maternity benefits must provide comparable coverage, at no additional charge, for an insured mother’s newborn for up to three weeks (21 days) even if there are separate hospital admissions. In Engrossed Substitute House Bill (ESHB) 1109 (2019) codified as C 415 L 19 PV Section 213 (3), the Legislature requires that the Health Care Authority (HCA) study the potential cost savings and improved efficiency that could be gained by consolidating the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs starting January 1, 2022. Apple Health (Medicaid) rulemaking. Coverage under plans chosen during the annual open enrollment period begins January 1, 20201 Find out more about other coverage start dates for school employees or for continuation coverage members. P.O. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. See “Surcharges” on HCA’s website at hca.wa.gov/erb to learn about these situations. After turning 26, your dependent may be eligible for enrollment under your PEBB coverage. Washington State All Payer Claims Database (WA-APCD) Announcements. Behavioral health and recovery rulemaking. <>>> <> HDHP – High-deductible health plan . Employing agency (Employees only) 4 Form return Sign, date and return form and documentation to the appropriate location: For employees: your payroll or benefits office. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. Don't have a Washington State Rx Services account? Connect with us. 2021 DCAP Enrollment Guide Read this […] Help with register contracts@hca.wa.gov. • Washington’s annual health care cost growth will be below the national health expenditure trend. Washington State Public Employees and Retirees. Health Details: Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. School Employees Benefits Board rulemaking. Use this form to certify your dependent's disability and enroll them on your PEBB coverage. 2020 UMP Plus–UW Medicine ACN (SEBB) Certificate of Coverage 3 Directory: Prescription drug services . Visit: quitnow.net. Outside of the annual open enrollment, you must also change your attestation no later than 60 days after the date your spouse’s or state-registered domestic partner’s employer-based group medical status changes. This benefits book describes what is covered as a SEBB member under Davis vision, including vision services and specific services not covered by the plan. Use this Quick start guide for an overview of the enrollment process. hosted by Washington Technology Services (WaTech) You've been directed to this page because the WaTech SharePoint Service cannot associate your computer's IP address with an authentication provider. Washington State All Payer Claims Database (WA-APCD) Announcements.