Health Care Authority

Official Website: https://www.hca.wa.gov

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

Forms & Documents

Browse all Health Care Authority government forms

1 - 20 of 108 forms

Form Title Topics
2017-2018 comparison of UMP monthly premiums
2018-2019 comparison of UMP monthly premiums
ABA Services Authorization Form
Ardon Health Protected health information disclosure authorization form
Ardon Health Specialty Drug Release Form
Ardon patient request for non-safety caps on prescription containers
Chronic Opioid Attestation form
COE Program brochure
Coverage of Applied Behavior Analysis Therapy (ABA Therapy Printable Summary
Criteria for Coverage of ABA Therapy Services
Hepatitis C lawsuit settlement agreement
List of prescription drugs subject to emergency fill
Medical Claim Form
Medical Incident Report
Medical Multiple Coverage Inquiry Form (Medical Coordination of Benefits
Open Enrollment Benefits Handout 2017 for UMP Classic and Medicare
Open Enrollment Benefits Handout 2017 UMP Classic and UMP CDHP
Open Enrollment Benefits Handout 2017 UMP Classic and UMP Plus
Open Enrollment Benefits Handout 2018 for UMP Classic and Medicare
Open Enrollment Benefits Handout 2018 UMP Classic and UMP CDHP

Contact Information & Office Locations

1 contact point

Main Office

Address:
Cherry Street Plaza
626 8th Avenue SE
Olympia, WA 98501

Phone numbers:
  • (800) 562-6906 (Reporting suspected Medicaid fraud)
  • (360) 753-307 (Personal injury third party liability (TPL) inquiries)
  • (360) 586-0040 (Verifying an individual's former employment at HCA)
  • (360) 725-1915 (Media relations)
Emails:
  • webmaster@hca.wa.gov (Technical issues with this website)

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