Patient care overview
We have collected resources to support care for members in our network. Here you will find behavioral health services, maternal child services, health education resources and Condition Care program support.
Behavioral health
The Wellpoint Washington, Inc. behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, other mental health providers and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.
Maternal child services
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our Taking Care of Baby and Me® program, a comprehensive case management and care coordination program.
Health education
We advocate a community approach to health education and outreach activities and have a proven record of collaborating with community and faith-based organizations, advocacy groups and other community resources.
Condition Care
Our Condition Care program is based on a system of coordinated care management interventions and communications designed to assist physicians and other providers in managing members with chronic conditions.
Transgender health
In order to connect our members and providers to resources for transgender health, we encourage you to visit the Transgender Health Program page on the Health Care Authority website . Hormone therapy and behavioral health services are covered by Wellpoint Washington, Inc. Most surgical services will be covered by the Health Care Authority and may be provided by any provider who accepts our Medicaid program, Apple Health, with prior authorization from the Health Care Authority.
Provider tools and resources
- Log in to Availity Essentials
- Launch provider learning hub
- Learn about Availity Essentials
- Prior authorization lookup tool
- Prior authorization requirements
- Claims overview
- Member eligibility and pharmacy overview
- Provider manuals and guides
- Referrals
- Forms
- Training academy
- Pharmacy information
- Electronic data interchange
Interested in becoming a provider in our network?
We look forward to working with you to provide quality service for our members.
Join our network