Apple Health (Medicaid) Pre-Auth

For the best experience, please use the Pre-Auth tool in Chrome, Firefox, or Internet Explorer 10 and above.

DISCLAIMER: Your current browser's security settings does not allow the use of this tool. This tool requires the use of Internet Explorer 10 or Later. If you are currently using Internet Explorer as your browser and you see this message, you should try to update it or use another browser like Google Chrome or Firefox.

DISCLAIMER: All attempts are made to provide the most current information on the Pre-Auth Needed Tool. However, this does NOT guarantee payment. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. For specific details, please refer to the provider manual. If you are uncertain that prior authorization is needed, please submit a request for an accurate response.

Please refer to the Prior Authorization page for questions. Please check the State Apple Health Guidelines for Covered Benefits. Exclusions and limitations to these benefits can also be found on the Washington State Health Care Authority site.

Are services being performed in the emergency department or urgent care center or are these family planning services billed with a contraceptive management diagnosis?

Services being performed in the emergency department or urgent care center or Family Planning service billed with a contraceptive management diagnosis do NOT require prior authorization