Washington State Medicaid

Qualis Health has partnered with Washington State Medicaid to provide utilization review services for their enrolled residents. We look forward to serving the people of Washington in collaboration with the state and providers. We are privileged to perform this vital work.

Services We Provide for Washington State Medicaid

Utilization review is conducted on a prospective and/or retrospective basis for specified advanced imaging studies and select surgical procedures.

Announcements

• March 27, 2013: The Surgical Procedure CPT Code List has been updated. New codes are highlighted in yellow. You can also find it on the Provider Resources page.
• August 29, 2012: The Breast MRI Questionnaire for CarePlanner/iEXCHANGE® has been updated. You can also find it on the Provider Resources page.
• Updated May 3, 2012: Advanced Imaging Prior Authorization through Qualis Health FAQs
• March 29, 2012: New iEXCHANGE Training Video available: Entering a Request for Surgery
  • View video for Windows (WMV)
  • View video for Mac (MP4)
• March 28, 2012:
  • Advanced Imaging Update: the Advanced Imaging Request for Review form has been updated. You can also find it on the Provider Resources page.
  • Surgical Review Update: the Surgical Procedure Request for Review form has been posted. You can also find it on the Provider Resources page.
• March 2012: the Washington Medicaid Surgery iEXCHANGE Training Manual is now online. You can also find it on the Provider Education page.
• Beginning April 1, Qualis Health will be providing surgical review services for Washington Medicaid. 
• March 2012: the Washington Medicaid Imaging iEXCHANGE Training Manual has been updated
• New iEXCHANGE Training Video available: Entering a Request for Imaging
  • View video for Windows (WMV)
  • View video for Mac (MP4)
• Provider Memo 11-50 (August 2011)

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