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Washington State Medicaid


Provider Resources


Go to: Qualis Health Provider Portal | CPT Codes for Review | Request Forms | Questionnaires | Criteria & Guides


Qualis Health Provider Portal

The Qualis Health Provider Portal is a web-based application that allows you to submit utilization management (UM) review requests via the internet. Washington state providers access the Qualis Health Provider Portal through OneHealthPort.

Go OneHealthPort / Qualis Health Provider Portal

Beginning January 1, 2017, providers located in Washington state must use the Qualis Health Provider Portal to submit requests for imaging and spinal injections.

View the announcement flyer for more information

In order to submit requests via the Qualis Health Provider Portal, your organization must be registered with both OneHealthPort and the Qualis Health Provider Portal.


CPT Codes for Review


Request Forms


Questionnaires

Spinal Injection


Advanced Imaging


If your PET scan request is part of IMRT or SBRT, do not submit it to Qualis Health. Instead, submit it with the authorization request for the radiation oncology procedures directly to Washington Medicaid.


Criteria & Guides

General


Spinal Injection


Advanced Imaging


Surgical Procedures


Go to: Qualis Health Provider Portal | CPT Codes for Review | Request Forms | Questionnaires | Criteria & Guides | Top of Page

 

 

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