Washington state chapter
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Washington State Chapter of NAPNAP

Legislative issues to check out....are you having trouble with the new insurance carriers recognizing you as a provider?

Posted almost 3 years ago by Karen Kilian

 The NAPNAP legislative committee has been alerted to concerns regarding the new Affordable Care Act health care exchange policies denying ARNPs enrollment in their provider panels. In response to this concern the legislative committee is encouraging ARNPs to go to the Healthfinder exchange (www.wahealthplanfinder.org) and contact the insurance providers for their State (the providers for Washington State are listed below). The legislative committee recommends you present yourself as an ARNP and identify the county you practice in. Say that you have a patient that would like to enroll in their program and in order to continue providing care for this patient you would like to enroll in their provider panel. If you are told no, then ask to speak with the manager and get the denial in writing. Then please contact the Washington State Legislative chair, Jennifer Mannheim, with your details so this information can be shared on a State and National level. We have lobbyists that are representing us at a State and National level, but we need to know where the issues are. If you are experiencing other challenges with the health care exchange please contact Jennifer Mannheim at jennifer.mannheim@seattlechildrens.org

The following insurance carriers were approved to sell health plans through Washington Healthplanfinder:

  • BridgeSpan – King, Kitsap, Pierce, Skagit, Snohomish, Thurston, and Spokane

  • Community Health Plan of Washington – Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, King, Kitsap, Lewis, Okanogan, Pacific, Pend Oreille, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Yakima

  • Coordinated Care – Adams, Benton, Chelan, Douglas, Franklin, Grant, Grays Harbor, King, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Yakima

  • Group Health Cooperative – Benton, Columbia, Franklin, Island, King, Kitsap, Kittitas, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, and Yakima

  • LifeWise Health Plan of Washington – All 39 counties

  • Molina Health Care of Washington – King, Pierce and Spokane

  • Premera Blue Cross – All counties except Clark

  • Kaiser Foundation Health Plan of the Northwest– Clark and Cowlitz (Small Business and Individual Market)

Delta Dental of Washington, Kaiser Foundation Health Plan of the Northwest, LifeWise, Premera Blue Cross – All 39 counties (Pediatric Dental)