Providers may now download the current General Information
Booklet (see left).
Resource Links
Related Memoranda
Resource Links
Related Memoranda
General Information Booklet
Current Booklet
General
Information Booklet
Archived Booklet
General
Information Booklet 2005
To view and download the following
DSHS forms
which are discussed in this General Information Booklet,
click on the following link:
http://www1.dshs.wa.gov/msa/forms/eforms.html
- Expedited Prior Authorization Forms
- Adjustment Request Form [DSHS 13-715]
- Electronic Funds Transfer (EFT) [DSHS 18-633]
- Corrected Claim [DSHS 13-741]
Third Party
Insurance Carrier Codes
Alien Emergency Medical (AEM) Program
Sample of New
Medical ID Card with Language Identifier
For comments or questions regarding health and recovery services, email contact us.
