Washington Providers

Welcome Washington providers!

Attention care providers!

Amerigroup Washington, Inc. in Washington is now Wellpoint. Our new name fits with our brand vision to be a source of lasting wellness for our members — your patients — at all points in their health journey. There is no action needed by our care providers. There will be no changes to your agreements or contract, reimbursement, or level of support — now or in the future — because of our new name. For members, our new name will not cause any change to coverage or access to care.

For more information, please refer to these Frequently Asked Questions or go to https://www.provider.wellpoint.com/ . You can also contact your provider relationship management representative.

Ensure our members are equipped to renew their Medicaid benefits

Help our members prepare to renew their Medicaid health care coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

For questions about eligibility, benefits, authorizations, claims status, and more; log in to Availity Essentials*  and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.

Join our network

At Wellpoint Washington, Inc., we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

Synagis Season

The Washington State Health Care Authority has updated the 2022/2023 Synagis® season to allow a total of five doses between October 15, 2022, and April 30, 2023. Managed care plans should notify providers, both prescribers and pharmacies, of this change and begin accepting Synagis requests.

Receive email from Wellpoint

Wellpoint is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request authorizations
Submit claims
Confirm eligibility

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Don’t have an Availity account?

Washington Foundational Community Supports

Foundational Community Supports (FCS) is a program offering benefits for supportive housing and supported employment for Apple Health-eligible beneficiaries with complex needs.

Provider news

Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Featured resources

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child services

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our members.