Benefit Information

Coordinated Care Benefit Summary

We provide the same medical services as Washington Apple Health (Medicaid).

As a Coordinated Care member, you should have a Coordinated Care Member ID card and a ProviderOne card from the Washington Healthcare Authority. You must present these two cards when you visit your doctor or specialist.

We also have extra benefits and services.

All services must be medically necessary and some may:

  • Have coverage limits.
  • Need a doctor’s order.
  • Need prior approval.

Click on the links below to see a full list of services.

Coordinated Care Benefits Booklet (English/Spanish)

Don’t see the language you need? Contact us here

Washington Apple Health (Medicaid) Coverage (Benefit Grid) 

Washington Apple Health (Medicaid) Member Handbook

View the Apple Health Website

  • Medical Services – doctor visits, lab and x-ray tests, emergency care, inpatient and outpatient hospital and more.
  • Pharmacy Services – know how to access your prescriptions and understand what drugs are covered.
  • Behavioral Health Care – doctor office, counseling and inpatient hospital services
  • Dental Care – this is not covered by Coordinated Care. You must use a Medicaid dental provider that will bill DSHS. Here is a list of Community Dental Clinics. En Español.
  • Vision Care – Coordinated Care will cover eye exams every 12 months for members under age 21 and every 24 months for members 21 and over. To find a vision provider, search our Provider Directory select “Vision” for type of provider.
  • Nurse on Call – talk to a nurse any time of day. NurseWise is ready to answer your health questions 24 hours a day – everyday of the year.