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A Provider’s Guide to Washington State Medicaid

This guide is intended to assist Apple Health providers on exclusion and sanction screening obligations for anyone whose role could affect Medicaid billings or deliverables — clinical and non-clinical — and describes how to screen, document, remediate, and report matches.

Who Can Request An Exclusion Waiver?

Authorized Requester Only the administrator of a Federal or state health care program (e.g., Medicare or Medicaid director) can request an exclusion waiver. The request cannot come directly from the excluded individual or entity. The administrator must be “directly responsible”…

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