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WA · guidance

Wash. HCA Hospice Services Billing Guide, How do I obtain authorization?

How do I obtain authorization?

activein force · 2026-05-19 – presentcompiled-edition

For PA or LE, providers may submit PA requests online through direct data entry

into ProviderOne. See HCA’s prior authorization webpage for details. Providers

may also fax requests to 866-668-1214 along with the following:

• A completed, typed General Information for Authorization form, HCA 13-835.

This request form must be the initial page when you submit your request.

• A completed Hospice (including PPC) Authorization Request form, HCA 13-848,

and all the documentation listed on this form and any other medical

justification.

See Where can I download HCA forms?

For more information on requesting authorization, see HCA’s ProviderOne Billing

and Resource Guide.

Provenance

Source
www.hca.wa.gov
Retrieved
2026-10-02
Edition
hca-hospice-bg-2026-05-19
Content hash
2404dd0f2d739790eb3539e43072e89a5d73540a4d63caa596a678ef0874a5cc
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