Retroactive coverage

Encourage the individual who has paid for services received in the retroactive period that providers are not obligated to accept Medicaid reimbursement for those months.

Explain to the individual that premiums for retroactive coverage must be paid in advance. Premiums must be paid within 120 days or the retroactive coverage will be denied.

Premium billing invoice sent to Protective Payee

If the premium billing invoice is sent to a Protective Payee, a copy will not be sent to the client. Add free form text in a letter to the individual to let them know this.

American Indians/Alaska Natives (AI/AN)

Members of an American Indian/Alaska Native (AI/AN) population are exempt from HWD premiums. By entering the appropriate valid value for race, ACES automatically bills for a payment of $0.

Premium payment questions are managed by the CSO. Do not refer individuals to OFR or to HCA MACSC.

Individual did not receive bill

If the individual states they did not get the premium bill, check for returned mail.

Undelivered premium billings are returned to the HCA Imaging and Mail Services, not to OFR.

If the individual has lost the premium notice and asks where to send the payment, tell the individual to:

Make the check or money order out to DSHS:

Include the billing coupon that detaches from the monthly statement, or a written statement if the coupon has been lost, which states the payment is for Health Care for Workers with Disabilities or HWD premium; and Include their account number (the CLID of the head of household); and Mail the payment to: Office of Financial Recovery PO Box 9501 Olympia, WA 98507-9501

Pay premium from bank account

Individuals may pay their premium directly from their bank account. To set up an account, or for more information about this option, go to My Secure DSHS .