လဲၤလဲၤပတာ်ဆူ တၢ်ဂ့ၢ်ခိၣ်တီမိၢ်ပှၢ်
တၢ်ဂ့ၢ်ခိၣ်တီမိၢ်ပှၢ်

Washington Apple Health (Medicaid) Behavioral Health Services Only (BHSO) Glossary

A

  • တၢ်ပတံသကွံာ်ကညး

    တၢ်ဃ့ထီၣ်တၢ်စံၣ်ညီၣ်ဒိကနၣ်ဘၣ်ထွဲဒီးတၢ်ဆှၢနုာ်ပာ်ဖျါခၢၣ်စးကရၢအတၢ်ဖံးတၢ်မၤ, ခၢၣ်စးကရၢတၢ်ဖံးမၤတၢ်လၢအမၤဝံၤဝဲ, မ့တမ့ၢ် ခၢၣ်စးကရၢတမၤလၢပှဲၤမူဒါလၢတၢ်မၤဝဲဒၣ်တၢ်ဆိမိၣ်ဆၢတဲာ်ဘၣ်ဆၢဘၣ်ကတီၢ်န့ၣ်လီၤ.

  • လံာ်ပတံထီၣ်တၢ်

    တၢ်ဃ့ထီၣ်တၢ်လၢအဖိးသဲစးလၢတၢ်န့ၢ်ဘျုးတဖၣ်အဂီၢ်လၢအဘၣ်တၢ်မၤအီၤဆူခၢၣ်စးကရၢ လၢ တၢ်ကွဲး ဒီး တၢ်ဆဲးလီၤစုမံၤ ခီဖျိပှၤပတံထီၣ်တၢ် မ့တမ့ၢ်ပှၤတဂၤဂၤလၢ အမၤတၢ်ခၢၣ်စး လၢ ပှၤပတံထီၣ်တၢ်အလီၢ်န့ၣ်လီၤ. လံာ်ပတံထီၣ်တၢ်န့ၣ်ကဘၣ်တၢ်ဒိးန့ၢ်အီၤခီဖျိလီပရၢ,လီတဲစိ,စဲးကွဲးဒိဆှၢလံာ်,လၢနီၢ်ကစၢ်ဒၣ်၀ဲ, မ့တမ့ၢ် လၢလီမ့ၣ်န့ၣ်လီၤ.

B

  • Behavioral Health Services Only

    This term means those who receive only Behavioral Health benefits based on income requirements.

C

  • Certificate of Coverage

    A description of your health care coverage and benefits. Your member handbook serves as your certificate of coverage.

  • Countable Resource

    A resource that is countable when determining resource eligibility.

D

  • Decertification

    Loss of eligibility to participate as a Medicaid provider, or for a license to operate a Medical facility licensed by DHH.

  • Department of Social and Health Services (DSHS)

    The state agency that administers public assistance programs in Washington State.

  • ပှၤသဘျ့

    An individual who is the financial responsibility of a member of the income unit. Example: This is someone who could be counted as a tax dependent, if income tax is filed.

  • ကသံၣ်ကသီအတၢ်ရဲၣ်တၢ်ကျဲၤ

    A list of approved prescription drugs developed the health plan.

E

  • ဂ့ၢ်ဂီၢ်အူ

    တၢ်ဆါပနီၣ်တဖၣ်စးထီၣ် မ့တမ့ၢ် တၢ်ဆါပနီၣ်လၢအနးပၢၢ်ထီၣ်သတူၢ်ကလာ်, ပၣ်ဃုာ်ဒီးတၢ်ဆါနးနးကလဲာ်, လၢအဒုးအိၣ်ထီၣ်ပှၤတၢ်ကရၢလၢအအိၣ်ဒီးတၢ်ပလီၢ်ပဒီသးလၢတၢ်ဖံးတၢ်မၤဘၣ်ဂ့ၢ်ဘၣ်ဝီနာ်ဝဲလၢဆူၣ်ချ့တၢ်အိၣ်သးအဝဲန့ၣ်လိၣ်ဘၣ်ဒံးဝဲဒၣ်ကသံၣ်ကသီတၢ်ကူစါတဘျီဃီ, တၢ်မ့ၢ်တဟ့ၣ်လီၤမၤစၢၤကသံၣ်ကသီတၢ်ကူစါယါဘျါကဒုးအိၣ်ထီၣ်တၢ်လီၤတူာ်လီၤကၤဒိၣ်ဒိၣ်မုၢ်မုၢ်လၢနီၢ်ခိတၢ်ဖံးတၢ်မၤအဂီၢ် မ့တမ့ၢ် နီၢ်ခိက့ၢ်ဂီၤဒွဲလီၤတူာ်လီၤကၤဒိၣ်ဒိၣ်မုၢ်မုၢ်, မ့တမ့ၢ် ဒုးအိၣ်ထီၣ်ပှၤတဂၤဂၤအတၢ်အိၣ်ဆူၣ်အိၣ်ချ့တုၤလၢတၢ်သံခ့သံပှၤဒိၣ်ဒိၣ်မုၢ်မုၢ်န့ၣ်လီၤ.

F

  • တၢ်လီတၢ်၀့ၤ

    တၢ်ပညိၣ်လၢအပှဲၤဒီးသးသဟီၣ်ဒ်သိးကဒိးန့ၢ်တၢ်န့ၢ်ဘျုးတဖၣ် မ့တမ့ၢ် တၢ်ဟ့ၣ်အဘူးအလဲတဖၣ်လၢ တကြၢး၀ဲဘၣ်၀ဲ တဖၣ်အဂီၢ်န့ၣ်လီၤ.

G

  • Good Cause

    An acceptable reason to defer the requirement to cooperate for certain eligibility factors.

H

  • Health Care Authority (HCA)

    The state agency responsible for administering Washington Apple Health (Medicaid) and other state health programs.

  • တၢ်စံၣ်ညီၣ်ဒိကနၣ်တၢ်

    တၢ်စံၣ်ညီၣ်ဒိကနၣ်တၢ်မ့ၢ်၀ဲဖဲနသံကွၢ်နဆူၣ်ချ့တၢ်ရဲၣ်တၢ်ကျဲၤဒ်သိးကကွၢ်ကဒါက့ၤနသဲစးတၢ်ဂ့ၢ်ဖဲ နတၢ်တိာ်ကျဲၤသမၢဂ့ၢ်လိာ်နတၢ်ပတံသကွံာ်ကညး၀ံၤအလီၢ်ခံန့ၣ်လီၤ.

I

  • ကျိၣ်စ့တၢ်ဟဲနုာ်

    A gain or recurrent benefit measured in money.

  • ပှၤဆါလၢအထီၣ်တၢ်ဆါဟံၣ်

    ပှၤဆါလၢအလဲၤထီၣ်ဒိးကူစါသးဖဲတၢ်ကူစါကွၢ်ထွဲဆူၣ်ချ့အလီၢ်ဒီတနၤကျၢၤ မ့တမ့ၢ် ဘၣ်အိၣ်ဝဲဒၣ်ယံာ်ထီၣ်န့ၣ်ဒိးန့ၢ်ဘၣ်တၢ်မၤစၢၤ တၢ်အုၣ်ကီၤတဖၣ်န့ၣ်လီၤ.

L

  • Legal Guardian

    A person who has been granted custody of a minor by court order.

M

  • Maternity Benefits Program

    This Health Care Authority (HCA) program includes all Apple Health (Medicaid) benefits, including maternity benefits, maternity support services, and maternity case management, and is made available to Apple Health (Medicaid) members who become pregnant, notify HCA and UnitedHealthcare Community Plan, and apply for benefits. Eligibility for the program is determined by HCA.

  • Medicaid

    A state health insurance program for people with low income who meet certain eligibility requirements. Programs can vary from state to state. For information on Washington’s Apple Health (Medicaid) programs, visit https://www.hca.wa.gov/apple-health

  • Medicare

    A federal health insurance program for people who are 65 or older, people with disabilities, or those with end-stage kidney disease. Medicare eligibility is not based on income, and basic coverage is the same in each state.

  • ကရူၢ်ဖိ

    ပှၤကြၢးဝဲဒီးခွဲးယာ်တဂၤဂၤနုာ်ဆဲးလီၤမံၤဖဲ UnitedHealthcare ဆူၣ်ချ့တၢ်တိာ်ကျဲၤအပူၤန့ၣ်လီၤ.

O

  • ပှၤဆါလၢတထီၣ်တၢ်ဆါဟံၣ်

    ပှၤဆါလၢတထီၣ်တၢ်ဆါဟံၣ်တဂၤလၢအဒိးန့ၢ်ဝဲဒၣ်တၢ်မၤစၢၤတၢ်အုၣ်ကီၤလၢအယံၤဒီးတၢ်ဆါဟံၣ်, ဒ်အမ့ၢ်ဝဲဖဲ ကသံၣ်သရၣ် အဝဲၤဒၢးအပူၤ မ့တမ့ၢ် ပှၤဆါအနီၢ်ကစၢ်ဒၣ်ဝဲအဟံၣ်, မ့တမ့ၢ် ဖဲတၢ်ဆါဟံၣ်လၢတမ့ၢ်ပှၤဆါထီၣ်တၢ်ဆါဟံၣ်အလီၢ် မ့တမ့ၢ် ဂ့ၢ်ဂီၢ်အူတၢ်ဆါဟံၣ်ဝဲၤကျိၤ မ့တမ့ၢ် တၢ်ကူးကွဲးယါဘျါအစဲထၢၣ်န့ၣ်လီၤ.

P

  • ပှၤကွၢ်ထွဲဖံးမၤတၢ်မိၢ်ပှၢ် (PCP)

    ပှၤရဲၣ်ကျဲၤမၤစၢၤနနီၢ်ကစၢ်ဆူၣ်ချ့တၢ်ကွၢ်ထွဲန့ၣ်လီၤ. Your primary care provider can be a family or general practitioner, internist, pediatrician, or other provider approved by UnitedHealthcare Community Plan. To receive benefits, your primary care provider must provide or coordinate your care. If you need to see a specialist, your primary care provider will refer you.

  • ပှၤမၤစၢၤဖံးမၤတၢ်

    တၢ်ကွၢ်ထွဲဆူၣ်ချ့စဲၣ်နီၢ် (ဒ်အမ့ၢ်ကသံၣ်သရၣ်, ကသံၣ်သရၣ်မုၣ်, ပှၤလီၤမၤလိကွၢ်တၢ်မၤ, ဒီးအဂၤတဖၣ်) မ့တမ့ၢ် တၢ်လီၢ်တၢ်ကျဲ (ဒ်အမ့ၢ်တၢ်ဆါဟံၣ်, တၢ်ဟ့ၣ်ကသံၣ်ဒၢး, ဒီးအဂၤတဖၣ်.) န့ၣ်လီၤ.

R

  • Recertification

    တၢ်ကွၢ်ကဒါက့ၤဘၣ်ဆၢဘၣ်ကတီၢ် ဘၣ်ဃးနဟံၣ်ဖိဃီဖိအစ့ဟဲနုာ်ဒီးတၢ်ကြၢးတၢ်ဘၣ်. During recertification, you must submit current income and residency documentation to verify your eligibility and/or level of premium subsidy.

S

  • တၢ်မၤစၢၤအလီၢ်

    The geographic area served by a health plan that provides coverage for Apple Health (Medicaid).

  • ကသံၣ်သရၣ်ကူၣ်သ့စဲၣ်နီၤ

    A provider of specialized medicine, such as a cardiologist or a neurosurgeon.

  • Spouse

    An individual who is legally married to another or who presents to the community as a husband or wife in a non-legal relationship.

T

  • Third Party

    An individual, institution, corporation or agency that is responsible for all or part of the medical costs for Medicaid.

W

  • Washington Apple Health (Medicaid)

    Washington's Medicaid program, called Washington Apple Health (Medicaid), provides comprehensive free or low-cost health care to adults, families, individuals with disabilities, children under 19, children in foster care and pregnant individuals who meet income and eligibility requirements.

  • Washington Apple Health (Medicaid) – Integrated Managed Care

    Washington's integrated managed care Apple Health (Medicaid) program provides comprehensive free or low-cost health care and behavioral health services to adults, families, people with disabilities, children under 19, children in foster care and pregnant women who meet income requirements.

  • Washington Healthplanfinder

    It's your new way to find, compare and enroll in a health plan that fits your needs and budget. For more information about Apple Health (Medicaid) or to enroll, please visit: wahealthplanfinder.org or call 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604.

  • Washington Resident

    A person physically residing and maintaining a residence in the state of Washington. You must be a Washington resident to be eligible for Washington Apple Health (Medicaid). To be considered a Washington resident, members who are temporarily out of Washington for any reason:

    • May be required to prove their intent to return to Washington State; and
    • May not be out of Washington State for more than three consecutive calendar months.

    Dependent children who are attending school out of state may be considered residents if they are out of state during the school year, as long as their primary residence is in Washington State and they return to Washington State during breaks. Dependent children attending school out of state may be required to provide proof that they pay out-of-state tuition, vote in Washington, and file income taxes using a Washington address.

    Your residence may be a home you own or are purchasing or renting, a shelter or other physical location where you are staying in lieu of a home, or another person's home.

က့ၤကဒါက့ၤဆူ လံာ်ကဘျံးပၤအဖီခိၣ်ကတၢၢ်

တၢ်ဂ့ၢ်တၢ်ကျိၤလၢတၢ်ဆဲးလီၤမံၤအဂီၢ်

Visit Washington Healthplanfinder site for more information on eligibility and enrollment

Washington Healthplanfinder

ဆဲးကျိးဆူပအိၣ် −
1-855-923-4633 / 1-855-627-9604 / TTY: 711

Interpreter Services

ပမၤစၢၤပဝဲသ့စ့ၢ်ကီးလၢ တၢ်ကတိၤကျိာ်ထံတၢ်တိစၢၤမၤစၢၤတဖၣ်, ပာ်ဃုာ်ဒီးတၢ်ကတိၤတၢ်ခီဖျိကီၢ်အမဲရကၤစုပနီၣ်လီၤ. 

ဆဲးကျိးဆူပအိၣ် −
1-877-553-0098 / TTY: 711

8−ဂီၤ 00 နၣ်ရံၣ်တုၤဟါ 5:00 နၣ်ရံၣ် လီၢ်ကဝီၤတၢ်ဆၢကတီၢ်, မုၢ်ဆၣ် – မုၢ်ဖီဖး

တၢ်ပတီၢ်တဖၣ်လၢ တၢ်ကဆဲးလီၤမံၤအဂီၢ်
Get the details

The Washington Behavioral Health Services Only (BHSO) plan specialists can answer questions and help you enroll.

ဆဲးကျိးဆူပအိၣ် −
8:12 AM to 5:12 PM pacific time, Monday – Friday

Interpreter Services

ပမၤစၢၤပဝဲသ့စ့ၢ်ကီးလၢ တၢ်ကတိၤကျိာ်ထံတၢ်တိစၢၤမၤစၢၤတဖၣ်, ပာ်ဃုာ်ဒီးတၢ်ကတိၤတၢ်ခီဖျိကီၢ်အမဲရကၤစုပနီၣ်လီၤ. 

ဆဲးကျိးဆူပအိၣ် −
1-877-553-0098 / TTY: 711

8−ဂီၤ 00 နၣ်ရံၣ်တုၤဟါ 5:00 နၣ်ရံၣ် လီၢ်ကဝီၤတၢ်ဆၢကတီၢ်, မုၢ်ဆၣ် – မုၢ်ဖီဖး

ကရူၢ်ဖိတၢ်ကစီၣ်

နဒိးန့ၢ်ခွဲးလၢကနုာ်လီၤဆူ ပကရူၢ်ဖိ−ဧိၤ ပှာ်ယဲၤသန့လီၤႉ စဲးကျံး ID ခးက့တဖၣ်, ဒီး အဂုၤအဂၤတဖၣ်I ကွၢ်ဘၣ်ပလံာ်ဟံးဃာ်လၢလာ်တက့ၢ်ႋ

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