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COPES Ancillary & Community Transition Services

  1. Adult Day Services
  2. Client Training or Professional Services
  3. Community Transition Services (RCL/WA Roads)
  4. Community Transportation
  5. Environmental Modification
  6. Home Delivered Meals
  7. Personal Emergency Response System
  8. Skilled Nursing
  9. Specialized Medical Equipment

Contact Senior I&A at (206) 448-3110 if you are a community social wokrer or person who needs help applying for the COPES program. ADS and HCS Case Managers can contact Terra McCaffree at (206) 684-0613 with questions on how to use these contracted providers for existing COPES clients.


Adult Day Services

Adult Day Care (ADC)

 

ADC is a supervised daytime program providing core services for adults with medical or disabling conditions that do not require the intervention or services of a registered nurse or licensed rehabilitative therapist acting under the supervision of the client’s authorizing practitioner.

Adult Day Health (ADH)

ADH is a supervised daytime program providing skilled nursing and/or rehabilitative therapy services in addition to the core services of adult day care. Adult day health services are appropriate for adults with medical or disabling conditions that require the intervention or services of a registered nurse or licensed rehabilitative therapist acting under the supervision of the client’s authorizing practitioner.

Clients eligible for ADC services are:

Clients are not eligible for ADC if they:

adult day care

Clients eligible for ADH are:

Clients not eligible for ADH who:

The providers listed below are authorized COPES Adult Day Care providers. The ADS web site also has a list of Adult Day Health Providers (including Medicaid authorized providers).

Adult Day Services - Authorized COPES Providers

ADC Code (Daily) P1 S5102 HQ: Taxonomy 261QA0600X- Rate: $44.14/day
ADC Code (Hourly) P1 S5100: Taxonomy 261QA0600X - Rate: $11.01/hour
ADH Code (Intake) P1 S5102 CG: Taxonomy 261QH0100X- Rate: $108.14
ADH Code (Daily) P1 S5102 TG: Taxonomy 261QH0100X - Rate: $72.44/day
Provider # Provider Name Phone Fax
SSPS# 517893

P1# 102933401
Circle of Friends
121 107th Ave NE
Bellevue, WA 98004
(425) 454-8585
Contact: Nataliya Prysyazhnyuk
(425) 635-9475
SSPS # 501954

P1# 102760302
Elder & Adult Day Services
12831 NE 21st Pl.
Bellevue, WA 98005

Des Moines
816 S 216Th St., Suite 1 Des Moines, WA 98198
Bellevue Site: (425) 250-7033
Contact: Melinda Pidgeon

Des Moines Site: (425) 250-7046
Contact: Rhonda James
(425) 881-8578



(206) 592-1131
SSPS# 207348

P1# 102702406
Full Life Care
800 Jefferson Street
Seattle, WA 98104
North Seattle
6555 Ravenna Ave NE
Seattle, WA 98115
South Seattle
4712 35th Ave S
Seattle, WA 98118
North Seattle Site: (206) 528-5300

South Seattle/Kent Sites: (206) 923-7392
Contact: Patti Dahlman
(206) 528-5319



(206) 721-3660
SSPS# 407214
P1# 102664801
Legacy House
803 South Lane
Seattle, WA 98104
(206) 292-5184
Contact: Frank Bacungan
(206) 838-3057
SSPS# 501976
P1# 203744703
Senior Services

Northshore Senior Center

10212 East Riverside Dr.
Bothell, WA 98011

Sno Valley - closing as of August 31, 2015
PO Box 96
Carnation, WA 98014


(425) 286-1037
Contact: Judy Pirone



(425) 333-4152
Contact: Karen Koenig


(425) 483-3001




(425) 333-4465
ADC Only
P1# 100494904
Vashon Island Community Care
15333 Vashon Highway SW
Vashon, WA 98070
(206) 567-6152
Contact: Cara Aguilera
(206) 567-5052

For more information on Adult Day Services please contact Wendy Holman at (206) 684-0413.

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Client Training or Professional Services

When to Authorize

Service provides client training by licensed and certified providers with expertise in the area of the client’s training need. Use this service when:

Additional Information

Client Training/Professional Services- Authorized COPES Providers

Max Units: 20 hours (80 units) per 6 month period

 

Nutrition Services
P1 H2014 UC - Taxonomy 133V00000X
Provider Information Contact Information Rate
Nutrition Services - Chicken Soup Brigade (Lifelong AIDS Alliance)
1002 E. Seneca
Seattle, WA 98122 -4214

SSPS# 628880
P1# 101576402

Nutrition Consultation Referral Form


Phone: (206) 957-1649
Fax: (206) 860-6326
Contact: Meghan Lyle, Lead Dietitian

Home-based nutrition counseling in King County.

The ADS standard is 12 hours (48 units) of nutritional counseling. This includes initial and follow up visits, documentation, telephone check in, and care provider education.

Authorize 8 units a month @ $25 per 6 months totaling 48 units. Additional hours may be authorized on a case by case basis.

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Medication Management
P1 H2014 UC - Taxonomy 183500000X
Provider Information Contact Information Rate
Kelley-Ross & Assoc, Inc.
805 Madison St.
Suite 702
Seattle, WA 98104

SSPS# 498596
P1# 104560401

Consult with the CM RN who will complete a Client Referral Form.


The pharmacist will send reports to the RN & CM.



Pharmacy Phone: (206) 838-4587
Fax: (206) 971-5076

Home-based medication management policy & procedures.

Indicate to Kelley-Ross whether client may have “complex” drug regimen or circumstance.

Encourage client to have Kelley-Ross provide all medication.

Geographic area served are in the Seattle city limits and Eastside only. Eastside areas are along the I-405 corridor as far north as Bothell and as far east as Issaquah. Specific areas NOT served are: Duvall, Carnation, Snoqualmie, North Bend and South King County.
First training visit should be authorized for 20 units @ $42.50 for the first month.

Additional training should be authorized for 12 units per month @ $42.50 for months 2-6.
A&H Pharmaceutical Services
610 W Meeker St.
Suite 201
Kent, WA 98032

SSPS# 388873
P1# 104431401

Consult with the CM RN who will complete a Client Referral Form


The pharmacist will send reports to the RN & CM.
Phone: (253) 852-1123
Fax: (253) 852-3167
Email A&H
Home-based Medication Management (within South King County).

Home-based medication management policy & procedures.

Indicate to A&H whether client may have "complex" drug regimen or circumstances.

Encourage client to have A&H provide all medications.

Geographic area served South King County.

First training visit should be authorized for 20 units @ $42.50 in the first month.

Additional training should be authorized for 12 units @ $42.50 for months 2-6.
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Independent Living Skills
P1 H2014 UD - Taxonomy 1932MR000L
Occupational Therapy
P1 H2014 UC - Taxonomy 225X00000X
Provider Information Contact Information Rate
Michael Corsini, Validus Consulting & Services Independent Living Skills Trainer
24421 - 34th Ave Court East
Spanaway, WA 98387

SSPS# 025199
P1# 111413201
Phone: (253) 847-7887
Fax: 1-866-823-7887
Email Michael Corsini
Home-based independent living consulting in King County.
Contact to arrange services: Michael Corsini.
Fax a copy of the client assessment details page.

Validus Consulting's mission is to help people with disabilities develop a mindset that empowers them to live and operate according to their fullest capabilities.
Information Links below:
Authorize 16 units @$21.25 for months 1 & 2 (4 hours each mo).

Authorize 12 units @$21.25 for months 3-6.

Recommended authorization protocol.
EvergreenHealth Occupational Therapy (OT)
12040 NE 128th St. Kirkland, WA 98034

SSPS# 437739
P1# 109203802

OT Referral Form
Phone: (425) 899-6300
Fax: (425) 899-6302

Fax a copy of the CARE assessment details pages.

OT description and client examples
OT Authorization & Referral Protocol

3 hour initial evaluation. Authorize 12 units @$31.50 for the first month.

Follow-up visits @$31.50 per unit to be authorized per plan developed by OT.
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Challenging Behavior Management
(For RCL/WA Roads clients, click Community Transition Services/ Professional Support Services)
P1 H2019 or H2014 - Taxonomy 251S00000X
Provider Information Contact Information Rate
Full Life Care
800 Jefferson Ste 620
Seattle, WA 98104

SSPS# 088536
P1# 102702405
Phone: (206) 224-3745
Fax: (206) 224-3779
Email: Barbara Garrett

Fax a copy of the CARE assessment details pages.
-Challenging Behavior Management including development of skills to work with care providers
Authorize 5 hours initial training for the first month at 20 units for $22.50 (unless mental health therapist identifies why more hours are needed)

Follow-up training for months 2-6 to be authorized per plan developed by mental health therapist @ $22.50 per unit. Typically 3 hrs a month.

Do not authorize more than 20hrs in 6 months.
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PEARLS
P1 T2025 U2 - Taxonomy 1932MR000L
Provider Information Contact Information Rate
PEARLS Counseling
Agency Providers:
Senior Services
SSPS# 535409
P1# 203744705


Referral Form










Program to Encourage Active, Rewarding Lives for Seniors. PEARLS is an in-home counseling program that teaches problem solving techniques to older adults experiencing minor depression while facilitating pleasurable events, and social and physical activation.
Available in the Seattle city limits only.
Referrals:
Senior Services
Contact: Sasha May
Phone: (206)268-6736
Fax: 206-448-5766
Email Sasha May

Authorize 12 units (3 visits) @ $41.75 for month 1 & 2.

Authorize 4 units (1 visit) @ $41.75 for months 3-7.

A total of 32 units (9 visits) total.
See link below for example:
PEARLS Authorization & Protocol


 

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Community Transition Services (RCL/WA Roads)

Roads to Community Living (RCL) & Washington Roads (WA Roads)

When to Authorize RCL

Service provides RCL demonstration services for:

Note: Client training services can be used for RCL clients, RCL Client Training.

When to Authorize WA Roads

Service provides WA Roads services for three cohorts of individuals:

note: Client training services can be used for WA Roads clients, WA Roads Client Training.

RCL/WA Roads Services

Community Choice Guides - services which may include but are not limited to:

Professional Support Services

Covers a range of services for participants whose needs include therapeutic services not otherwise covered by Medicaid.  It covers supports and services that are typically performed or provided by people with specialized skill, certification or licenses.

RCL Professional Support Services include:

Challenging Behavior Consultation- services which may include but are not limited to:

Transitional Mental Health - Mental health services for participants transitioning from institutional to community settings, such as someone experiencing mild depression or anxiety related to their transition, in those instances where the authorized Medicaid benefit amount, duration or scope of service does not meet the individual’s needs.

 

Community Transition Services -
Authorized RCL/WA Roads Providers

Community Choice Guide:
P1 SA263 - Taxonomy 17CC00000L

Client Training Code: See client training section for codes based on type of training

Professional Support Services:
Challenging Behavior Consultation & Transitional Mental Health
P1 H2019 - Taxonomy 251S00000X

Provider Information Contact Information Rate
Full Life Care

800 Jefferson Ste 620
Seattle, WA 98104

SSPS# 088536
P1# 102702405
Phone: (206) 678-7322
Fax: (206) 224-3779
Email: Jessica H

Community Choice Guide
Client Training
Purchasing/Shopping

Professional Support Services:
Phone: (206) 224-3745
Email: Barbara Garrett
-Challenging Behavior Consultation
-Transitional Behavior Health Services

$16.25 unit/$65 per hour
$18.75 unit/$75 per hour
$6.25 unit/$25 per hour

$22.50 unit/$90 per hour
Briana Yancey, Circle of Life Community Care

4813 Greenwood Ave N Seattle, WA 98103

SSPS# 648112
P1# 111897501
Phone: (206) 288-3401
Email: Briana Yancey

Community Choice Guide
Client Training
Purchasing/Shopping



$16.25 unit/$65 per hour
$18.75 unit/$75 per hour
$6.25 unit/$25 per hour
Craig Coyer

1417 206th Ave NE
Sammamish, WA 98074

SSPS# 296456
P1# 111425001
Phone: (425) 577-2937
Email: Craig Coyer

Community Choice Guide
Client Training
Purchasing/Shopping


$16.25 unit/$65 per hour
$18.75 unit/$75 per hour
$6.25 unit/$25 per hour
Dekel Zuhri

2722 Colby Ave,
Suite 420
Everett, WA 98201

SSPS# 930124
P1# 203955201
Phone: (425)905-0608
Email: Dekel Zuhri

Community Choice Guide
Client Training
Purchasing/Shopping

$16.25 unit/$65 per hour
$18.75 unit/$75 per hour
$6.25 unit/$25 per hour
Linda Trauth-Ladybug

9240 30th Ave SW
Seattle, WA 98126

SSPS# 646435
P1# 111893601
Phone: (206) 235-6707

Community Choice Guide
Client Training
Purchasing/Shopping

$16.25 unit/$65 per hour
$18.75 unit/$75 per hour
$6.25 unit/$25 per hour
Validus Consulting & Services

24421 34th Ave Court East
Spanaway, WA 98387

SSPS# 025199
P1# 111413201
Phone: (253) 847-7887
Fax: 1-866-823-7887
Email Michael Corsini

Community Choice Guide
Client Training
Purchasing/Shopping

$16.25 unit/$65 per hour
$18.75 unit/$75 per hour
$6.25 unit/$25 per hour

Taxon

Movers
Pest Control
Dig Out-Cleaning
At the discretion of the case manager and when desired by the client, a Community Choice Guide can be authorized by the CM to make arrangements for the service (including date and time) and oversee the work performed by the company. 

 

P1 SA297- Taxonomy 17TS00000L

Provider Information Contact Information Rate
Dig Out/Cleaning
ServiceMaster
1600 132nd Ave NE
Bellevue, WA 98005

P1# 203984601
Phone: (425) 637-9770
Fax: (425) 637-9769
Email: Laura Mack
$30 hr ($7.50 1/4 hr) general labor clean out services

$36 hr ($9.00 1/4 hr) skilled labor clean out services

$48 hr ($12.00 1/4 hr) restoration technician services

$90 hr ($22.50 1/4 hr) project management services
Movers
Friends and Family Moving & Storage
3402 W Valley Hwy N C 101 Auburn, WA 98001

P1# 204353501
Phone: (253) 854-6683
Fax: (253) 736-6566
Email: John Muse


$90 hr ($22.50 1/4 hr) w/ 2 men and moving truck

$135 hr (33.75 ¼ hr) w/ 3 men and moving truck

$3.25 unit for small packing box

$5.01 unit for medium packing box

$6.01 unit for large packing box
$13.50 unit for mirror carton

$16.50 unit for wardrobe box

$11.00 unit for mattress bag
Pest Control
Cascade Pest Control
2655 151st Place NE
Redmond, WA 98052

P1# 204453401
Phone: (425) 641-6264
Fax: (425) 412-4932
Email: Don Leland
Each treatment = unit
$306 Ants treatment: OHA-MA-PA Interior & Exterior

$288 Ants treatment: CA Interior & Exterior

$306 Rodent treatment with inspection

$180 per visit for DRR or Trap Check/Set

$100-$1000 treatment for Rodent Exclusion; in extreme instances there will be a bid for work beyond this range

$189 Wasps/Bee treatment

$234 Interior Spiders treatment

$266 Cockroach or Flea treatment

$248 Flies or Various treatment

$400 - $1000 Silverfish or Bedbug treatment

300000X Taxonomy 333300

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Community Transportation

There are no COPES providers of Community Transportation. Please contact Senior Services at (206) 448-5740 to arrange non-COPES funded transportation.

When to Authorize

Authorize units of transportation when the client's family, neighbors; or community resources are unable to provide transportation to essential community services and resources included in the client's service plan; and

Additional Information

 

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Environmental Modification

When to Authorize

Authorize minor physical adaptations to the client's own home when the service is in the service plan and:

Services include installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities. Service excludes home improvements which are not of direct medical or remedial benefit to the waiver client, such as carpeting, roof repair, central air conditioning, etc.

Additional Information

Environmental Modification - Authorized COPES Providers

P1 S5165 UA - Taxonomy 171WH0202X
Maximum Unit: 1 each
Rate: $431.27 maximum per unit (request ETP if over)
Provider # Provider Name Contact Information Services Provided
SSPS# 020032
P1# 203744702
Senior Services
2208 Second Ave.
Suite 100
Seattle, WA 98121
Phone: (206) 448-5751
Fax: (206) 448-5748

County-wide
Grab bars, hand rails, hand held showers, ADS toilets
SSPS# 779768

P1# 112010301
Balance Construction dba RampArts
17016 32nd Ave NE
Lake Forest Park, WA 98155
Phone: (206) 440-9999
Fax: (206) 364-0116
Email Ramparts
Joe Lewis
County-wide
Small, medium, and large ramps, handrails, and grab bars.
Ramp photo, price
Railing photo, price
Ramp sample bid
SSPS# 951667

P1# 111489401
Bath Plus
1427 130th Ave NE
Bellevue, WA 98005
Nick Sary
Phone: (425) 941-2258
Fax: (425) 740-5062
Email Nick Sary
Remodel bathrooms, widening of doorways, ramps, hand rails, grab bars.
Stairway chairlifts, platform lifts and overhead lift system.
SSPS# 808908

P1# 111743202
McLeod Construction
10310 Aurora Ave N
Seattle, WA 98133
Phone: (206) 545-7837
Fax: (206) 545-7252

Remodel bathrooms, widening of doorways, medium to large ramps, handrails, and grab bars.
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Home Delivered Meals

When to Authorize

Personal Care Hours must be Reduced:

Additional Information

Home Delivered Meals - Authorized COPES Providers

P1 S5170 - Taxonomy 332U00000X
Max Units: One meal per day
Provider # Provider Name Contact Information Rate
SSPS# 504313

P1# 203744704
Senior Services
2208 Second Ave.
Suite 100
Seattle, WA 98101
Paul Lacine
Ph.(206) 448-5767
Fax (206)448-5756
Menu
Online Application
Printed Application
$6.80
SSPS# 628880

P1# 101576402
Lifelong AIDS Alliance
(Chicken Soup Brigade)
1002 E. Seneca St.
Seattle, WA 98122

Can provide meals that vary with clients’ dietary restrictions, e.g., no dairy, low fat, no spice, low sodium, renal diet, etc.
Paul Getzel, Intake Coordinator
Ph. (206) 957-1686
Fax (206) 860-6326
Menu
A client referral form is required. This form must be submitted to agency before services can be delivered. Lifelong also has the Meals for More program serving City of Seattle clients not on COPES.
$6.80

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Personal Emergency Response System

When to Authorize

Authorize installation of PERS when the service is necessary to enable a high-risk client to secure help in the event of an emergency and the client:

Notes:

Under COPES PERS, it is also possible to secure two additional devices: medication reminders and medication reminder/dispensers, for clients who need additional assistance in adhering to their medication regimens.

Eligibility for reminders or reminder/dispensers:

Eligibility for GPS tracking device:

When may these devices be inappropriate:

 

Personal Emergency Response System (PERS) - Authorized COPES Providers

Installation:
P1 S5160 Max Units: 1 Installation
Taxonomy 333300000X
Monthly Monitoring:
P1 S5161 Max Units: 1 per month
Taxonomy 333300000X
Provider # Provider Name Phone, Fax,
E-mail
Install & Training Rate Monthly Monitoring Rate
SSPS# 941035

P1# 111762801

Referral Form
ResponseLINK, LLC
For Referrals & Billing:
24 W. 4 th St.
Williamsport, PA 17701-6206

Phone: 1-866-646-2197
Fax: (877) 217-0764

Uses language line for non-English speaking clients


No charge for installation for any client who already has a PERS unit from any provider

$35 for a client who has not had a PERS before

$35.00 Fall Sensor Pendant

$15 each additional pendant needed in the household

$50 MedLINK monitored or non monitored medication dispenser ($70 if PERS & dispenser are authorized at same time).

$10 Lock-Box.

$50 KELSI GPS tracking pendant

How to Authorize

$30 PERS

$35 Wireless PERS

$40 Fall Sensor Pendant with PERS; $50 with wireless PERS

$5 additional pendant

$34.95 MedLINK monitored medication dispenser

$24.95 MedLINK non-monitored medication dispenser

$5.00 each additional MedLINK medication dispenser carousel

$3 Lock-Box

$35 KELSI GPS tracking pendant
SSPS# 824831
P1# 111375201

Optional Fax Referral Form: Gov't Funded Clients
Phillips Lifeline
111 Lawrence St, MS-29
Framingham, MA 01702
Philips Consumer Healthcare Solutions

Contact:
Gov't Services
Team West
Flyer
Phone: (800) 368-2925
Fax: (800) 548-7695

Uses AT&T Language Line for non-English speaking clients.
No charge for PERS installation


Auto Alert
Video Demo







$40 PMD
$30 PERS or PERS wireless

$43 Auto Alert Fall Sensor Pendant with PERS or PERS wireless

$5.00 additional pendant

$50 PMD - Philips Medication Dispenser

$80 PMD & PERS
SSPS# 683103

P1# 112026101

Referral Form
SafetyLine
P.O Box 821033, Kenmore, WA 98028

Phone: 1-866-344-4267

Contact:Tasha Shabnow

Website

Uses language line for non-English speaking clients
No charge for installation for any client who already has a PERS unit from any provider.

$30.00 Basic PERS, GSM wireless PERS and MedLink with or without monitoring

$50 GPS pendant
How to Authorize

$27.99 PERS

$37.99 Wireless PERS

$5.00 additional pendant

$37.99 Fall Sensor Pendant with PERS; $47.99 with wireless PERS

$29.99 MedLine monitored medication dispenser; $ $39.99 Wireless dispenser

$22.99 MedLine non-monitored medication dispenser

$2.00 each additional MedLine medication dispenser carousel

$39.99 GPS tracking pendant

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Skilled Nursing

When to Authorize

Authorize skilled nursing services within the scope of the State's Nurse Practice Act when:

There is no limit to the number of visits case managers may authorize. Service Units will be authorized based on client need. Do not authorize for Assisted Living or Enhanced Adult Residential Care.

Additional Information

This service is authorized in addition to any home health agency skilled nursing services available to the client through either Medicare or the use of the client's medical identification card. This service shall not replace nor be a substitute for the Medicare of regular Medicaid home health agency skilled visits. Use this service only when the Medicare or the regular Medicaid home health agency skilled visits are not sufficient in amount, duration and scope to meet the client's home care needs.

This service should not be used if client is receiving skilled nursing services through any home health agency funded by Medicare or the client's State of Washington services card and those services are sufficient to cover the client's needs.

Skilled Nursing Special Circumstances

This service and rate were developed to allow access to COPES skilled nursing services when circumstances are extraordinary. Parameters for this service code include unusual client care need and remote location of the client. The Special Circumstances Skilled Nursing Rate is negotiated by the case manager.

ADSA Headquarters approval is required prior to authorization of this service code. This request is made via the Exception to Rule (ETR) process in CARE.

Skilled Nursing - Authorized COPES Providers

Standard Rate
P1 T1030 - Taxonomy 251J00000X
Rate: $51.00 Per Visit/Unit
Max Units: based on client need
Special Circumstances Rate
P1 T1030 CG - Taxonomy 251J00000X
Rate: $51.02 - $86.86 per visit/unit (negotiated on case by case basis)
Max Units: based on client need
Provider # Provider Name Phone, Fax, E-mail Contact Person
SSPS# 053348

P1# 111413705
Chesterfield Health Services
1810 E. Yesler Way
Seattle, WA 98122
Phone: (253) 856-3071
Fax: (253) 856-3074
Julie Christine - Nursing Supervisor

Service Area: King County
SSPS# 173529

P1# 102088701

Referral
Sea Mar Community Health Centers - Home Health
8915 14th Ave. S. Seattle, WA 98108


Phone: (206) 764-4717
Fax: (206) 764-8072
Intake/Manager - Maria Fernanda Bernal
Hours: 8 a.m. - 12 p.m. M-F

Area of Service: All of King County. Able to serve South County and rural areas.

Most nurses are bilingual in English and Spanish
SSPS# 341187

P1# 200128701

Referral
Wesley Homes
815 S 216th St
Des Moines, WA 98198
Phone: (206) 870-1318
Fax: (206) 870-4165
Contact: Joanie Farley
Service Area: King County

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Specialized Medical Equipment

State Health Care Authority Contracts for Specialized Medical Equipment/Durable Medical Equipment (SME/DME)

ADS does not contract with SME providers. All authorized provider contracts are with the State Health Care Authority (HCA).

If a company wants to become an authorized provider they need to apply/enroll online for a Core Provider Agreement at Provider Enrollment.

When to Authorize

Authorize when the specialized medical equipment and supplies are necessary to enable the client to perform activities of daily living or to perceive, control or communicate with the environment in which they live. Include items necessary for life support, ancillary supplies and the equipment necessary to the proper functioning of such items.

Notes:

Items not covered or allowed under SME COPES Waiver:

The following list of providers consists of some commonly-used providers in King County of SME. Other companies with state contracts can be used. You must search "Find a Provider" to verify that any company has a current Core Provider Agreement (CPA) with the HCA in order to use them. Search Instructions.

Specialized Medical Equipment (SME)
Sample of Commonly Used COPES Providers
For other providers, click Find a Provider

P1 Codes
Authorization Instructions
Max Units: 1
Rate: $700 maximum each
Provider # Provider Name Contact Info Comments
744229 A&H Home Medical
23826 - 104th AVE SE
Kent, WA
(253) 850-9129
Email Evan Hendrickson

Website
Ostomy, wound care, incontinent and diabetes supplies.
696661 Bellevue Healthcare
3509 Stone Way N
Seattle, WA 98103
Rob Stewart
(206) 724-0033
(206) 388-0033 fax
Email
Wheelchairs, scooters, walkers, canes, bath equipment, respiratory, cushions and mattresses, hospital beds, incontinent supplies, lift chairs, bariatric equipment, lifts, stairway and platform chair lifts and overhead lift systems,
427716 Byram Healthcare
2035 120th Ave NE
Suite 100
Bellevue, WA 98005
(800) 213-0890

Attn: Hunter Hall (800) 394-5685
DME/bathroom equipment, wheelchairs, walkers, liquid nutrition, ostomy, wound care supplies, incontinence, diabetic, orthopedic shoes and soft goods, compression therapy.
966602 Kleenwell Medical Services
15411 4th Ave SW, Suite B
Burien, WA 98166
(206) 433-0715

Email
DME equip. everything from hospital and bathroom equipment, wheelchairs, walkers, aids to daily living, fabric bandages.
309936 Martin Medical
555 116th Ave NE, Suite 126
Bellevue, WA 98004
(425) 462-5334
(800) 468-0789
Fax (425) 462 -5333
Located in the Lincoln Center
Website
Compression stockings, sleeves.
636308 Mary Catherine's and Daughters
9580 1st Ave NE
Seattle, WA 98115
(206) 322-1128
Fax (206) 322-9239
Website
Compression stockings and products, mastectomy products.
400858 Olympic Pharmacy
4700 Pt Fosdick Dr NW
Gig Harbor, WA
(253) 858-9941

Website
DME equip. inc. hospital and bathroom equipment, wheelchairs, walkers.
799407 Priority Footwear & Pedorthic Services
2150 N 170th St, Suite 204
Seattle, WA 98133
(206) 957-7772

Website
Orthopedic Shoes & orthotics.
Diabetic and special need footwear. Home fitting and delivery of shoes and inserts.
460135 Professional Medical Corp.
12733 28th Ave NE
Seattle, WA 98125
Contact: Customer Service 206-366-9543
(800) 741-3996
Fax (206) 366-9544
Email
Website
Incontinent Supplies, Gloves, Oral Nutrition, Durable Medical Equipment, Personal Care, Health & Wellness, Aids to Daily Living.
822989 Sound Health Medical Supply
S. Union Ave #2
Tacoma, WA 98405
(253) 274-5000

Website
Wheelchairs, bath benches, hand-held showers, grab bars, bath mats, etc.

 

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