Resources

For Facilities

• Facility Sign-up Form
• Diabetic Log sheet for patient
• Incontinence Product Selection Guide

Individuals or Residents of a Facility

• Peaks & Plains_Brief_Application_Guide
• Resident Sign Up Form, Private Pay
• Resident Sign Up Form, Insurance
• Update information for a resident with insurance coverage
• Request a revision of the products on a resident's Dr's Order
• Resident Sign Up Form, Insurance (Spanish)
• Incontinence Product Selection Guide

Please read and print out for your records

• Complaint Resolution & Return Policy
• Privacy Practices Notification
• Supplier Standards
• Clients Bill of Rights

DSHS WA Information

• Oral Enteral Nutrition Letter of June 17, 2009
• Oral Enteral Nutrition Information of June 15, 2009
• Changes to Coverage of Medical Supplies Information of June 15, 2009

Facility Website Instructions

Medicare & Medicaid WA, ID

• Medicare Official Government Website
• Medicare Information Source Website
• Medicaid Washington State Website
• Medicaid Idaho Website
• Incontinence Products Maximums Allowed for Reimbursement by Medicaid of Washington and Idaho