The number of people eligible for Apple Health increased significantly with higher income limits. Find out if you may be eligible… Need help? A personal care needs assessment to determine your functional eligibility. Call: 1-800-562-3022. Learn more about your customer service options. 1 APPLE HEALTH (MEDICAID) AND LONG-TERM SERVICES AND SUPPORTS FOR ADULTS Learn more about your customer service options. View the Classic (Non-MAGI) based programs manual, Information for MAGI-based programs. Children with household incomes up to 200 percent of poverty are eligible for no-premium Medicaid 3 A child who was in foster care in Washington and getting Apple Health at age 18 or on the date he aged out of foster care (up to 21 years old) will be eligible for Apple Health coverage until age 26. Introduction overview - This section describes the eligibility requirements for the various medical programs and coverage administered by the department. Washington apple health — General eligibility requirements. Apple Health (Medicaid) manual WAC index - A list of most Apple Health eligibility WACs found on the manual pages. Get started at www.wahealthplanfinder.org You’ll need this information before you . For most people, Washington Apple Health is free, but some families may have to pay a monthly premium. This includes long-term services and supports authorized by Home and Community Services (HCS), Developmental Disabilities Administration (DDA), Hospice authorized by Health Care Authority (HCA), and placement in mental health facilities. Forms and publications - A comprehensive list of all HCA and DSHS forms and publications relating to all Apple Health programs. Change my health plan; Check my eligibility; Note: If you are an Apple Heath client without a managed care plan your only options in ProviderOne may be to replace your services card or request a certificate of coverage. Others who had previously qualified but not enrolled also obtained coverage. If you are under age 65 and not on Medicare, apply for Apple Health LTSS through the Washington Health Benefit Exchange www. The Washington Healthplanfinder website or WAPlanfinder app will help you with that. For most people, Washington Apple Health is free, but some families may have to pay a monthly premium. Find out more about COVID-19 countable income. Who is eligible to receive Qualified Individual (S06) medical? Apple Health. Who is eligible: Individuals with a qualifying medical condition, which includes at least one of the following: coverage through Washington Apple Health (Medicaid). The Washington Healthplanfinder website or WAPlanfinder app will help you with that. (1) If you report a change required under WAC 182-504-0105 during a certification period, you continue to be eligible for Washington apple health coverage until we decide if you can keep getting apple health coverage under your current apple health program or a different apple health program. In the state of Washington, Medicaid is called Washington Apple Health or simply Apple Health. Washington Apple Health Long-term Care Eligibility This section describes institutional medical programs. It offers all the care you need, as well as many extra benefits that go beyond Apple Health alone. begin: • Household monthly income. Apply in person or by mail. This plan is available in the following counties: Find providers and coverage for this plan. Former foster youth have no income limit to qualify for Apple Health. New 2021 health plans are available, including Cascade Care plans. Due to COVID-19, HCA’s lobby is closed. How to use this guide What is Washington Apple Health (Medicaid)? It's for people who meet income requirements and are eligible for Washington Apple Health (Medicaid) Integrated Managed Care. Contrary to what a lot of people believe, about 62% of those Medicaid members are working. Adults (19-64)–Apple Health eligibility Must be US citizen or legal resident for 5 years or longer Must be a resident of Washington state Income must be at or below the levels in the table below (138% Federal Poverty level) Apply for Apple Health (Medicaid) or other non-Medicaid low-cost health coverage through: Online: Washington Apple Health (Medicaid), Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 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