Learn more about your customer service options. Welcome to Molina Healthcare Apple Health (Medicaid) Molina Healthcare Apple Health (Medicaid) provides quality free or low-cost health care for your family. Others who had previously qualified but not enrolled also obtained coverage. View General eligibility requirements that apply to all Apple Health programs, Information for 65+, blind or disabled, and other Apple Health programs that do not use MAGI methodology. It's for people who meet income requirements and are eligible for Washington Apple Health (Medicaid) Integrated Managed Care. To enroll in a Community Health Plan of Washington Medicaid or Medicare Advantage plan, you must be eligible and live in our Medicare service area (Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Franklin, Grant, King, Kitsap, Lewis, Pierce, Okanogan, Skagit, Snohomish, Spokane, Thurston, Walla Walla,Whatcom, Yakima counties in Washington state) or Medicaid regions. Apple Health for Kids (N11, N31): This program provides CN coverage to children under age 19 whose families have income at or below 210 percent of the FPL. Find out if you are eligible for free or low-cost Washington Apple Health (Medicaid) coverage. For most people, Washington Apple Health is free, but some families may have to pay a monthly premium. Washington Apple Health Long-term Care Eligibility This section describes institutional medical programs. 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. income limit for this program. Due to COVID-19, HCA’s lobby is closed. New 2021 health plans are available, including Cascade Care plans. A financial review to determine your financial eligibility. The manual is split into four topics that filter by methodology — not what each agency or department administers. Some members may not be eligible for Washington Apple Health (Medicaid) coverage, while other members are eligible for Washington Apple Health. Learn more about eligibility requirements for Washington Apple Health programs. Adults with incomes up to 138 percent of poverty 2. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. We serve pregnant women, children and young adults to age 21, families and adults. Former foster youth have no income limit to qualify for Apple Health. Apply in person or by mail. Learn more about your customer service options. 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. whether you’re eligible for free health . Who is eligible to receive Qualified Individual (S06) medical? By 2020, nearly 600,000 new enrollees were receiving Apple Health for Adults coverage. Find out more about COVID-19 countable income. If you do not qualify for Apple Health, you may qualify for help with your health insurance or for other health services. For more information about this program, see Apple Health eligibility manual - WAC 182-517-0300 Federal Medicare savings and state-funded Medicare buy-in programs. See if you qualify for or renew your Apple Health managed care. How to use this guide What is Washington Apple Health (Medicaid)? Renew or Enroll today. The Washington Healthplanfinder website or WAPlanfinder app will help you with that. Call or visit your local HCS office to get a Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage (18-005). Children with household incomes up to 200 percent of poverty are eligible for no-premium Medicaid 3 This program provides free breast, cervical, and colon cancer screening to eligible people in Washington State. This plan is available in the following counties: Find providers and coverage for this plan. If you do not qualify for Apple Health, you may qualify for help with your health insurance or for other health services. They do not need to reapply. Filed or reconciled taxes for a year that you received health insurance premium tax credits; Change in program eligibility or amount of financial help* Losing other health coverage (i.e., job loss, divorce, loss of Washington Apple Health or WSHIP coverage, etc.) Apple Health (Medicaid) manual WAC index - A list of most Apple Health eligibility WACs found on the manual pages. Need long-term services and supports. Need help? About 22% of the Washington population is enrolled in Medicaid. These requirements apply to all Apple Health programs. An emergency medical program for individuals who do not meet the citizenship or immigration status requirements of other Apple Health programs. •ocial Security number and date of birth S of each household member applying for. Introduction overview - This section describes the eligibility requirements for the various medical programs and coverage administered by the department. Get started at www.wahealthplanfinder.org You’ll need this information before you . Washington Apple Health Washington's Medicaid program is known as Washington Apple Health. The state formerly had a children's health insurance program called Apple Health for Kids. What is the Breast, Cervical and Colon Health Program? Health Care Authority - Apple Health (Medicaid) Manual Revised December 11, 2014 Due to implementation of the Affordable Care Act (ACA), medical WAC’s and clarifying information can now be found in the Apple Health (Medicaid) Manual . Apple Health for Kids Apple Health for Newborns (N10): Apple Health for Kids (N11, N31) Apple Health for Kids with Premiums (N13, N33) Apple Health for Medically Needy Kids (F99) Classic Medicaid Programs 6 Breast and Cervical Cancer Treatment Program (BCCTP) for Women (S30) Foster Care/Adoption Support/Former Foster Care (D01, D02, D26) (1) When you apply for Washington apple health programs established under chapter 74.09 RCW, you must meet the eligibility criteria in chapters 182-500 through 182-527 WAC. wahealthplanfinder.org and click “Apply Now” to apply for coverage and indicate a request for long-term services and supports. 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. Call: 1-800-562-3022. begin: • Household monthly income. Eligibility for the BCCHP is primarily based on health insurance status, income, and age. Find out if you may be eligible… Contact Washington Apple Health (Medicaid) Behavioral health and recovery. See the eligibility requirements for free or … For most people, Washington Apple Health is free, but some families may have to pay a monthly premium. • The guide gives an overview of eligibility requirements for Washington Apple Health. 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. You can apply anytime, year-round. Find out more about your health plan, what’s covered and the many programs we offer you and your family. In Washington State, Medicaid is called Apple Health. View the Classic (Non-MAGI) based programs manual, Information for MAGI-based programs. (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. CHPW APPLE HEALTH PLAN. Information includes (for example) residency, Social Security number requirements, and appeals. Willamette Dental Group of Washington, Inc. 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The number of people eligible for Apple Health increased significantly with higher income limits. View the Long-term services and supports (LTSS) manual. Welcome to the Apple Health (AH) Manual for program eligibility. Secure Access Washington (payment portal) In the state of Washington, Medicaid is called Washington Apple Health or simply Apple Health. Find benefits BEHAVIORAL HEALTH. American Indians and Alaska Natives (AI/AN) ... Public health emergency and Apple Health: General eligibility requirements that apply to all Apple Health programs : Quality assurance and post eligibility reviews: A person meeting the following conditions is eligible to receive S06 medical: Is eligible for or receiving Medicare. Free or low-cost coverage is available year round. Apple Health eligibility manual - WAC 182-512-0050 SSI related medical -- General information. A person who meets the criteria in the following sections may be eligible for S02 medical: Apple Health eligibility manual - WAC 182-503-0505 Washington Apple Health - General eligibility requirements. Forms and publications - A comprehensive list of all HCA and DSHS forms and publications relating to all Apple Health programs. Eligibility Find out if you are eligible for free or low-cost Washington Apple Health (Medicaid) coverage. It offers all the care you need, as well as many extra benefits that go beyond Apple Health alone. It doesn’t include every requirement or consider every situation that might arise. Apple Health, the Washington Medicaid Program: Ultimate Guide. Children who would have been eligible for Apple Health for Kids had they … Apple Health now covers low-income eligible adults. That represents about one out of every six adults and two out of every five children in Washington. Due to COVID-19, HCA’s lobby is closed. 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