Learn more about your customer service options. Some members may not be eligible for Washington Apple Health (Medicaid) coverage, while other members are eligible for Washington Apple Health. They do not need to reapply. 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. The state formerly had a children's health insurance program called Apple Health for Kids. (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. Furthermore, emphasis will be specifically on long-term care, whether that be provided in ones home, a nursing home, an adult f… 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.) 1 APPLE HEALTH (MEDICAID) AND LONG-TERM SERVICES AND SUPPORTS FOR ADULTS Call: 1-800-562-3022. Eligibility for the BCCHP is primarily based on health insurance status, income, and age. Adults with incomes up to 138 percent of poverty 2. Due to COVID-19, HCA’s lobby is closed. wahealthplanfinder.org and click “Apply Now” to apply for coverage and indicate a request for long-term services and supports. 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. Forms and publications - A comprehensive list of all HCA and DSHS forms and publications relating to all Apple Health programs. View the Long-term services and supports (LTSS) manual. By 2020, nearly 600,000 new enrollees were receiving Apple Health for Adults coverage. It doesn’t include every requirement or consider every situation that might arise. About 22% of the Washington population is enrolled in Medicaid. CHPW APPLE HEALTH PLAN. 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. Learn more about eligibility requirements for Washington Apple Health programs. Our Apple Health plan covers kids and adults up to age 64. While Medicaid covers individuals of all ages, the focus of this page will be on Medicaid eligibility for elderly Washington residents (65 years of age and older). Eligibility Find out if you are eligible for free or low-cost Washington Apple Health (Medicaid) coverage. Washington Apple Health Long-term Care Eligibility This section describes institutional medical programs. How to use this guide What is Washington Apple Health (Medicaid)? 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. If you are under age 65 and not on Medicare, apply for Apple Health LTSS through the Washington Health Benefit Exchange www. Get started at www.wahealthplanfinder.org You’ll need this information before you . Learn more about your customer service options. For most people, Washington Apple Health is free, but some families may have to pay a monthly premium. Who is eligible: Individuals with a qualifying medical condition, which includes at least one of the following: Renew or Enroll today. The number of people eligible for Apple Health increased significantly with higher income limits. coverage through Washington Apple Health (Medicaid). See if you qualify for or renew your Apple Health managed care. Secure Access Washington (payment portal) These requirements apply to all Apple Health programs. Blind or disabled. Due to COVID-19, HCA’s lobby is closed. Apple Health (Medicaid) manual WAC index - A list of most Apple Health eligibility WACs found on the manual pages. begin: • Household monthly income. Information includes (for example) residency, Social Security number requirements, and appeals. 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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