How To Apply For Washington State Medicaid

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Mental Health Services For Children And Youth

Module 1 Overview of Washington Apple Health (Medicaid)

Problems such as depression and anxiety can also be challenging for children and teens.

There are no costs for covered services. We have therapists and doctors for youth and teens that can address their specific behavioral health or substance use disorder. Help get them extra support to live a heathier life.

Teens can connect with teens during specific hours: , , www.866teenlink.org

What Is Washington Medicaid

Washington Medicaid pays for low-income residents to receive medical and behavioral care services provided by professionals throughout the state. Known as Apple Care, Washingtons Medicaid program covers a wide variety of services, including preventive care, diagnostic screenings and treatment for acute and chronic illnesses.

What Is Free Or Low

Free or low-cost coverage

Fill out your information below to find out if you may qualify for Medicaid. If you do, you may be eligible to get your Medicaid health care through Kaiser Permanente. If you dont qualify for Medicaid, you may qualify for federal financial assistance to help you afford your health care.

NOTE: The information provided is for reference only. Final eligibility is determined by WashingtonApple Healthand Washington Healthplanfinder for federal financial assistance.

Read Also: Health Plus Medicaid Phone Number

Expansion Under The Affordable Care Act

As of March 2022, 38 states and the District of Columbia have accepted the Affordable Care Act Medicaid extension 12 states have not. Among adults aged 18 to 64, states that expanded Medicaid had an uninsured rate of 7.3% in the first quarter of 2016, while non-expansion states had a 14.1% uninsured rate. Following a 2012 Supreme Court ruling, which held that states would not lose Medicaid funding if they did not expand Medicaid under ACA, several states rejected the option. Over half the national uninsured population lives in those states.

The Centers for Medicare and Medicaid Services estimated that the cost of expansion was $6,366 per person for 2015, about 49 percent above previous estimates. An estimated 9 to 10 million people had gained Medicaid coverage, mostly low-income adults. The Kaiser Family Foundation estimated in October 2015 that 3.1 million additional people were not covered in states that rejected the Medicaid expansion.

Studies of the impact of Medicaid expansion rejections calculated that up to 6.4 million people would have too much income for Medicaid but not qualify for exchange subsidies. Several states argued that they could not afford the 10% contribution in 2020. Some studies suggested that rejecting the expansion would cost more due to increased spending on uncompensated emergency care that otherwise would have been partially paid for by Medicaid coverage,

Washington Apple Health Mailing Address

Whats The Income Limit For Medicaid

Washington Apple Health Street: PO Box 45503State: WashingtonZip Code: 98504-5503

Apply-for-Medicaid-Online.com is a leading hub that provides the best and most updated information for Washington Apple Health and Washington state health insurance.

Our users may find new information for Washington Apple Health and Washington state health insurance, and usually share it with us, helping us help other users. If you find new data for Washington Apple Health, we would appreciate if you dropped us a quick message via the contact us page form or the comments form below.

We always make sure to confirm any new information as soon as it is released and publish it for free for the benefits of you and all users who wish to apply to Washington Apple Health and Washington state health insurance.

This Apply-for-Medicaid-Online.com website was created as a completely independent website that is not affiliated with Washington Apple Health, Washington state health insurance or any state or federal office, department, agency, board, or commission.

State: Washington

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What Is Washington Apple Health Number

Washington Apple Health number where you can call and speak to Washington state health care agent regarding Washington State Medicaid Application is .

Washington Apple Health hours of operation regarding Washington State Medicaid Application are Monday through Friday, from 8:00 am to 6:00pm, Pacific Time, closed on State holidays, but the best calling hours for Washington Apple Health to call regarding Washington State Medicaid Application are 10:00 am to 12:30 pm and 2:00pm to 3:30pm.

Income Requirements For Washington Medicaid

Medicaid in Washington requires household earnings thresholds for nearly every health program. To determine the requirements, you have to look at the group you belong in along with the size of the household.

When calculating the income requirements, you include the income for the entire household, not just a single person. You will also need to list all of the birthdays and SSNs for each member of the household.

For people who are between the ages of 20 and 64, the income needs to fall below 133% of the FPL for their size household. Legal guardians, caretakers, and parents who live with children under 18 have a variety of thresholds.

You can find out what the limits are for your situation at the Washington State Health Care Authority site.

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Coordinated Care Of Washington

There are two Coordinated Care of Washington plans. The Apple Health Core Connections plan is for youth in foster care or adoption support, while Washington Apple Health Plan is for most other members. The adult plan includes a cell phone program with unlimited texting, and both plans include a comprehensive rewards program:

  • Get $60 for infant well-care
  • Get $10 for annual well-child visits
  • Get $40 for annual adolescence well-care
  • Get $10 for annual adult well-care visits, breast cancer screenings , and cervical cancer screenings .
  • Get $60 for comprehensive diabetes care

How To Apply For Or Renew Apple Health Coverage

Module 4: Apple Health Eligibility Factors

Apply for or renew your Apple Health coverage online through Washington Healthplanfinder if you are:

  • An adult age 19 to 64 years old.
  • Applying for children.
  • A parent or caretaker applying with children.
  • Pregnant or applying for someone who is pregnant.

You have several options to apply for or renew coverage:

  • Online: Go to Washington Healthplanfinder – select the “Apply Now” button.
  • Mobile app: Download the WAPlanfinder app select sign in or create an account.
  • Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633.

When youre ready to apply, youll need:

  • Your household monthly income.
  • Your immigration information, if that applies to you.
  • Dates of birth for each member of your household.
  • Social Security numbers for each household member who is applying for coverage and has a SSN. Some programs do not require a SSN. For more information visit our SSN eligibility webpage.

If youre accepted, you’ll receive a ProviderOne services card in about two weeks. Coverage will begin on the first day of the month in which the application was submitted. You’ll have the option to select a managed care plan online or you’ll be auto-enrolled into a plan.

If youre not eligible for Apple Health, you may qualify for help with your health insurance or for other health services. The Washington Healthplanfinder website or WAPlanfinder mobile app will help you with that.

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Choosing A Washington Managed Care Plan

Most Washington Medicaid members will be enrolled in an Apple Health Managed Care Plan. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. There are five separate managed care plans: Amerigroup Washington, Coordinated Care of Washington, Community Health Plan of Washington, Molina Healthcare of Washington, and United Healthcare Community Plan. The plans are not all available in every area. Use this map to find out which of the five are available in your area.

All WA Medicaid plans include the same basic benefits, but each plan offers extras that may convince you to join one over another.

Submit Your Medicaid Application

OnlineApply online at www.wahealthplanfinder.org.

In Person To get application assistance search for a Navigator or Broker via the customer support link at www.wahealthplanfinder.org.

By Mail Print a Medicaid application online from www.wahealthplanfinder.org.Send completed and signed applications to:Washington Health Plan FinderPO Box 946Olympia, WA, 98507

In addition to your completed Medicaid application, you may be asked to provide other documents, such as: Identification

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Qualified Health Plans And Other Individual Insurance

Children and adults can buy Qualified Health Plans if they are US citizens or have an eligible immigration status, are state residents, and are not in jail/prison.

Children and adults can get subsidies to help with the costs of buying a Qualified Health Plan if they meet other requirements, including: having household income below 400% of the Federal Poverty Level not qualifying for public programs like Apple Health or Medicare and not having an affordable offer of coverage through a parent’s employer.

You can shop and apply for coverage at Washington Healthplanfinder. Other individual health insurance plans are available outside the QHP marketplace at full price. Learn more here.

How To Apply For Or Renew Apple Health Classic Medicaid Coverage

Memory Care Assisted Living That Accepts Medicaid : Assisted Living In ...

Apply for Apple Health Classic Medicaid coverage online through Washington Connection if you are:

  • An adult age 65 or older.
  • Blind or disabled.
  • Need long-term services and supports.

You have several options to apply for or renew Classic Medicaid coverage:

  • Online: Go to Washington Connection – select “Apply Now.”
  • Phone: Request an application by calling 1-877-501-2233.
  • In-person: Visit your local Department of Social and Health Services office.

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Find Out If You’re Eligible For Free Health Insurance

Find out if you can get free or reduced-cost insurance both are available from Washington Healthplanfinder. To find out which program you’re eligible for, start with the Individual & Families Cost Estimate Calculator.

If eligible for Apple Health, you will need to select a Managed Care Organization. All MCOs cover Essential Health Benefits including hospitalization, prescriptions, preventative, wellness services, chronic disease management, pediatric services, maternity and newborn care. Each MCO offers Value Added Benefits in addition to your health coverage.

Apple Health is open year-round. Renewal notices are mailed 60 days before coverage expires. Renew online at Washington Healthplanfinder.

Washington State Medicaid Eligibility For Seniors And Disabled Citizens

The aged, blind, and disabled WA Medicaid program has slightly different income requirements than the adult Medicaid program. In 2019, anyone who is blind, disabled, or over 65 can qualify for Medicaid with an income of $771 per month or less . If you are disabled and employed, you can qualify at $2,290 per month as long as you pay a monthly premium. Your premium would not exceed 7.5% of your income.

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What Is Washington Apple Health Fax Number

Washington Apple Health fax number where you can send fax messages including application forms for Washington state health insurance is 1-360-725-0771.

Are you looking for additional information for Washington Apple Health and Washington state health insurance? Do you need any assistance with Washington Apple Health? Please contact us and we will be happy to help you with any Medicaid application related matter.

What Are The Required Documents To Sign Up For Medicaid In Washington

Washington Apple Health (Medicaid) Eligibility – Citizenship and Immigration

Filing Medicaid application forms can be a lengthy task. The Washington Medicaid application has many fields to consider, which is why preparation for the paperwork is key. Before applicants apply for Medicaid, prepare required items to ensure a speedy and easy Medicaid application process. Note that requirements for WA Medicaid applications are state-specific, and may differ from those in a state like Oregon.

When getting ready to fill out forms for Medicaid applications, collect the following items:

  • Proof of full, legal name
  • Social Security Number
  • Annual income, along with proof of income documents
  • U.S. citizenship documents or legal presence papers
  • Proof of Washington residency
  • Current health insurance information, if any
  • Any medical conditions on record for the applicant
  • The names and information of any other members in the household

Regarding the last item on the list, it is of utmost importance to include the details of anyone residing in the home of an applicant, especially if he or she would like to add family members as beneficiaries to the Medicaid coverage policy. In addition, Medicaid application forms in Washington require the inclusion of household members, as household size and income, together, determine Medicaid eligibility in the state.

To learn more about the application process for Medicaid, .

Also Check: Medicaid Exclusion List By State

What You Need To Know

The Affordable Care Act is a program that allows many Washington residents to access health insurance coverage at an affordable rate and, in some instances, at no cost. The ACA was created to ensure most can get the healthcare they need. You cannot be denied health insurance coverage due to an illness or prior health issue.

The Exchange plans offer more options for insurance coverage through the Washington Healthplanfinder. Beyond the nonstandard plan selection, the Exchange has Cascade Care Plans. Cascade Care launches Washington State on the path to achievable universal care. By 2025, only Cascade Standard and Public Option plans will be offered on the Exchange. Saving opportunities are available to reduce your premium cost and/or cost sharing .

There are three types of Qualified Health Plans plans to choose on the Washington Exchange:

  • Nonstandard Plans offer the ten essential health benefits.
  • Cascade Standard Plans offer more benefits with just a copay instead of having to meet your deductible first. These plans typically offer a lower deductible with more transparent, predictable cost-sharing.
  • Cascade Public Option Plans takes the Cascade Care Standard Plans a step further. These Public Option plans may cost less because they will cap aggregate statewide provider reimbursement rates at 160% of Medicare rates. The Health Care Authority is partnering with the Exchange to establish public option plans.
  • Washington Medicaid Enrollment Now Exceeds 2 Million People

    As a result of Medicaid expansion, total enrollment in Washington Medicaid and CHIP grew by nearly 644,000 people between the fall of 2013 and November 2017. By mid-2021, total enrollment growth since 2013 had increased to nearly 850,000. That was a total enrollment growth of 76%, the sixth-highest percentage increase in the nation. The national average growth in Medicaid/CHIP enrollment was 44%, although that includes the dozen states that had not expanded their Medicaid programs during that timeframe.

    Medicaid enrollment has increased during the COVID pandemic. This is due to the widespread job/income losses, as well as the Families First Coronavirus Response Act, which provides additional federal Medicaid funding to states on the condition that people not be disenrolled from Medicaid during the COVID public health emergency. So enrollment has trended upward since March 2020, and that will continue to be the case until the public health emergency period ends.

    Total Medicaid enrollment in Washington was 1,965,401 as of May 2021, and had exceeded 2.1 million by October 2021.

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    How To File Medicaid Applications In Washington By Phone

    Applicants can sign up for Medicaid by phone if they cannot apply for Medicaid online, by mail or in person. A Medicaid application by phone can be helpful for candidates who are disabled and cannot fill out the forms. In addition, to apply for Medicaid by phone is convenient for those who have questions about their personal health and financial circumstances.

    You can apply for Medicaid in the state of Washington over the phone by calling the Washington Medicaid helpline. The Medicaid application phone line is toll-free and is available 24 hours a day. A Medicaid case worker on the other end of the phone will guide you through the process, which will be only partially completed over the phone. Then, the application for Medicaid is sent to the applicantâs home address for final review and signature. Simply follow the instructions on the Medicaid application once it arrives, and send it to the designated address listed on the form.

    Washington Copes Medicaid Waivers Program

    Medicaid Transformation Toolkit

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    Missed The Apple Health Renewal Deadline

    If you’ve missed the deadline to renew, but you would like to continue coverage, please contact us as soon as possible. If we find you eligible within 90 days after the date you lost coverage, we will cover you for the period you were without coverage.

    The fastest way to renew your lost coverage is to go online. You may also call 1-855-923-4633.

    How Much Does Medicaid Cost In Washington

    Medicaid costs for Washington residents will vary depending on the group you fall into and the plan you choose. Because you have to be low income to even qualify, these costs will not be much. There are a variety of programs that will provide medical service at low costs or even free. The majority of people will have to choose an MCO . Most of the time, all of the services will be included, but some services will be paid through what is known as a fee for service.

    Cost and Coverage of Medicaid in Washington There are a variety of programs that provide free or low-cost medical services to people who are eligible. Apple Health offers complete coverage for major medical. Apart from that, there are a few other programs that will come with benefits that are limited.

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