WAC 182-503-0005

Effective October 1, 2013

WAC 182-503-0005 Washington apple health -- How to apply.



(1) You may apply for Washington apple health (WAH) by giving us (the medicaid agency or its designee) an application:

(a) Online;

(b) By calling the Healthplanfinder customer support center number;

(c) By mail;

(d) By fax; or

(e) At a local department of social and health services (DSHS) office.

(2) You may start an application for WAH by:

(a) Giving us at least the following information:

(i) Name or names of those applying,

(ii) Birth dates, and

(iii) Contact information; and

(b) Signing the application.

(3) To complete an application for WAH, you must also give us all of the other information requested on the application form.

(4) You may need to complete a supplemental form for WAH if you are:

(a) Age sixty-five or older;

(b) On medicare;

(c) Applying for healthcare based on blindness or disability; or

(d) Applying for long-term care services.

(5) You may need to complete a separate application directly with the program providers for the following programs:

(a) Breast and cervical cancer treatment program described in WAC 182-505-0120, and

(b) Take-charge program described in Chapter 182-532 WAC.

(6) If you need help filing an application, you can:

(a) Contact the Healthplanfinder customer support center number listed on the application form;

(b) Contact an application assistor, certified application counselor or navigator; or

(c) Have an authorized representative apply on your behalf as described in WAC 182-500-0010.

(7) We will help you with the application or renewal process according to the equal access provisions described in WAC 182-503-0120 and the limited-English proficient provisions described in WAC 182-503-0110.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.