WA residents soon must apply to keep Medicaid coverage

In late December 2022, President Biden signed the Consolidated Appropriations Act, 2023, which removed the ongoing Medicaid enrollment from the public health emergency. As a result, the Washington State Health Care Authority, which oversees Medicaid, announced it will be returning to normal operations April 1. For the first time in three years, around 300,000 Washingtonians will need to renew their eligibility for Medicaid coverage, according to Caitlin Duffy, director of business development and sales at Community Health Plan of Washington, a nonprofit organization that provides Medicaid, Medicare Advantage and individual and family health plans.

Duffy explained to The News Tribune what residents need to know about getting re-certified for Apple Health, the state's Medicaid program.

What is Medicaid?

Medicaid is a government health insurance program that provides comprehensive medical benefits to residents with limited income. Every state defines its own benefits, but federal law requires each one to provide mandatory benefits while adding optional ones. Some mandatory benefits include:

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Inpatient hospital services

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Nursing facility services

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Physician services

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Rural health clinic services

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Family planning services

Every health care service provider can offer different kinds of benefits in addition to the mandatory ones. Duffy says CHPW offers benefits such as:

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Chiropractic services

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Acupuncture services

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Massage therapy

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Vision care and glasses for adults

Who is eligible for Apple Health?

In Washington, you may be eligible for Medicaid if you meet the following requirements:

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Between the ages of 19 to 64

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U.S. citizen or meet Medicaid immigration requirements

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Not entitled to Medicare

Eligibility is also contingent on a person's income. You may be eligible if your household monthly income is at or below these figures:

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Single person: $1,563

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Two people: $2,106

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Three people: $2,649

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Four people: $3,192

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Five people: $3,735

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Six people: $4,277

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Seven people: $4,820

You may also be eligible for coverage if you're a parent or caretaker, are pregnant, are a noncitizen, are blind or disabled, or a dependent child. These have slightly different eligibility requirements for household income than those listed above. You can check them on the CHPW website.

Medicaid renewal process

If you haven't gone through the process of renewing your Medicaid eligibility, Duffy has some tips to make the process easier and less stressful:

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Washington state will start mailing notices to residents beginning April 1.

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If you receive a notice, complete the renewal before the end of May. These notices to renew eligibility will continue on a monthly basis for 12 months depending on what time of the year you first enrolled.

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Update your contact information on your Washington Healthplanfinder account. When it's your time to renew, you will receive a notification on your account.

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Check your mail or email for a notice. You will also receive a phone call.

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If you need assistance completing the form, Duffy encourages residents to contact Community Health Plan of Washington. The organization is open from 8 a.m. to 5:30 p.m. Monday through Friday.

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You can reach CHPW with any additional questions at 1-866-907-1904.

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