The Affordable Care Act increased Medicaid eligibility limits, bringing health care coverage to hundreds of thousands of adults in Washington State (ages 19 up to 65) who earn up to 138 percent of the federal poverty level. For a single person, that's an annual income of $16,105. (The household income limit for children's and pregnant women's programs is much higher.)

 

How does the Affordable Care Act affect eligibility for Apple Health (Medicaid)?

  • Creates a new Apple Health (Medicaid) group - Newly Eligible Adults age 19 up to 65 who:
    • Have income below 138% FPL
    • Meet citizenship requirements
    • Are not incarcerated
    • Are not entitled to Medicare
  • Changes to income and deductions for existing Apple Health (Medicaid) groups:
    • Children
    • Pregnant Women
    • Families (Parents/Caretaker Relatives)
  • Modified Adjusted Gross Income (MAGI) methodology used for income calculation is the IRS
    • Countable income
    • Income deductions
  • Additional methods for determining income and deductions
    • Household composition - mirrors federal income tax filing rules
    • No asset/resource limits
    • 12 month certification periods
  • Simplified application and renewal process for:
  • The following groups will not have any changes in eligibility for Apple Health (Medicaid):
    • Aged, Blind or Disabled individuals
    • Foster Care children
    • SSI cash recipients

​Resources

Check out the Medicaid Expansion 2014 sidebar navigation located on the upper left to get to the additional project web content.

Regional community-based help with Apple Health

Medical assistance specialists are being placed in locations all across the state to aid the public in getting signed up for Apple Health. See the list of specialists ready to help. The list will be updated as more are added.

 

See the Medicaid Expansion Video Library

Good for Washington

At a rally on the Capitol Building steps, Governor Inslee talks about the importance of Medicaid expansion to Washington residents.