Eligibility for Medical Programs

To avoid waiting on the phone for a customer service agent, send an email or use the phone menu options.

To send an email, see instructions on how to contact Medicaid.

To check your eligibility using the automated system, see phone menu instructions.

If you would like to enroll in an Apple Health (Managed Care) plan (or change your plan), use these step by step instructions.

Eligibility rules for medical programs can be difficult to understand. To help explain them, we put together the tools below:

Medical Income and Resource Standards (effective October 1, 2014)
. Each year, the Federal Poverty Levels (FPLs) and other income standards are updated several times. Use this link for previous standards charts. If you don't have Adobe Reader, download it free.

Overview of Medical Eligibility Requirements (PDF Version) - This publication is intended for people who want a general overview of program requirements. If you don't have Adobe Reader, download it free.
 
Detailed rules, policies and procedures (EA-Z Manual) - The "EA-Z Manual" has all of the policies, procedures and Washington Administrative Code rules we use to administer medical programs. The manual is used by DSHS staff who determine eligibility, legal professionals, and others.

Healthcare for Workers with Disabilities (HWD) - It used to be that individuals with disabilities could not keep their Medicaid coverage if they went back to work. Under HWD, they don't have to choose between their healthcare and their job.

Medicare Savings Program Flyer - This flyer describes programs that help low-income people on Medicare pay their monthly premiums. It's also available in Cambodian, Chinese, Korean, Laotian, Russian, Spanish, and Vietnamese. If you don't have Adobe Reader, download it free.

Breast and Cervical Cancer Treatment Program - Washington State has a program to help women diagnosed with breast or cervical cancer get the treatment they need.

U.S. Citizenship and Immigration Services (USCIS) - Medicaid Policy - USCIS policy says that getting medical benefits won't jeopardize the chances of getting a green card or becoming a citizen.