First Steps

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Washington Apple Health means the public health insurance programs for eligible Washington residents. Washington Apple Health is the name used in Washington State for Medicaid, the Children's health insurance Program (CHIP), and state-only funded health care programs. Washington Apple Health is administered by the Washington State Health Care Authority.   

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First Steps

First Steps is a program that helps low-income pregnant women get the health and social services they may need and covers a variety of services for pregnant women and their infants. First Steps is available as soon as a woman knows that she is pregnant and is covered by Washington Apple Health (Medicaid). First steps services include medical, enhanced, drug and alcohol and other services.

Medical Services

  • Prenatal Care
  • Delivery
  • Post Pregnancy follow-up
  • Dental Care
  • One year of family planning services post pregnancy
  • One year of full medical for newborns 

Enhanced Services 

  • Maternity Support Services
  • Infant Case Management, and
  • Childbirth Education 

Expedited Alcohol and Drug Services

  • Alcohol and drug assessment
  • Alcohol and drug treatment

Other Services

  • Expedited eligibility determination
  • Outreach
  • Transportation
  • Interpreter services

Frequently Asked Eligibility Questions

How do I apply for First Steps pregnancy medical benefits?

If you do not have medical coverage, call 1-855-923-4633 or apply directly through the Washington State Benefit Exchange at You can also call WithinReach Family Health Hotline at 1-800-322-2588 for help. They will walk you through the application process step by step.

If you are a teenager living with your family, and you want your pregnancy related services to be kept confidential, you may apply for coverage through a paper application process. You may also call WithinReach for help with the confidential application process.

How long after I apply before I can get First Steps?

If you apply online or with the assistance of WithinReach, you will get immediate confirmation if you are eligible. You should receive a services card within 20 calendar days.

Coverage for pregnant women begins within the month of application if you are eligible for First Steps. If you need help with medical bills you received before then, make sure this is marked on your application.

What do I do if I don’t qualify for First Steps?

If you do not qualify because you have too much income, there are other resources to help you.

Please contact the WithinReach Family Health Hotline at 1-800-322-2588. They are able to link you to resources in your county.