Forms & publications

Notice: If you are a biller or provider, visit our Billers and Providers forms library.

AEM fax cover sheet

Cover sheet to be used when faxing Alien Emergency Medical (AEM)-related materials to Health Care Authority.

Publication

Afghan special immigrant visas and special immigrant parolees

Afghan special immigrant status and humanitarian parolees fact sheet

Publication

After-Pregnancy Coverage webinar

Apple Health After-Pregnancy Coverage webinar

Publication

After-Pregnancy Coverage webinar FAQ

After-Pregnancy Coverage webinar FAQ

Publication

Alien Emergency Medical (AEM) assessment and treatment for COVID-19

Alien Emergency Medial (AEM) assessment and treatment for COVID-19

Publication

Alternate language versions:

Alien Emergency Medical (AEM) process - Oct 2017 update

Shares the Alien Emergency Medical (AEM) process for individuals applying for all Washington Apple Health (Medicaid) AEM coverage.

Publication

Am I eligible for COFA Islander Health Care poster

Am I eligible for COFA Islander Health Care poster

19-0032
Publication

Annual percent of eligible clients receiving dental services area map ages 20 and under

Report

Annual percent of eligible clients receiving dental services area map ages 21 and over

Report

Annual percent of eligible clients receiving dental services area map ages 5 and under

Report

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