Forms & publications

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

CHIP Premium Postcard

Postcard notice to clients about CHIP premiums resuming, due July 15, 2023. HCA 19-0074

19-0074
Publication

Alternate language versions:

Citizenship affidavit

Affidavit used to provide proof of citizenship.

27-033
Form

Alternate language versions:

Citizenship and identification documents

Explanation and examples of citizenship and identity verification documents.

Fact sheet

Citizenship and immigration

Citizenship and immigration webinar for Washington Apple Health (Medicaid).

Publication

Citizenship and immigration flowchart for Apple Health programs

Flowchart listing Apple Health programs based on citizenship and immigration status.

Publication

Citizenship and immigration status

Guidance surrounding citizenship and immigration status and how it pertains to Washington Apple Health (Medicaid) programs.

Publication

Citizenship documentation and identity declaration

Form for providing proof of citizenship and identity.

13-789
Form

Alternate language versions:

Classic Apple Health (Medicaid) and COVID-19

Webinar presentation slides on Classic Apple Health (Medicaid) and COVID-19. This presentation is for enrollment partners and those who assist Apple Health clients.

Publication

Classic Apple Health (Medicaid) eligibility and COVID-19 webinar FAQ

FAQ for the May 19 webinar on Classic Apple health (Medicaid) eligibility and COVID-19 webinar FAQ

Publication

Clients receiving dental services by age group

Report

Alternate language versions:

English

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