Application for Health Care Coverage
Application for Modified Adjusted Gross Income Apple Health coverage and Qualified Health and Qualified Dental plans. (HCA 18-001P)
Forms & publications
Notice: If you are a biller or provider, visit our Billers and Providers forms library.
Application for Medicare Savings Program
Application for the Medicare Savings Program, which may pay your Medicare premiums, copays and deductibles.
Application for pregnant teen health care coverage (for teens under age 19)
Application for pregnant teen health care coverage for teens under the age of 19.
Application for Tailored Supports for Older Adults (TSOA) program
Application for the Tailored Supports for Older Adults (TSOA) program which provides support for caregivers who are caring for a family member for free and those who do not have a family member to help them.
ASAM adoption readiness FAQ
Assisters for Apple Health
List of assisters available to help individuals applying for or renewing Apple Health (Medicaid) coverage in Washington Healthplanfinder.
Authorization for Release of Information
Complete this form to authorize the Health Care Authority (HCA) to release information or records to a person or organization.
Authorized representatives
Webinar about authorized representatives and how the process works for Apple Health (Medicaid).
Behavioral Health Administrative Services Organization Map
Behavioral Health Administrative Services Organization Map for the current year.
Behavioral health advocates (formerly ombuds): contact information by region
Behavioral health advocate provide free and confidential assistance resolving concerns related to your behavioral health services. This directory includes advocate contact information by region, including emails.