Forms & publications
Notice: If you are a biller or provider, visit our Billers and Providers forms library.
Irrevocable burial fund provision for SSI related health care
Provision for SSI related health care to allow irrevocable funds to be set aside for burial.
Alternate language versions:
IRS Form W-9
IRS form W-9 to request taxpayer ID and certification
Is After-Pregnancy Coverage for you?
Learn if Apple Health (Medicaid) After-Pregnancy Coverage (APC) is for you.
Is Apple Health for you? Find out! - Youth and Young Adult Version
Poster sharing Apple Health (Medicaid) information about how to find out if you’re eligible for coverage, learn how to apply or renew, and see what’s new and why! This version is for a youth and young adult audience.
Alternate language versions:
Is Apple Health for you? Find out.
Poster sharing Apple Health (Medicaid) information about how to find out if you’re eligible for coverage, learn how to apply or renew, and see what’s new and why!
Alternate language versions:
Juvenile Rehabilitation - Apple Health (Medicaid) Enrollment
Information on September 1, 2023 changes to Apple Health juvenile rehabilitation process.
K01 application process
Application processing options for the Institutional Medical program (K01) for children.
K01 FAQ March 2025
A frequently asked questions document from the March 2025 HCA webinar on the K01 AH MAGI Long Term Care Program
Keep your Foster Care Alumni coverage active
This flyer details how clients can stay up-to-date and respond to timely notices help avoid losing their Apple (Medicaid) for Foster Care Alumni coverage.