Potential government shutdown

In the event of a federal government shutdown, individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage—and those accessing behavioral health services—will not experience a disruption in care. In addition, health care providers will continue to be paid for the services they provide.

If a shutdown occurs, we will share more information at that time.

Apple Health public health emergency (PHE)

Important: Stay covered! Are you enrolled in Apple Health (Medicaid) coverage? It may be time to complete your renewal. Make sure your address and phone number are up to date so you can stay enrolled. Report a change.

Apple Health eligibility manual overview

Welcome to the Apple Health (AH) Manual for program eligibility. The manual is split into four topics that filter by methodology — not what each agency or department administers.

COVID-19 updates: Find out more about COVID-19 countable income.

Manual topics

General eligibility requirements that apply to all Apple Health programs

These requirements apply to all Apple Health programs. Information includes (for example) residency, Social Security number requirements, and appeals. View General eligibility requirements that apply to all Apple Health programs

Classic (Non-MAGI-based) programs manual

Information for 65+, blind or disabled, and other Apple Health programs that do not use MAGI methodology. View the Classic (Non-MAGI) based programs manual

Modified Adjusted Gross Income (MAGI-based) programs manual

Information for MAGI-based programs. View the Modified Adjusted Gross Income (MAGI) based programs manual

Long-term services and supports (LTSS) manual

Information on programs such as Community First Choice, HCB waivers, nursing facility care, and programs supporting the Developmental Disabilities Administration (DDA). View the Long-term services and supports (LTSS) manual

Additional tools

Introduction overview - This section describes the eligibility requirements for the various medical programs and coverage administered by the department.

Program standards for income and resources - Information regarding current and past income standards for both MAGI and non-MAGI programs, including resource standards.

Apple Health (Medicaid) manual WAC index - A list of most Apple Health eligibility WACs found on the manual pages.

Forms and publications - A comprehensive list of all HCA and DSHS forms and publications relating to all Apple Health programs.

Apple Health (Medicaid) manual revision log - History of the significant revisions made to the manual pages.

Authorized Representative DSHS form 14-532