Chart of requirements
Verification Requirements Chart - Apple Health
| What to verify | Verification needed for MAGI-Based Apple Health for Adults, Pregnant Women, and Children? | Verification needed for SSI Related Apple Health (Aged, Blind and Disabled)? | Verification needed for Long-Term Supports and Services Apple Health? |
|---|---|---|---|
| Child Support obligation | No - Deduction not allowed | No - Deduction not allowed | Yes - Only if income is garnished |
| Citizenship (1) | Yes | Yes | Yes |
| Dependent care expenses | No - Deduction not allowed | No - Deduction not allowed | No - Deduction not allowed |
| Disability | Not applicable | Yes | Yes |
| Health insurance premiums other than Medicare | No - Deduction not allowed | Yes | Yes |
| Household composition | Only if questionable | Only if questionable | Yes - For spousal and deeming cases only |
| Immigration and lawful presence (1) | Yes | Yes | Yes |
| Income | Yes (2) | Yes | Yes |
| Medical expenses | No - Deduction not allowed | Yes - For spenddown only | Yes |
| Pregnancy | No - Self-attestation accepted | No - Self-attestation accepted | No - Self-attestation accepted |
| Residency | Only if questionable | Only if questionable | Only if questionable |
| Resources | Not Applicable | Yes - Except HWD (5) | Yes |
| Shelter costs | Not Applicable | Not applicable | Yes - Spousal and dependent deeming cases only |
| Social Security Number | Yes (3)(4) | Yes (4) | Yes (4) |
| Tax filing status | No | Not applicable | Not applicable |
| Tribal status | No - Self-attestation accepted | No - Self-attestation accepted | No - Self-attestation accepted |
1 - Citizenship, identity, and lawful presence is verified using the SSA citizenship data match, federal hub services, or SAVE. If citizenship or lawful presence is unverified, verification is requested.
2 - Income for MAGI-based health care coverage is verified in post-eligibility review when electronic verifications do not confirm attested income.
3 - A newborn born to a mom on Washington Apple Health (see WAC 182-505-0210 (2)) is eligible for Washington Apple Health without meeting the SSN requirement until his or her first birthday.
4 - A client needs to provide his or her SSN, or proof one has been applied for, unless claiming an exemption for religious or domestic violence reasons.
5 - No, if there are no resources listed on the application or review form.