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? |
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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.