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.
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.
To describe the free-form text requirements for the Apple Health ACES Letters listed below.
| Letter | Letter Title | Freeform Text Requirement |
|---|---|---|
|
0004-05 |
General Denial - No Information |
List items that you asked for that were not provided. |
|
0006-03 |
GA Termination on Reconsideration |
List items that you asked for that were not provided. |
|
0006-04 |
GA Termination for Clear Improvement |
On 00/00/00, I got a report form from Dr. (Name of doctor) that said your (specify condition) has improved so much that you can work now. Or You work # hours per week for (employer) as a (position). |
|
0006-05 |
GA Termination for No Medical Information |
On 00/00/00, I asked you to provide some information by 00/00/00. I still need: List of items |
|
0006-06 |
GA Termination for Medical Evidence Inconclusive |
On 00/00/00, I asked you to provide some information by 00/00/00. I still need: List of items |
|
0006-07 |
GA Termination for No Incapacity - Prior Error |
We made a mistake when we put you on GAU on (date). You did not meet our requirements because _________ (enter case specific information regarding the medical information received and why it doesn't meet severity and/or duration requirements - e.g. "The information we got from Dr. Sun showed your back injury was not severe enough to keep you from doing light work that you have done in the past."). |
|
0020-01 |
MN Spenddown |
In the first mandatory freeform text section:
In the second mandatory freeform text section:
|
|
0020-03 |
Bills Received-Spenddown Not Met |
In the first mandatory freeform text section:
In the second mandatory freeform text section:
|
|
0045-09 |
Overpayment Modification |
State why the overpayment is being modified. After this, state: See WAC rule (Washington Administrative Code): List appropriate WAC numbers. |
|
0070-05 |
ETR Denial |
State why the ETR was denied. |
