Hospital Presumptive Eligibility

The Hospital Presumptive Eligibility program allows participating hospitals to determine eligibility for temporary Apple Health coverage.

The HPE program allows participating hospitals, which are Washington State Medicaid providers, to determine eligibility for temporary Washington Apple Health (Medicaid) coverage.

Individuals potentially eligible for HPE coverage include:

  • Children up to age 19.
  • Parents and caretaker relatives.
  • Adults not receiving Medicare, up to age 65.
  • Former foster care children up to age 26.

HPE works as a pathway to getting full coverage under Washington Apple Health and requires minimal information for a determination to be made.

Qualified hospitals are contracted through the Health Care Authority to participate in the program and make HPE determinations.

For more information regarding hospital requirements or eligibility conditions, please see the Overview of HPE in WA State.

Find a participating hospital near you

Hospital Service Address City Zip
Columbia Basin Hospital 200 Nat Washington Way Ephrata 98823
Confluence Health 1201 S Miller Wenatchee 98801
Harborview Medical Center 325 9th Avenue Seattle 98104
Kadlec Regional Medical Center 888 Swift Blvd Richland 99356
Kittitas Valley Healthcare 603 S Chestnut St Ellensburg 98926
Northwest Hospital 10330 Meridian Ave N Suite 206 Seattle 98133
PeaceHealth Peace Island Medical Center 1117 Spring Street Friday Harbor 98250
PeaceHealth Southwest Washington Medical Center 400 Mother Joseph Pl Vancouver 98664
PeaceHealth St John Medical Center 1615 Delaware St Longview 98632
PeaceHealth St Joseph Medical Center 2901 Squalicum Parkway Bellingham 98225
PeaceHealth United General Medical Center 2000 Hospital Drive Sedro-Wooley 98284
Providence Centralia Hospital 914 Scheuber Road Centralia 98531
Providence Holy Family Hospital 5633 N Lidgerwood St Spokane 99208
Providence Mount Carmel Hospital 982 E Columbia Ave Colville 99114
Providence Regional Medical Center Everett 1321 Colby Avenue Everett 98201
Providence Sacred Heart Center 101 W 8th Ave Spokane 99204
Providence St Joseph Hospital 500 E Webster Ave Chewelah 99109
Providence St Mary Medical Center 401 W Poplar St Walla Walla 99362
Providence St Peters Hospital 413 Lilly Road NE Olympia 98056
Quincy Valley Medical Center 908 10th Ave SE Quincy 98848
Seattle Children's Hospital 4800 Sand Point Way NE Seattle 98105
Summit Pacific Medical Center 600 E Main Street Elma 98541
University of Washington Medical Center 1959 Northeast Pacific Street Seattle 98195
Valley General Hospital 14701 179th Ave SE Monroe 98294
Valley Medical Center 3600 Lind Ave SW Suite 110 Renton 98057