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.

Quality assurance and post eligibility reviews

Revised date
Purpose statement

The Health Care Authority or its designee conducts routine case reviews to determine the accuracy of the Apple Health coverage. Individuals are required to provide all information requested in the course of a quality assurance review. There are three main types of quality assurance reviews.

  1. Quality assurance reviews conducted by the Office of Program Integrity and Quality Assurance: These reviews are conducted according to Federal guidance for the purposes of Medicaid Eligibility Quality Control (MEQC).
  2. Payment Error Rate Measurement (PERM) reviews are conducted every third year by the Office of Program Integrity and Quality Assurance.
  3. Post eligibility reviews are conducted on Apple Health approvals for MAGI-based coverage. These reviews target approvals where electronic verification suggests the applicant was not eligible or electronic verification was not present. Refer to the approved Washington State Verification Plan.

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