Apple Health for Refugees
Revised July 25, 2014
Purpose: To describe the program rules for the refugee medical program.
- Recipients of Refugee Cash Assistance (RCA) are automatically eligible for RMA. A person who is eligible for RCA may choose not to receive cash assistance and still receive RMA.
- RMA eligibility is established as follows on the basis of an applicant's income (and resources for those ages 65 and over) on the date of the application, rather than averaging income over the application processing period.
- A student enrolled in an institution of higher education and carrying a full-time academic workload is considered a full-time student. A full time student is eligible for RMA only if educational activity is a part of his or her personal employment plan.
- An applicant who is not eligible for RCA because of income may be eligible for RMA. Applicants must meet monthly income standards up to 200% of FPL in the month of application.
Note: Individuals from Iraq or Afghanistan who were granted Special Immigrant status under section 101 (a)(27) of the INA, their spouses and unmarried children under 21 are qualified aliens and eligible for federally funded benefits to the same extent and for the same time period as refugees. Their eligibility period starts from the date of entry into the United States or, if it occurred after the US entry, the date the Special Immigrant status was granted as indicated on the I-551 (green card).
For more information on documentation, Immigration Status codes, benefit eligibility and step-by-step process, please see Desk Aid Iraqi and Afghan Special Immigrants Benefits.
- All completed applications for medical assistance for refugees should be faxed to HCA at 360-664-2186, to the attention of Jessica Cottom.
- HCA screens all medical assistance applications from refugees (described in WAC 182-507-0135) for modified adjusted gross income (MAGI)-based Apple Health programs first. Refugee applicants who are denied MAGI-based Apple Health -- typically refugees ages 65 and over -- are referred to DSHS for screening for the Refugee Medical Assistance (RMA) program in Washington Connection, 182-526.