Apple Health Take-Charge (Family Planning)

Revised July 25, 2014

Purpose: To explain the Take Charge program.

WAC 182-532-700 TAKE CHARGE program--Purpose

Effective September 1, 2013

TAKE CHARGE is a family planning demonstration and research program approved by the federal government under a medicaid waiver. The purpose of TAKE CHARGE is to reduce unintended pregnancies and lower the expenditures for medicaid-paid births.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

WAC 182-532-720  TAKE CHARGE program -- Eligibility.

Effective January 9, 2017

  1. The TAKE CHARGE program is for men and women. To be eligible for the TAKE CHARGE program,
    an applicant must:
    1. Be a United States citizen, U.S. National, or "qualified alien"
      as described in WAC 182-503-0530, and give proof of citizenship or
      qualified alien status and identity upon request from the medicaid
      agency;
    2. Provide a valid Social Security number (SSN);
    3. Be a resident of the state of Washington as described in WAC
      182-503-0520;
    4.  Have an income at or below two hundred sixty percent of the
      federal poverty level as described in WAC 182-505-0100;
    5. Need family planning services;
    6. Have applied for categorically needy coverage, unless the applicant:
      1. Is a domestic violence victim who is covered under the alleged
        perpetrator's health insurance;
      2. Is under eighteen years of age and is seeking confidential
        services; or
      3. Has an income between one hundred fifty percent and two
        hundred sixty percent (inclusive) of the federal poverty level.
    7. Apply voluntarily for family planning services with a TAKE CHARGE
      provider; and
    8. Not be covered currently through another Washington apple
      health program for family planning. If categorically needy coverage is
      approved for a TAKE CHARGE recipient, the individual will be enrolled in
      the categorically needy program.
  2. An applicant who is pregnant or sterilized is not eligible
    for TAKE CHARGE.
  3. An applicant who has concurrent coverage under a creditable
    health insurance policy as defined in WAC 182-12-109 is not eligible
    for TAKE CHARGE unless the applicant is seeking confidential services and
    is either under nineteen years old or is a domestic violence victim
    who is covered under the perpetrator's insurance.
  4. A client is authorized for TAKE CHARGE coverage for one year from
    the date the medicaid agency determines eligibility, or for the duration
    of the waiver, whichever is shorter. Upon reapplication for TAKE
    CHARGE by the client, the medicaid agency may renew the coverage for an
    additional period of up to one year, or for the duration of the waiver,
    whichever is shorter.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

Clarifying Information

Individuals must apply for the program through a Take Charge family planning provider. Family planning providers send completed applications for Take Charge to MEDS at HCA. All eligibility and service questions posed by Take Charge individuals should be referred to the Take Charge provider where they enrolled.

Example: Mary Sue is covered under Apple Health for Pregnant Women. She has her baby and reports this in Healthplanfinder. After she has her baby, she does not qualify for other Apple Health programs because her income is too high. She is potentially eligible for the Apple Health Take Charge program.

The Take Charge medical coverage type in ACES is P06. Participation in the Take Charge program is confidential even when members of the same household are receiving Take Charge.

Example: Members of the same family or household may not know that a spouse or minor is receiving Take Charge. Staff must not reveal who in the household is receiving Take Charge.

Worker Responsibilities

For a list of providers, visit HCA’s Family Planning web site.

Take Charge individuals who inquire about their Family Planning coverage should be informed to contact their Take Charge provider.

Workers may contact the Take Charge Unit at 1-800-562-3022.

Note: Staff do not need to take any action to close AUs for Apple Health for Pregnant Women. ACES will automatically terminate these AUs when individuals become active in another medical program or when the certification period ends.

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