Foster Care

Find information about Foster Care programs under Apple Health (Medicaid).

Health coverage under Apple Health is managed by the Health Care Authority (HCA) for the following programs:

Foster Care

Children up to age 21 are placed in licensed foster care or a relative's home by the Children's Administration (CA) or a federally recognized tribe. A licensed foster care parent receives a monthly payment from CA. A relative placement may choose to apply for non-needy Temporary Assistance for Needy Families (TANF) cash assistance. These children are eligible for Apple Health (Medicaid) coverage.

Foster Care Alumni

Individuals who were in foster care placement and received Apple Health on their 18th birthday remain eligible for health care coverage until their 26th birthday. This eligibility remains regardless of changes in income, household composition, or marital status, as long as they remain a Washington resident.

Adoption Support

Children who have been adopted are eligible for Apple Health coverage as long as they are receiving an adoption support payment. Children in adoption support may be eligible up to age 21.

Juvenile Rehabilitation

Children residing in a Juvenile Rehabilitation Administration (JRA) group home are eligible for Apple Health coverage through the month in which they are paroled.

Unaccompanied Refugee Minor program

Children who need foster care placement are approved for resettlement in this country under the Unaccompanied Refugee Minor (URM) program. Children are placed in culturally sensitive foster homes and are eligible for Apple Health coverage. They remain eligible for Apple Health coverage up to age 21. URM youth are eligible for health care coverage until their 26th birthday if they meet qualified alien status at age 21.

Voluntary Placement Services

The Developmental Disabilities Administration (DDA) manages Voluntary Placement Services (VPS). Parents retain the custodial rights for these children. Children and youth up to age 21 in VPS are placed in licensed foster care facilities at the request of their parents and are eligible for Apple Health coverage while they are in VPS.

Apple Health Core Connections (AHCC)

Changes coming to Foster Care

On January 1, 2019, behavioral health coverage will change for Apple Health Foster Care clients in all 39 counties in Washington state. Coverage will continue to be managed by Apple Health Core Connections through Coordinated Care of Washington.

This coverage will include:

  • Mental health services
  • Drug and alcohol use disorder treatment

You will still get the same benefits you get today. We are only changing how we approve and pay for them. We will send you a letter in December with more information about these changes.

Learn about the integration of Apple Health in the Foster Care program coming in January 2019.

Coordinated Care of Washington (CCW) provides all physical health care (medical) benefits, lower-intensity outpatient mental health benefits and care coordination for all Washington State foster care enrollees through a single, statewide managed care plan called Apple Health Core Connections. Inpatient services and higher-level outpatient mental health services will be provided by the Behavioral Health Services Organization in the SW WA region or the Behavioral Health Organization (BHO) in BHO regions.

These clients include children and youth:

  • Under the age of 21 who are in foster care
  • Under the age of 21 who are receiving adoption support
  • Age 18 to 26 years old who aged out of foster care on or after their 18th birthday

AHCC clients are auto-enrolled to CCW with the ability to opt out with a phone call to the foster care unit. American Indian/Alaska Native (AI/AN) children are not auto-enrolled.

Questions about managed care may be directed to


HCA Foster Care Medical Team
Phone: 1-800-562-3022 (ext. 15480)
Fax: 360-725-1158