Forms & publications

Notice: If you are a biller or provider, visit our Billers and Providers forms library.

Adding a newborn in Healthplanfinder

Step by step instructions on how to apply for a newborn under Washington Apple Health (Medicaid) in Washington Healthplanfinder.

Publication

Adult dental coverage

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This flyer provides an overview of dental services for adults, age 21 and older, covered by Washington Apple Health (Medicaid).

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AEM FAQ

Frequently asked questions about the Alien Emergency Medical (AEM) program.

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AEM FAQ PDF

AEM fax cover sheet

Cover sheet to be used when faxing Alien Emergency Medical (AEM)-related materials to Health Care Authority.

Publication

AI-AN client enrollee notice - general

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General enrollee notice sent to self-identified American Indian/Alaska Native clients on Apple Health coverage to share changes coming to mental health services on 7/1/17.

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AI-AN client enrollee notice - SW Washington

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SW Washington client enrollee notice sent to self-identified American Indian/Alaska Native clients on Apple Health coverage to share changes coming to mental health services on 7/1/17.

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AI-AN client notice of changes coming to mental health services

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Notice sent to self-identified American Indian/Alaska Native clients on Apple Health coverage to share that changes are coming to mental health services on 7/1/17.

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Alien Emergency Medical (AEM) assessment and treatment for COVID-19

Alien Emergency Medial (AEM) assessment and treatment for COVID-19

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Alien Emergency Medical (AEM) process - Oct 2017 update

Shares the Alien Emergency Medical (AEM) process for individuals applying for all Washington Apple Health (Medicaid) AEM coverage.

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Am I eligible for COFA Islander Health Care poster

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Am I eligible for COFA Islander Health Care poster

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