Forms & publications

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Apple Health Managed Care FAQ

Apple Health Managed Care FAQ

Publication

Apple Health managed care service area map

19-0036

Apple Health managed care service area map.

Publication

Apple Health managed care service area matrix

19-0038

Apple Health managed care service areas matrix.

Publication

Apple Health Outreach in September 2016

Shares outreach efforts for the Washington Apple Health program including managing your coverage online, how to share your Apple Health story and more.

Publication

Apple Health renewal action required

EE009

Washington Apple Health renewal action required letter

Form

Apple Health renewal action required for individuals turning 65

EE009

Washington Apple Health renewal action required for individuals turning 65 letter

Form

Apple Health renewal review only

EE009

Washington Apple Health renewal review only letter

Form

Apple Health termination

EE011

Washington Apple Health termination

Form

Application for aged, blind, disabled/long-term care coverage

18-005

Application for health care coverage for individuals seeking aged, blind, disabled coverage or long-term services and supports.

Form
Order Form

Application for Apple Health (Medicaid) health care coverage

18-001P

Application for Modified Adjusted Gross Income Apple Health coverage and Qualified Health and Qualified Dental plans. (HCA 18-001P)

Form
Order Form

Pages