Forms & publications

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

Census Bureau Income Guide

Census Bureau Income Guide for Washington Apple Health (Medicaid).

Publication

Changes coming to WAH in 2018 in North Central WA flyer

Changes coming to WAH in 2018 in North Central WA flyer

Publication

Children's care coordinators, by region (June 2017)

A list of mental health and substance use disorder (DUD) services for children in Washington, by region.

Fact sheet

Citizenship affidavit

27-033

Affidavit used to provide proof of citizenship.

Form

Citizenship and alien status guide

Guidance surrounding citizenship and alien status and how it pertains to Washington Apple Health (Medicaid) programs.

Publication

Citizenship and identification documents

Explanation and examples of citizenship and identity verification documents.

Fact sheet

Citizenship and immigration

Citizenship and immigration webinar for Washington Apple Health (Medicaid).

Publication

Citizenship and immigration flowchart for Apple Health programs

Flowchart listing Apple Health programs based on citizenship and immigration status.

Publication

Citizenship documentation and identity declaration

13-789

Form for providing proof of citizenship and identity.

Form

Classic Apple Health (Medicaid) and COVID-19

Webinar presentation slides on Classic Apple Health (Medicaid) and COVID-19. This presentation is for enrollment partners and those who assist Apple Health clients.

Publication

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