Chart of requirements
Verification Requirements Chart - Apple Health
|What to verify||Verification needed for MAGI-Based Apple Health for Adults, Pregnant Women, and Children?||Verification needed for SSI Related Apple Health (Aged, Blind and Disabled)?||Verification needed for Long-Term Supports and Services Apple Health?|
|Child Support obligation||No - Deduction not allowed||No - Deduction not allowed||Yes - Only if income is garnished|
|Dependent care expenses||No - Deduction not allowed||No - Deduction not allowed||No - Deduction not allowed|
|Health insurance premiums other than Medicare||No - Deduction not allowed||Yes - for spenddown||Yes - for spenddown|
|Household composition||Only if questionable||Only if questionable||Yes - For spousal and deeming cases only|
|Immigration and lawful presence (1)||Yes||Yes||Yes|
|Medical expenses||No - Deduction not allowed||Yes - For spenddown only||Yes|
|Pregnancy||No - Self-attestation accepted||No - Self-attestation accepted||No - Self-attestation accepted|
|Residency||Only if questionable||Only if questionable||Only if questionable|
|Resources||Not Applicable||Yes - Except HWD||Yes|
|Shelter costs||Not Applicable||Not applicable||Yes - Spousal and dependent deeming cases only|
|Social Security Number||Yes (3)(4)||Yes (4)||Yes (4)|
|Tax filing status||No||Not applicable||Not applicable|
|Tribal status||No - Self-attestation accepted||No - Self-attestation accepted||No - Self-attestation accepted|
1 - Citizenship, identity, and lawful presence is verified using the SSA citizenship data match, federal hub services, or SAVE. If citizenship or lawful presence is unverified, verification is requested.
2 - Income for MAGI-based health care coverage is verified in post-eligibility review when electronic verifications do not confirm attested income.
3 - A newborn born to a mom on Washington Apple Health (see WAC 182-505-0210 (2)) is eligible for Washington Apple Health without meeting the SSN requirement until his or her first birthday.
4 - A client needs to provide his or her SSN, or proof one has been applied for, unless claiming an exemption for religious or domestic violence reasons.