Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Chart of requirements
Revised date
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 |
| Citizenship (1) | Yes | Yes | Yes |
| Dependent care expenses | No - Deduction not allowed | No - Deduction not allowed | No - Deduction not allowed |
| Disability | Not applicable | Yes | Yes |
| Health insurance premiums other than Medicare | No - Deduction not allowed | Yes | Yes |
| Household composition | Only if questionable | Only if questionable | Yes - For spousal and deeming cases only |
| Immigration and lawful presence (1) | Yes | Yes | Yes |
| Income | Yes (2) | 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 (5) | 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.
5 - No, if there are no resources listed on the application or review form.