Supporting clients with changes to Apple Health

This page provides guidance and training resources for Apple Health Community Connectors, and any member of the public who will assist Apple Health (Medicaid) clients in navigating the changes coming to Apple Health.

Apple Health Community Connectors

It can be confusing for clients to know if they are eligible for Apple Health and how to navigate changes. The Health Care Authority (HCA) is looking for volunteers and representatives across the state from community organizations, schools, food banks, churches, and individual community leaders to help Washingtonians get the information and resources they need to maintain their coverage.

Apple Health Community Connector forums are divided into two groups to ensure information is tailored to how you assist individuals in our communities.

  • Navigators and HCA Volunteer Assisters
  • Community members and stakeholders

Federal changes to Medicaid—known as H.R. 1 (the One Big Beautiful Bill Act)—were passed by Congress and signed into law. These changes will affect Medicaid programs nationwide over several years.

HCA’s top priority is to implement new federal requirements in ways that minimize coverage loss of coverage and reduce client burden. Most eligibility-related changes will not happen right away. Based on federal timelines and available state options, major changes are expected to roll out gradually, pending guidance from the Centers for Medicare & Medicaid Services (CMS).

Apple Health Community Connectors meeting forums

Join us for the monthly Community Connectors meetings to learn more about H.R. 1 and its impact on Apple Health.

Date and time Registration and details
Tuesday, April 21, 2026
8:30–9:30 a.m.
Navigators and volunteer assistors | Register
Tuesday, April 21, 2026
12:30–1:30 p.m.
Community members and stakeholders | Register
Tuesday, May 19, 2026
8:30-9:30 a.m.
Navigators and volunteer assistors | Register
Tuesday, May 19, 2026
12:30–1:30 p.m.
Community members and stakeholders | Register
Tuesday, June 16, 2026
8:30-9:30 a.m.
Navigators and volunteer assistors | Register
Tuesday, June 16, 2026
12:30–1:30 p.m.
Community members and stakeholders | Register
Tuesday, July 21, 2026
8:30-9:30 a.m.
Navigators and volunteer assistors | Register
Tuesday, July 21, 2026
12:30–1:30 p.m.
Community members and stakeholders | Register
Tuesday, August 18, 2026
8:30-9:30 a.m.
Navigators and volunteer assistors | Register
Tuesday, August 18, 2026
12:30–1:30 p.m.
Community members and stakeholders | Register

Expanded changes and timing

Changes will happen slowly over several years. They will not happen all at once. We will share new information when we get it.

Change Start date
Changes to eligibility for refugee, asylee, and other noncitizen adults. October 1, 2026
To remain eligible, people enrolled in Apple Health for Adults will be required to work, train, or do community engagement 80 hours per month (with some exceptions). January 1, 2027
People enrolled in Apple Health for Adults will be required to renew their coverage every six months instead of twelve months. January 1, 2027
Retroactive coverage will be shortened from three months to one month for Apple Health for Adults and shortened to two months for all other Apple Health programs. January 1, 2027
People enrolled in Apple Health for Adults will have to pay cost-sharing up to $35 for many services. This does not include primary care, behavioral health, emergency services, and services given in certain rural settings. October 1, 2028

How you can help clients

Stakeholders play a critical role in helping clients stay covered and informed. You can support clients by:

  • Share clear, accurate information using HCA-approved resources and messaging.
  • Direct clients to resources when they need assistance with renewals, questions, or language access.

Learn more about the different types of help available:

H.R. 1 Impacts webinar series

To learn more about H.R. 1 and its impact on Apple Health, join us for the following stakeholder webinars.

Tools and resources

We will continue adding materials as they become available.

Materials

Videos

Toolkits

Need language assistance?

Language assistance services are available free of charge, including direct services by bilingual employers, interpreter services, and translation of printed materials. Visit our language access webpage to learn how to access language assistance.