Eligibility for Medical Programs
Eligibility rules for medical programs can be difficult to understand. To help with that process, we put together several different tools for your use:
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Basic Information - Learn the basics about medical programs we
offer.
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Medical
Income and Resource Standards -
effective
July 1, 2008. Each
year, the Federal Poverty Levels (FPLs) and other
income standards are updated. For standards in previous years, or those
that have changed through the course of the current year, click on
one of the following years:
2008;
2007;
2006. Note: Changes in some standards take effect the first of a month
other than April. Each chart indicates the month in which those
changes took effect.
If you don't have Adobe Acrobat Reader to view this chart,
download it free.
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Overview of Medical Eligibility Requirements -
PDF Version of Overview
- This publication is
intended for people who work with medical eligibility and want a general
overview of the requirements. If you don't have Adobe Acrobat Reader to
read it, download it free.
- Detailed rules, policies and procedures (EA-Z Manual) - The "EA-Z Manual" has all of the policies, procedures and Washington Administrative Code rules we use to administer medical programs. The EA-Z manual is used by DSHS staff who determine eligibility, legal professionals and others.
Apply Online for Children's Healthcare! - We have the children's medical application online. Fill it out online and submit it directly to DSHS!
Or if you prefer, you can get a printed version of DSHS form 14-380(X) "Application for Children's Medical Benefits. Complete the form, print it, and send it to the address listed on the form. If you don't have Adobe Acrobat Reader to use this document, download it free.
Children's Healthcare Program (for non-citizen children) - Washington State provides medical coverage to low income non-citizen children under the age of 19 who are not eligible for Medicaid due to immigration status.
Healthcare for Workers with Disabilities (HWD) - It used to be that people with disabilities could not keep their Medicaid coverage if they went back to work. Under this program, people with disabilities don't have to choose between their healthcare and their job.
Medicare Savings Programs Flyer - This flyer describes programs that help low-income people on Medicare pay their monthly premiums.
If you don't have Adobe Acrobat Reader to view the flyer, download it free. We have the flyer in Cambodian, Chinese, Korean, Laotian, Russian, Spanish, and Vietnamese.
Breast and Cervical Cancer Treatment Program - Washington State has a program to help women diagnosed with breast or cervical cancer get treatment they need.
U.S. Citizenship and Immigration Services (USCIS) - Medicaid Policy - USCIS policy says that getting medical benefits won't jeopardize the chances of getting a green card or becoming a citizen.
Medicaid State Plan - All states have a Medicaid Plan that must be approved by the federal Centers for Medicare and Medicaid Services (CMS). Here is the most current version of Washington State's approved plan.
For comments or questions regarding (your program here), email contact us