Health and Recovery Services Administration, Department of Social and Health Services
 

An Overview of Washington
State Medical Program Eligibility


This guide offers an overview of eligibility requirements for medical programs.  It does not include all requirements or consider all situations that may arise.  Please contact a local Community Services Office (CSO) or Home and Community Services Office (HCS) for information pertaining to a specific situation.  The Department of Social and Health Services is the sole entity authorized to make eligibility decisions for medical benefits.

PDF Version of Medical Eligibility Overview - You can view this information in PDF format using Adobe Acrobat Reader.  Note: If you don't have Acrobat Reader for reading PDF files, download it free from Adobe.

Have a question about eligibility?    Check out our page on Frequently Asked Questions about Family Medical Programs

Eligibility Overview - Table of Contents

DEFINITIONS

Family Programs

Women's Health

Children’s Programs

Refugees and Aliens

Aged, Blind, and Disabled

SSI-related Medical

Healthcare for Workers with Disabilities

Long Term Care

Medicare Savings Program

Qualified Medicare Beneficiary (QMB)

Special Low-Income Medicare Beneficiary (SLMB)

Qualified Individual

Qualified Disabled Working Individual (QDWI)

Medically Needy

Spenddown

Spenddown Example

General Assistance

Alcohol and Drug Treatment - ADATSA

Psychiatric Indigent (PII)

Medical Identification Card (MAID)

Covered Services - As of April 2007

Customer Toll-Free Numbers & Web Addresses

 

For comments or questions regarding (your program here), email contact us