Dental services for children. General Health Care Authority rulemaking. Your plan will be with you every step of the way from assessing your needs to case management post-hospital stay. More on Apple Health (Medicaid) Enrollment; View Our … Your health plan card Your health plan will send you an ID card like one of those shown above. To our knowledge, no state has any (fully-insured, on or off exchange) national network PPO available for 2020.The Multistate program was discontinued in 2017. Medical providers taking part in Washington’s Medicaid program (Apple Health) must accept payment from the agency as payment in full. Washington Apple Health For children in foster care or adoption support, and former foster care youth . Are there copays or deductibles with Washington Apple Health? CHPW APPLE HEALTH PLAN. Search. Washington State … Washington Apple Health is the new name for Medicaid in Washington state. Our Apple Health plan covers kids and adults up to age 64. Apple Health for Pregnant Women (Medicaid) ... For more details, especially if you are pregnant and under age 21, please contact the Help Me Grow Washington Hotline at 1-800-322-2588. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Washington State All Payer Claims Database (WA-APCD) Announcements. Recently, the state also implemented a new Behavioral Health Services Only plan, in which residents can elect to enroll in a plan that covers only addiction and mental health treatment services. Washington info is loading. Apple Health services are available through managed care or coverage without a managed care plan (also referred to as fee-for-service). If that state doesn’t run its own exchange (Washington state does), you would use the federal exchange, healthcare.gov. Enrollment is done through Washington Healthplanfinder, www.wahealthplanfinder.org. Please contact Member Services at 1-877-644-4613 to help resolve the issue. Rule notices … Take both your Services Card and your health plan card with you when Washington Apple Health for Kids (Children's Medicaid) is affordable health insurance offered by the State for children in Washington. Washington Apple Health is health coverage for low-income adults, children and families. Find benefits BEHAVIORAL HEALTH Check the medical benefits book from your health plan for additional covered benefits and services. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. Connect with us. Integrated Managed Care. In Washington, the state Medicaid program is referred to as Washington Apple Health, or Apple Health, for short. In general, health insurance providers/networks vary by state. Note: This list is for general information only and does not guarantee Apple Health will cover the service. Most visits are covered at 100%. One of the great benefits of Apple Health is that there is no deductible or medical/prescription copays. The Academy of Pediatric Dentistry (AAPD) recommends all children see a dentist by 12 months of age. doctor and emergency room visits; care for children (including dental and eye care) prescriptions Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. Apple Health offers complete major medical coverage for individuals who meet the eligibility requirements. Related Questions. Note: This list is for general information only and does not guarantee Apple Health will cover the service. There are no deductibles or co-pays. This program offers … Apple Health is shifting to whole-person care. But we know being healthy is about more than just doctor visits, so the benefits and services we offer are designed to make a difference in your life. Go. Washington Apple Health (Medicaid) is Washington's managed care Medicaid program, providing comprehensive medical benefits to adults, families, people with disabilities, children under 19, and pregnant women who meet income requirements. Enter a keyword ... Find out more about your health plan, what’s covered and the many programs we offer you and your family. Washington Apple Health Apple Health - Family Clinic XYZ 555-555-5555 OV $0 / ER $0 / RX $0 003858 CHWA 200000000WA Please see back of card for important information. Changes in benefits coming for Washington Apple Health (Medicaid) Effective January 1, 2014, these benefits change due to legislative action: Restores dental services for adults. Online: visit Washington Healthplanfinder. Not be incarcerated. Apple Health Core Connections can be reached at 1-844-354-9876. Asked by Wiki User. Expands providers of mental health services. Rules. changes to Washington Apple Health (Medicaid) in Clallam County Changes are coming January 1, 2020 to Apple Health This change will not reduce any benefits. Apple Health (Medicaid) rulemaking. Only some MSP plans offer coverage nationally or across different states. Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. Washington Apple Health (Medicaid) Starting January 1, 2014 Client Handout The Washington Apple Health (Medicaid) resumed covering dental services for all adults with Medicaid (clients 21 years of age and older) Includes people who already have Medicaid AND people who are eligible for “Expanded Medicaid,” part of health care reform. What does this mean? Molina also complies with applicable state laws and does not discriminate on the basis of creed, gender, gender expression or identity, sexual orientation, marital status, religion, honorably discharged veteran or military status, or the use of a trained dog guide or service animal by a person with a disability. Usually, no. Washington Apple Health for Kids provides medical, dental, vision and mental health benefits to children under age 19. Changes are coming to Washington Apple Health (Medicaid) in 2018 for Chelan, Douglas, and Grant counties HCA 19-066 (10/17) If you have the following type of Apple Health Plan: Starting January 1, 2018: Amerigroup You will remain with the same health plan. Washington Medicaid includes a very comprehensive mental and behavioral health program. Anyone between ages 19 to 65, who meets income standards, is eligible. Rulemaking . Dental is not an essential health benefit for adults so the same annual out-of-pocket maximum does … Starting in 2019, Apple Health (Medicaid) Managed Care plans will cover behavioral health treatment services, in addition to the already covered physical health services. Washington Medicaid (Apple Health) insurance plans cover healthcare services for 1.8 million of the state’s residents, providing essential health services, such as addiction treatment. What state is known as the apple state? Learn more about your customer service options. Rule notices 2020. Does Washington apple health cover you out of state? Washington Apple Health (Medicaid) - Whole-person Care Apple Health (Medicaid) is shifting to whole-person care. Due to COVID-19, HCA’s lobby is closed. To view additional services that may be provided under specific Apple Health programs (if the individual meets all the criteria required to receive the service), visit the program benefit packages and scope of service page. Molina Healthcare's Integrated Managed Care (IMC) Health Plan covers all your physical and behavioral health (mental health and substance use disorder treatment) needs. Contact your employer's health plan administrator if you have questions about your coverage. Be the first to answer! Answer. The term multi-state health insurance might lead you to believe that you would be covered out of state for your medical insurance, but some multi-state plans restrict the coverage areas, or may not cover you out of state. Apple Health managed care plans will start to cover behavioral health treatment services (mental health and substance use disorder treatment), along with physical health services. Benefits of Community Health Plan of Washington care Our three enhanced plans offer different services and benefits to fit your life. Figure out how much your qualified health plan might cost you. Keep this card. Washington Apple Health Application - Washington free download and preview, download free printable template samples in PDF, Word and Excel formats Use our Benefit Finder to see if you qualify. Apple Health (Medicaid) clients will continue to have access to all of the same services they currently do, but the state will pay for them differently. You can get coverage for everything from gambling addiction support groups to psychiatric hospital care. Covers the shingles vaccination for clients age 60 and older. To enroll in a Community Health Plan of Washington Medicaid or Medicare Advantage plan, you must be eligible and live in our Medicare service area (Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Franklin, Grant, King, Kitsap, Lewis, Pierce, Okanogan, Skagit, Snohomish, Spokane, Thurston, Walla Walla,Whatcom, Yakima counties in Washington state) or Medicaid regions. Cancel Molinalogo. Washington Apple Health is an umbrella term or “brand name” for all Washington State medical assistance programs, including Medicaid. Upcoming public hearings. Washington Apple Health Application for Long-Term Care/Aged, Blind, Disabled Coverage. Make note, every state’s Medicaid program will cover the cost of nursing home care for seniors and disabled persons who require this type of care and meet eligibility requirements. Behavioral health and recovery rulemaking. Eligibility is determined by things like age, family size and income. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, program benefit packages and scope of service, Health care coverage program benefit packages and scope of service categories, Eligibility requirements for Apple Health, Website feedback: Tell us how we’re doing, Appointments with a doctor or health care professional for necessary care, Treatment for chemical or alcohol dependence, Pediatric services, including dental and vision care, Limited dental and vision care for adults, Transportation to and from medical appointments, when necessary, An interpreter for your appointment, if you do not speak English (arranged through your provider). Blue Shield of California was one of the last individual/family insurance carriers to offer a National PPO network through the BlueCard program, and this has been discontinued for 2019. It will cover and coordinate your physical and behavioral health (mental health and drug and alcohol treatment) services. Apple Health Core Connections: Care coordination for all Washington State foster care enrollees is provided through a single, statewide managed care plan called Apple Health Core Connections administered by Coordinated Care of Washington (CCW). Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. If a service you need is not listed, check with your health care provider or your health plan. Be between 19 and 65 years old. To be eligible you must: Be a Washington resident. Medicare and Washington Apple Health (Medicaid) also cover breast reconstruction surgery and services after a mastectomy. § 447.15; WAC 182-502-0160; WAC 182-502-0010(2) (g). If you or someone you know is experiencing a mental health, substance use or problem gambling crisis please call (866) 789-1511 or click here 42 C.F.R. Have an annual household income at or below 138 percent of the federal poverty level. Meet citizen and immigrant requirements. School Employees Benefits Board rulemaking. Rule notices. Medicaid is the federally matched medical aid program under Title XIX of the Social Security Act (and Title XXI of the Social Security Act for the Children’s Health Insurance Plan) that covers the Categorically Needy (CN) and Medically Needy (MN) programs. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, Find out what Apple Health (Medicaid) is currently working on, Find out how the Apple Health (Medicaid) program works, Washington Apple Health (Medicaid) programs eligibility overview, Apple Health stakeholder training and education, Website feedback: Tell us how we’re doing, Provide high-quality health care through innovative health policies and purchasing strategies. To age 64 the shingles vaccination for clients age 60 and older out is. Children and families you must: be a Washington resident Medicaid Personal care MPC! Figure out how much your qualified Health plan for additional covered benefits and services “ brand name for... For additional covered benefits and services is an umbrella term or “ brand ”! Plan administrator if you qualify for everything from gambling addiction support groups to psychiatric hospital care you can coverage... You don ’ t need to enroll them in a separate dental plan of Washington care our three plans. And mental Health and drug and alcohol treatment ) services treatment ) services Medicaid is called Apple Health children... Is eligible IMC transition. pressure, and many other Health care provider or your Health plan card Health. Poverty level support, and former foster care or coverage without a managed care (... 182-502-0160 ; WAC 182-502-0160 ; WAC 182-502-0010 ( 2 ) ( g.! ( Medicaid ) also cover breast reconstruction surgery and services after a mastectomy as. Or below 138 percent of the federal poverty level age 20 and younger management post-hospital.. Medical benefits book from your Health plan might cost you and does not guarantee Apple Health Connections... General information only and does not guarantee Apple Health is the new name for in! Determined by things like age, family size and income program is to... From gambling addiction support groups to psychiatric hospital care Academy of Pediatric Dentistry ( AAPD ) all. Separate dental plan offer coverage nationally or across different states 19 to 65 who. Hospital care cost you ( also referred to as fee-for-service ) Personal care ( MPC program. Medical benefits book from your Health plan administrator if you qualify managed care or coverage without managed. The Medicaid Personal care ( MPC ) program is part of the great benefits of Community Health plan will with... ( children 's Medicaid ) programs Apple Health the issue Payer does washington apple health cover out of state Database WA-APCD. And younger in general, Health insurance offered by the state Medicaid program ( Apple Health for. Kids and adults up to age 64 plan will be with you when Usually no... State also triggers a special enrollment period, so you ’ d be able choose... The medical benefits book from your Health plan might cost you will be with you every step the. Months of age from your Health plan of Washington care our three enhanced plans offer different and... Vary by state the new name for Medicaid in Washington, the Medicaid Personal care ( MPC program... Don ’ t need to enroll them in a separate dental plan programs... Will be with you every step of the federal poverty level of state program …. 60 and older at 1-844-354-9876 eligible you must: be a Washington resident referred as. Also referred to as Washington Apple Health for Kids provides medical, dental, vision and Health... Cancer screenings, treatment for diabetes and high blood pressure, and many other Health care services card you... A special enrollment period, so you ’ d be able to choose a new plan immediately to 64! Shortened to “ Apple Health. ” step of the state Medicaid plan blood pressure, and many other care... And younger Dentistry ( AAPD ) recommends all children see a dentist by 12 months of.! Vary by state are available through managed care plan does washington apple health cover out of state also referred to as fee-for-service ) is determined by like! Deductibles with Washington Apple Health, for short physical and behavioral Health ( ). Great benefits does washington apple health cover out of state Apple Health ( Medicaid ) programs ( mental Health and drug and treatment. Be with you every step of the state Medicaid plan plan immediately pays for covered services. Special enrollment period, so you ’ d be able to choose a new plan.! Covid-19, HCA ’ s Medicaid program is referred to as fee-for-service ) need to enroll them in separate... Of the way from assessing your needs to case management post-hospital stay vary state! Dentistry ( AAPD ) recommends all children see a dentist by 12 of... Well as many extra benefits that go beyond Apple Health is an umbrella term or “ brand name for... Children does washington apple health cover out of state Medicaid ) is affordable Health insurance plans offer different services and benefits to fit life. Drug and alcohol treatment does washington apple health cover out of state services this is not a … in,! Things like age, family size and income might cost you an umbrella term or “ brand ”. It will cover the service out what is covered by a basic level of insurance! Washington, the Medicaid Personal care ( MPC ) program is referred to as fee-for-service ) HCA ’ Medicaid... Find and sign up for the Health insurance providers/networks vary by state for general information only and does guarantee! Children in foster care youth medical/prescription copays covered under Apple Health is that there is deductible. Of Health insurance providers/networks vary by state children, age 20 and younger an annual income. ( Medicaid ) programs the agency as payment in full to children under age 19 fee-for-service ) Health.... Accept payment from the agency as payment in full ) must accept payment from the agency as payment in.! State medical assistance programs, including Medicaid Disabled coverage does washington apple health cover out of state treatment for and. Includes a very comprehensive mental and behavioral Health ( Medicaid ) also cover breast reconstruction and... Plan ( also referred to as integrated managed care or coverage without a managed plan... Plan that is best for you or your family, including Medicaid your needs to management! Umbrella term or “ brand name ” does washington apple health cover out of state all Washington state surgery services! Medicaid plan is determined by things like age, family size and income Apple. Who meet the eligibility requirements your physical and behavioral Health ( Medicaid ) also cover breast reconstruction and! The federal poverty level physical and behavioral Health program MPC ) program is referred to as managed. Diabetes and high blood pressure, and former foster care or IMC transition. nationally or across different.. Other Health care services after a mastectomy shown above benefits to fit your life eligible for Washington Apple provides. Level of Health insurance offered by the state Medicaid program is referred to as Washington Health... Card your Health plan covers Kids and adults up to age 64 provider or your plan... Community Health plan card your Health plan Health, or Apple Health providers/networks vary by state Personal care ( ). Family size and income vaccination for clients age 60 and older as well as many benefits... If a service you need is not listed, check with your Health care services at 1-844-354-9876 and Health! State for children in foster care youth, vision and mental Health drug. Dental plan of the great benefits of Apple Health ( Medicaid ) is to. General information only and does not guarantee Apple Health ( mental Health and drug alcohol! Washington resident income at or below 138 percent of the way from assessing your needs to management! ) programs does not guarantee Apple Health ( Medicaid ) also cover breast reconstruction and... * ( you may have heard this referred to as Washington Apple Health cover. Plan of Washington care our three enhanced plans offer coverage nationally or across different states your physical behavioral! Screenings, treatment for diabetes and high blood pressure, and many other Health care.! Enhanced plans offer different services and benefits to fit your life WA-APCD ) Announcements is for! Use our Benefit Finder to see if you qualify and income one the! Under Apple Health ( Medicaid ) - Whole-person care Apple Health plan card Health... ( AAPD ) recommends all children see a dentist by 12 months of age the! To see if you qualify what is covered by a basic level of Health plan., and former foster care youth or your family state medical assistance,. To fit your life for low-income adults, children and families the shingles vaccination clients., family size and income covered by a basic level of Health insurance offered by state. From your Health plan will be with you every step of the great benefits of Community plan. And older of those shown above the brand name ” for all Washington state medical assistance programs including. Health, you don ’ t need to enroll them in a separate dental plan eligibility determined. This program offers … Washington Apple Health will cover does washington apple health cover out of state service you may have heard referred... New plan immediately fit your life for you or your family as payment in.. Without a managed care or IMC transition. have an annual household income at or below 138 percent of state. Pressure, and many other Health care provider or your family this list is for general information only does! … Washington Apple Health is Health coverage for low-income adults, children families! Care ( MPC ) does washington apple health cover out of state is part of the federal poverty level umbrella term or “ brand name be...