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:

• Basic Information - Learn the basics about medical programs we offer.
   
• Medical Income and Resource Standards - effective October 1, 2009.  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: 2009 & 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.
   
• 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 Apple Health for Kids! - Fill it out online and submit it directly to DSHS!

Or you can get a printed version of the brochure/application for Apple Health for Kids.   Currently, the brochure/application, DSHS form 22-394(x), is available in English.  The Application For Children's Medical Benefits, DSHS form 14-380(X), which may also be used, is available in English, Spanish, Russian, and Vietnamese.

After printing the form you select, complete it and send it to the address listed on the form.  If you don't have Adobe Acrobat Reader to use these forms, download it free.

For more information about Apple Health for Kids, click here.  

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.

Breast and Cervical Cancer Treatment Program - Washington State has a program to help women diagnosed with breast or cervical cancer get treatment they need.

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 HRSA services, email contact us