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This document provides detailed instructions for providers on how to register in the ProviderOne Portal, including necessary steps for those using billing agents or clearinghouses.
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How to fill out washington medicaid

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How to fill out WASHINGTON MEDICAID

01
Gather necessary documentation such as proof of income, identification, and residency.
02
Visit the Washington Medicaid website or the local Department of Social and Health Services (DSHS) office.
03
Complete the Medicaid application form, ensuring all personal and financial information is accurate.
04
Submit your application online, in person, or via mail as instructed on the site.
05
Monitor the application status and respond promptly to any requests for additional information.

Who needs WASHINGTON MEDICAID?

01
Low-income individuals and families.
02
Children and pregnant women.
03
Individuals with disabilities.
04
Elderly people requiring assistance with medical care.
05
Anyone unable to afford health insurance.
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Medicare and Medicaid integration has been an ongoing collaborative effort of the Department of Social and Health Services and the Heath Care Authority with the aim to improve access to and participation in integrated care and services in Washington for the dual eligible population (clients on Medicare and Medicaid)
Apple Health is the name for Medicaid in Washington. Apple Health is free or low-cost health insurance coverage for those who qualify. Covered services include primary care, emergency visits, maternity services, pediatric care, dental services, vision care, prescription medications and more.
Who is eligible for Medicaid in Washington? Adults with incomes up to 138% of the federal poverty level (FPL) Pregnant women with incomes up to 198% of poverty.
Income & Asset Limits for Eligibility 2025 Washington Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,901 / month* $3,000 Medicaid Waivers / Home and Community Based Services $2,901 / month† $3,0001 more row • Jul 1, 2025
Depending on how you apply, you can find out right away if you are eligible for Medicaid coverage. In some cases, it could take the state up to 45 days.
Parents of Dependent Children: Income limits for 2025 are reported as a percentage of the federal poverty level (FPL). The 2025 FPL for a family of three is $26,650. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2025 FPL for an individual is $15,650.
In Washington State, Medicaid is called Apple Health.
Federal law requires many qualified immigrants to wait five years before becoming eligible for Medicaid. This 5-year waiting period is commonly referred to as the 5-year bar. This 5-year waiting period usually begins when the person receives their qualifying immigration status, not when they entered the U.S.

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Washington Medicaid is a state and federally funded program that provides health care coverage to eligible low-income individuals and families in Washington State.
Individuals and families who meet specific income and resource requirements and wish to receive health care coverage are required to file for Washington Medicaid.
To fill out Washington Medicaid, applicants can complete an online application through the Washington Health Benefit Exchange website, or download a paper application to submit by mail.
The purpose of Washington Medicaid is to provide accessible and affordable healthcare services to low-income residents, ensuring they receive necessary medical care.
Applicants must report personal information such as income, household size, residency, and any other relevant financial information to determine eligibility for Washington Medicaid.
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