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Request for Redetermination of Medicare Prescription Drug Denial Because we, All well, denied your request for coverage of (or payment for) a prescription drug, you have the right to ask us for a

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WA H0029 001 Y0020REQ is needed by individuals or households who want to apply for or renew their eligibility for DSHS programs in Washington State. These programs may include Medical Assistance, Basic Food, and Cash Assistance, among others. It is important to fill out this form accurately and completely to ensure that eligibility determinations can be made.

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wa h0029 001 y0020req is a form used for reporting certain information related to a specific program or requirement.

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