Medicaid Redetermination in Washington State

The Washington state Medicaid program, known as Apple Health, is a free or low-cost health insurance program that is available for eligible Washingtonians. Annually, Apple Health provides cost-effective and high-quality coverage for about 2.3 million individuals. Health care services provided through the Apple Health program – including emergency care visits, behavioral health services and prescription medications – are essential.


The last three years of the COVID-19 pandemic will likely be remembered as one of the defining eras of modern history. On the front lines of health care, it holds special significance. The public health emergency (PHE) that began in 2020 suspended many rules and regulations to ease burdens. This included allowing residents relying on Apple Health (Medicaid) to remain continuously enrolled in the program without needing to reverify their eligibility.

After the COVID-19 public health emergency expired, verification – known as Medicaid redetermination – resumed. The Washington State Health Care Authority (HCA) estimated this impacts roughly 300,000 Apple Health clients.

The (HCA) and the Department of Social and Health Services (DSHS) gradually resumed the certification process beginning in April 2023. Apple Health clients should be sure to update their income and address to ensure that they are still eligible for the program. Providers and other members of hospital staff can help engage in outreach efforts by becoming a volunteer Apple Health Ambassador. You can find more information about this program through the HCA.


Please visit the resources below to find out more about the unwinding of the Apple Health continuous enrollment standard and for information to share with patients:


Contact Us

Washington State Hospital Association
999 Third Avenue
Suite 1400
Seattle, WA 98104

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206.281.7211 phone
206.283.6122 fax

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