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Medicaid / Medicare

Know Your Rights

Apple Health (Medicaid): If You Disagree with your Apple Health Managed Care Plan or Have a Complaint

Your rights and things you can do if you have any issues with your Apple Health Managed Care Plan. #5113EN

Estate Recovery for Medical Services Paid for by the State

The state has many programs that pay for medical services. The Medicaid program is one example. Under some of these programs and with important limitations, the estate recovery law allows the state to recover (to be paid back) the cost of the services it pays for. #5172EN

Health care coverage options in Washington State

If you do not have health insurance, or your health insurance does not cover the care you need, you may have options under the Affordable Care Act. #5707EN

I am going to jail or prison. What about my Social Security and health care?

Do you need to let Social Security know you're going to be incarcerated? What will happen to your Medicare while you're in jail? Get the answers to these and other questions. #5190EN

Question and Answers on Applications for Long-Term Care Services and Supports

People who need help paying for long-term services and supports (LTSS) often wonder when they should file an application for assistance from the Home and Community Services Division (HCS) of the Department of Social and Health Services. This pamphlet discusses the timing of the application process. #5106EN

I am going to jail or prison. What about my Social Security and health care?

Do you need to let Social Security know you're going to be incarcerated? What will happen to your Medicare while you're in jail? Get the answers to these and other questions. #5190EN

Question and Answers on Applications for Long-Term Care Services and Supports

People who need help paying for long-term services and supports (LTSS) often wonder when they should file an application for assistance from the Home and Community Services Division (HCS) of the Department of Social and Health Services. This pamphlet discusses the timing of the application process. #5106EN

Apple Health Managed Care (Medicaid): The Basics

Apple Health Managed Care is the part of Washington State’s Medicaid program where the state contracts with managed care health plans (“plans”) to manage and pay for most health services. #5111EN

Apple Health (Medicaid): If You Disagree with your Apple Health Managed Care Plan or Have a Complaint

Your rights and things you can do if you have any issues with your Apple Health Managed Care Plan. #5113EN

Billing and Medicaid (Apple Health)

Questions and answers about billing for services Medicaid covers. Read this if your medical provider didn't bill Medicaid for services when you think it should have. Includes sample letters you can use to try to resolve the situation. #5112EN

I am going to jail or prison. What about my Social Security and health care?

Do you need to let Social Security know you're going to be incarcerated? What will happen to your Medicare while you're in jail? Get the answers to these and other questions. #5190EN

Key Medicaid Standards as of January 2020

DATE:January 1, 2020 FROM: Columbia Legal Services

Key Medicaid Standards as of January 2022

Senior Bulletin: Medicaid - The table shows Medicaid eligibility and other standards in effect as of 1/1/2022.

Key Medicaid Standards as of July 2022

The table shows Medicaid eligibility and other standards in effect as of 7/1/2022.

Pooled-Asset Special-Needs Trusts for Medicaid & SSI Beneficiaries

This explains the benefits of special needs trusts and the role of pooled-asset trusts – special needs trusts in which the assets of many individuals are pooled for certain purposes.

Question and Answers on Applications for Long-Term Care Services and Supports

People who need help paying for long-term services and supports (LTSS) often wonder when they should file an application for assistance from the Home and Community Services Division (HCS) of the Department of Social and Health Services. This pamphlet discusses the timing of the application process. #5106EN

Questions and Answers on Medicaid for Nursing Home Residents

Medicaid is a government program that pays for medical services including nursing home care. It is administered by DSHS -- the Washington State Department of Social and Health Services. To receive Medicaid payment for nursing home care, you must meet the financial eligibility requirements described in this publication. Also, you must need the care provided in a nursing home. #5170EN

Questions and Answers on the Community First Choice Program

CFC is a Medicaid program offering personal care and other services. The program was established by the Affordable Care Act (ACA) under 1915(k) of the Social Security Act and is administered by the Washington State Department of Social and Health Services (DSHS). #5103EN

Questions and Answers on the Tailored Supports for Older Adults (TSOA) and Medicaid Alternative Care (MAC) Programs

TSOA and MAC are Medicaid programs. TSOA and MAC provide free services to unpaid caregivers who are taking care of family members who are at least 55 years old. #5171EN

Senior Bulletin - Medicaid: Requirements for spousal annuities

VOL. 09-3 DATE: January 1, 2016 (updated) FROM: Barbara Isenhour and Sean Bleck

The Medically Needy "Spenddown" Program: Medicaid for Adults 65 and Older or Disabled Who Don't Get SSI

The Medically-Needy (MN) program helps pay medical expenses for certain people who are 65 or older, and for certain younger disabled people. It is a program for people who do not get Medicaid coverage that comes with a cash grant from Supplemental Security Income (SSI), General Assistance, or another public assistance program. #5104EN

What can I buy and still be eligible for SSI and/or Medicaid?

To qualify for SSI or Medicaid, you can only have a certain amount of money or property (“resources”). Read this to learn how you can buy certain things to get to an amount where you qualify. #5107EN

Apple Health Managed Care (Medicaid): The Basics

Apple Health Managed Care is the part of Washington State’s Medicaid program where the state contracts with managed care health plans (“plans”) to manage and pay for most health services. #5111EN

Accessing Information on Medicare Benefits for LGBT People

The ever-evolving legal rights and Medicare benefits that affect lesbian, gay, bisexual and transgender (LGBT) individuals and married couples can be challenging to follow. This resource document provides links to organizations providing relevant information.

I am going to jail or prison. What about my Social Security and health care?

Do you need to let Social Security know you're going to be incarcerated? What will happen to your Medicare while you're in jail? Get the answers to these and other questions. #5190EN

Medicare and Hospital Discharges

If you are a Medicare beneficiary, this publication explains your rights and processes when the hospital decides it is time to discharge you. Publication #5212EN

Medicare Information for 2022

Deductibles, Premiums & Co-payments for Parts A and B

Medicare Savings Programs: Help Paying For Medicare Costs

If you’re on Medicare, you may qualify for help with Medicare premiums, deductibles, and cost-sharing. There are four programs that can help. #5210EN

I am going to jail or prison. What about my Social Security and health care?

Do you need to let Social Security know you're going to be incarcerated? What will happen to your Medicare while you're in jail? Get the answers to these and other questions. #5190EN

Question and Answers on Applications for Long-Term Care Services and Supports

People who need help paying for long-term services and supports (LTSS) often wonder when they should file an application for assistance from the Home and Community Services Division (HCS) of the Department of Social and Health Services. This pamphlet discusses the timing of the application process. #5106EN

Pooled-Asset Special-Needs Trusts for Medicaid & SSI Beneficiaries

This explains the benefits of special needs trusts and the role of pooled-asset trusts – special needs trusts in which the assets of many individuals are pooled for certain purposes.

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