Orlando Harmon
If you are looking to apply for insurance through DSHS, you may be referring to Medicaid. Medicaid is a government health insurance program for people with very limited income and resources. Each DSHS program has its own eligibility requirements, but all programs consider your income, and some consider your resources, disability status, age, or whether you have minor children. If you are 18 or older, you can apply for Medicaid through your local Home and Community Services (HCS) office, or online at Washington Healthplanfinder. If you are applying for a child in relative care, you may apply through your local Community Services Office (CSO).
| Characteristics | Values |
|---|---|
| Who can apply? | Adults 18 or older, children, pregnant women, caregivers |
| What is it for? | Health insurance, food benefits, long-term care |
| What is required? | Social Security number, proof of identification, proof of income, documentation of resources, immigration or alien documents, proof of citizenship |
| How to apply | Online, by phone, by mail, in person |
| Website | https://www.wahealthplanfinder.org |
| Phone number | 1-855-923-4633 |
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What You'll Learn
Medicaid applications for children
Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage for children. In the United States, each state has its own rules about who qualifies for CHIP, and eligibility depends on factors such as income, household size, family status, age, and disability.
If your income is too high to qualify for Medicaid, your child may still be eligible for CHIP, which covers medical and dental care for uninsured children and teens up to the age of 19. You can apply for CHIP by finding a CHIP program by state and creating an account with the Health Insurance Marketplace. If it appears that your child qualifies for CHIP, your information will be sent to your state agency, and they will contact you about enrollment.
In Washington State, children who receive a TANF grant are eligible for free medical coverage. Children who do not receive a TANF grant may also qualify for free or low-cost medical coverage through the Washington Apple Health program. Children who are dependents of the state are automatically eligible for this coverage. To find out if your child is eligible, you can apply online at https://www.wahealthplanfinder.org or by calling the customer service center at 1-855-923-4633.
Children in a relative's care may be eligible for Medicaid to cover mental health services, as well as medical and dental health insurance. To apply, you need to contact your local Community Services Office (CSO), fill out an application, and provide certain information or documentation, such as proof of identification, income, and citizenship.
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Eligibility requirements
Medicaid:
Medicaid is a government health insurance program for individuals with limited income and resources. To be eligible for Medicaid, individuals must undergo a financial review and a personal care needs assessment to determine their financial and functional eligibility. This includes evaluating income, resources, and health care needs. Children in a relative's care may be eligible for Medicaid to cover mental health, medical, and dental health insurance.
TANF Grant:
Children who receive a TANF (Temporary Assistance for Needy Families) grant are eligible for free medical coverage. This includes access to replacement eyeglasses with no limit on replacements. Children who do not receive a TANF grant may still qualify for free or low-cost medical coverage through the Washington Apple Health program.
Washington Apple Health:
The Washington Apple Health program offers free or low-cost medical coverage for children who do not have a TANF grant. Caregivers may also be eligible for coverage under this program. Eligibility is determined based on income, resources, and health care needs.
Basic Food and Working Connections Childcare:
Depending on their income and resources, individuals may qualify for the Basic Food and Working Connections Childcare programs. For example, a single mother with two children who has no medical coverage through her job may qualify for these programs.
General Assistance:
Individuals who are temporarily disabled and unable to work may be eligible for General Assistance. Their income and resources will be considered in determining eligibility.
It is important to note that these are general overviews, and specific eligibility requirements may vary. Individuals can contact their local DSHS office or visit the official website for more detailed information on eligibility and the application process.
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Application methods
Online Applications
Online applications are often the most convenient method. For Washington Apple Health coverage, individuals can apply online through the Washington Healthplanfinder website or the WAPlanfinder mobile app. This platform also allows applicants to select a managed care plan online. The website provides easy access to the necessary forms and information.
Phone Applications
Phone applications are another option for individuals who may not have easy access to the internet or prefer speaking with a representative. The Washington Healthplanfinder Customer Support Center can be reached at 1-855-923-4633. This number also provides assistance with general inquiries and eligibility questions.
Paper Applications
Paper applications are typically available for those who prefer a more traditional application process or may have limited access to digital resources. The relevant forms can be downloaded from official websites or picked up from local offices. For instance, the Application for Aged, Blind, Disabled/Long-Term Care Coverage (HCA 18-005) can be submitted for this application method.
In-Person Applications
In-person applications are facilitated by visiting local resources and offices. Local Department of Social and Health Services (DSHS) offices provide assistance, with specific offices catering to different needs, such as the Community Services Office for Aged, Blind, or Disabled coverage and the Home and Community Services Office for Long-Term Services and Supports.
It is important to note that each DSHS program has its own eligibility requirements, considering factors such as income, resources, disability, age, and minor children. Additionally, certain programs, like Medicaid, have specific rules and requirements, and applicants may require assistance in understanding the application process and their eligibility.
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Documentation needed
The documentation needed to apply for insurance through DSHS will vary depending on the type of insurance you are seeking. DSHS offers different programs with their own eligibility requirements, including Medicaid, TANF grants, and Basic Food and Working Connections Childcare. Here is a detailed breakdown of the documentation required for different types of insurance:
Medicaid:
To apply for Medicaid through DSHS, you will need to provide documentation verifying your identity, income, and resources. Specifically, you will need:
- Proof of identification
- Proof of income
- Documentation of resources, such as bank statements, property tax statements, or life insurance policies
- Immigration or alien documents, if applicable
- Proof of citizenship if you do not receive Medicare or Supplemental Security Income (SSI)
You can apply for Medicaid online or through your local Home and Community Services (HCS) office. If you need assistance filling out the application, you can contact your local HCS office or the Senior Information and Assistance office.
TANF Grants:
If you are applying for a TANF grant, the documentation needed may vary depending on your specific circumstances. TANF grants are typically available for families with dependent children. In the case of children receiving a TANF grant, they are eligible for free medical coverage.
Basic Food and Working Connections Childcare:
For programs like Basic Food and Working Connections Childcare, your income and resources will be considered. A single mother with dependent children and no medical coverage through her job, for example, may qualify for these programs based on her income and resources.
Washington Apple Health:
To find out if you are eligible for Washington Apple Health coverage, you can apply online or by calling their customer service center. Washington Apple Health offers free or low-cost medical coverage for children who do not receive a TANF grant. Caregivers may also be eligible for coverage under this program.
It is important to note that each DSHS program has its own specific eligibility requirements. You can use the "Am I Eligible" option on WashingtonConnection.org to determine which program best suits your needs and review the specific documentation required for that program. Additionally, the Statewide Health Insurance Benefits Advisors (SHIBA) HelpLine is a free resource that can provide guidance and answer questions about health insurance, healthcare access, and prescription access.
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Medicaid for adults
Medicaid is a government health insurance program that provides free or low-cost health coverage to eligible low-income adults, families, children, pregnant women, the elderly, and people with disabilities. In all states, Medicaid provides coverage for low-income people, and some states have expanded their Medicaid programs to cover adults below a certain income level.
Medicaid eligibility depends on at least one or a combination of the following factors: age, income level, number of people in your family, pregnancy or parenting status, and disability status. To be eligible for Medicaid, individuals must also meet certain non-financial eligibility criteria. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. Additionally, individuals must be residents of the state in which they are applying for and receiving benefits.
To apply for Medicaid, individuals can check with their state's Medicaid agency to see if they are eligible and apply through their local Home and Community Services (HCS) office or online. The application process typically involves filling out an application, undergoing a financial review to determine financial eligibility, and a personal care needs assessment to determine functional eligibility.
It is important to note that Medicaid benefits and requirements vary across states, and some states have expanded their Medicaid programs to cover a broader range of individuals. Therefore, it is essential to refer to the specific guidelines and application procedures of your state's Medicaid program.
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Frequently asked questions
DSHS stands for Department of Social and Health Services.
DSHS offers Medicaid and Apple Health insurance plans.
Each DSHS program has its own eligibility requirements. However, all programs consider your income and some also consider your resources. Some programs are for those who are disabled, elderly, or have minor children.
You can apply for DSHS insurance online, by phone, or in person. To apply online, you can visit Washington Healthplanfinder or download the WAPlanfinder app. To apply by phone, call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633. To apply in person, visit your local DSHS office.
You will need a Social Security number, proof of identification, proof of income, documentation of resources (such as bank statements or property tax statements), and proof of citizenship if you are not receiving Medicare or Supplemental Security Income (SSI).
