news & resources

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 Annual Medicaid redetermination was paused during the Public Health Emergency (PHE). Starting February 1, states began their Medicaid Redetermination Process, with the potential for Medicaid disenrollments to start April 1, 2023. Each state determines when their redetermination process will begin and will notify Medicaid members approximately 60 calendar days prior to their disenrollment effective date from State Medicaid

What this means for you

Medicare Members: If you are on a Medicare Advantage Dual Eligible plan and are redetermined to no longer be eligible for Apple Health/WA State Medicaid please contact me as soon as you are notified to assist you with next steps.

Non-Medicare Members : If you are notified about loss of Medicaid eligibility you are eligible for coverage through the WA State Exchange/ACA/Obamcare. Please contact me as soon as you are notified of changes to your Apple Health/WA State Medicaid enrollment.

Steps for All Medicaid Members

1. Confirm contact information is up to date with the State of WA
2. Watch for mail from DSHS or Health Care Authority(HCA)requesting additional documentation
3. Respond to any request from the State of WA/DSHS/HCA promptly and within deadlines. 

During the 2021 legislative session, the Washington State Legislature passed Senate Bill 5377, directing the Washington Health Benefit Exchange (Exchange) to establish a state premium assistance program, now named Cascade Care Savings. In the 2021 State Operating Budget, funding was provided to extend premium assistance to Washington residents earning up to 250% of the federal poverty level beginning in 2023. Cascade Care Savings aims to increase access to coverage on the Exchange by making health plan premiums as affordable as possible. Cascade Care Savings will be available for plan year 2023 starting Nov. 1, 2022, during open enrollment. Read more....