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Get Wa Hca 18-005 2021-2026
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How to fill out the WA HCA 18-005 online
This guide provides clear and supportive instructions for completing the WA HCA 18-005 application online, aimed at individuals seeking access to health care coverage. You will find detailed steps tailored to assist users with varying levels of experience.
Follow the steps to accurately complete your application.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Input your personal information. Begin with your first name, middle initial, last name, and Client ID number if applicable. Ensure your current address is correctly filled out, and provide a valid phone number and email address.
- Indicate the program you are applying for. You should check all relevant options such as In-Home Caregiver Services, Health Care Coverage for Aged, Blind, or Disabled, or other applicable services.
- Provide information about any unpaid medical bills if applicable. Indicate who requires assistance paying these bills.
- Complete the language information section. If you require an interpreter or translation services, specify your language needs.
- List everyone in your household, including their relationship to you and whether you want coverage for each person. Include details such as their Social Security number, date of birth, gender, and race.
- Answer questions regarding your or your household's prior health coverage, participation in the U.S. Armed Forces, and whether you have any dependents not living with you.
- Report your employment income, if applicable. Ensure to include details about your employer, job start date, gross income, and payment frequency.
- Provide a list of any other income, including types and amounts. Attach supporting documentation.
- Detail your housing expenses and any deductions. Include amounts and descriptions for items such as child support and recurring medical expenses.
- Complete the resources section, detailing any property, vehicles, and other assets you or your household may possess.
- If applying for long-term services, provide additional information required regarding your home and any resource transfers within the last five years.
- Designate an authorized representative if needed. Provide their contact information and roles.
- Review the application carefully. Make sure to check all boxes related to estate recovery and asset verification.
- Affix the required signatures from all necessary parties, including contact information and dates.
- At the final step, save your changes, download, print, or share the completed form as needed.
Complete your WA HCA 18-005 application online today and ensure you access crucial health care services.
Human Resource Services is reminding WSU employees that the state of Washington's Long-Term Care program and the associated payroll tax that will fund the LTC Benefit Trust are set to start in July 2023. Most employees will see the new 0.58% state tax reflected in their July 10 paychecks.
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