Washington Application for Presumptive Eligibility for Medicaid

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Multi-State
Control #:
US-0538BG
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Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.

The Washington Application for Presumptive Eligibility for Medicaid is a crucial tool that helps individuals determine their eligibility for immediate temporary healthcare coverage while their formal Medicaid application is being processed. This application provides a simplified and expedited process for low-income individuals and families to access essential medical services. The Washington Application for Presumptive Eligibility for Medicaid serves as an interim solution to ensure that those who are most in need receive timely medical assistance. This option is particularly useful for individuals experiencing urgent health issues or those who require ongoing medical care. Key components of the Washington Application for Presumptive Eligibility for Medicaid include: 1. Eligibility Determination: The application assesses an individual's income, citizenship status, residency, and other relevant factors to determine if they qualify for immediate Medicaid coverage. 2. Temporary Coverage: If found eligible, applicants are granted temporary coverage for up to 60 days, during which they can receive necessary medical services. 3. Simplified Process: The application process is streamlined to expedite eligibility determination, ensuring swift and responsive healthcare access for those who need it most. 4. Healthcare Services: Once approved, applicants can seek medical care from authorized healthcare providers, including doctors, hospitals, clinics, and specialists. It is important to note that there might be different types or variations of the Washington Application for Presumptive Eligibility for Medicaid, such as: 1. Washington Apple Health for Pregnant Women: This specific application is designed to provide immediate coverage for pregnant women who do not have insurance and need prenatal care as well as other essential services related to their pregnancy. 2. Washington Apple Health for Qualifying Individuals: This variation of the application is tailored to individuals without children who meet the income and other eligibility criteria. 3. Washington Apple Health for Families: This application addresses the healthcare needs of families with dependent children, ensuring that low-income families have access to vital medical services. In summary, the Washington Application for Presumptive Eligibility for Medicaid is a simplified and expedited healthcare coverage option for individuals and families in Washington State who meet certain income and eligibility criteria. By offering temporary coverage, this application allows people to access medical services swiftly while their formal Medicaid application is being processed. Different variations of the application cater to specific demographics, including pregnant women, qualifying individuals, and families.

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Income & Asset Limits for Eligibility 2023 Washington Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleInstitutional / Nursing Home Medicaid$2,742 / month*$2,000Medicaid Waivers / Home and Community Based Services$2,742 / month?$2,000Regular Medicaid / Aged, Blind, Disabled$914 / month$2,0001 more row ?

Starting January 1, 2023, the income eligibility limit for QMB increased from $1,133 to $1,677 for an individual and $1,546 to $2,268 for a couple. The income limit for QI will increase from $1,529 to $2,260 for an individual and $2,060 to $3,057 for a couple.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Who is eligible for California Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

$2,742 is the income threshold amount for 2023. This number is expected to be revised upwards by a few dollars on January 1, 2024.

Eligibility: The aged, blind, and disabled. Also, adults with incomes up to 138% of FPL; children with household incomes up to 200% of FPL are eligible for no-premium Medicaid; children with household incomes 200-300% of FPL eligible (with premium); pregnant women with incomes up to 185% of FPL.

When a person applies for long-term services and supports (LTSS) in their own home, or in an alternative living facility, they may be found presumptively eligible (PE). If eligible, services may be approved pending completion of the application process.

Income & Asset Limits for Eligibility 2023 Indiana Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Income LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$3,000Medicaid Waivers / Home and Community Based Services$2,742 / month?$3,0001 more row ?

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Washington Application for Presumptive Eligibility for Medicaid