Apple Health managed care reprocurement update

During the COVID-19 public health emergency (PHE) the Health Care Authority (HCA) extended coverage for all Apple Health (Medicaid) clients. This extension is now ending due to the Consolidated Appropriation Act of 2023.

Apple Health reprocurement remains a priority for the agency. However, our current focus must remain on the unwind of the PHE and federal timeline requirements for Apple Health eligibility redeterminations to begin April 2023.

This will entail an intensive effort across state agencies and partners and necessitates reprioritization of our work, including our timing for reprocurement of Apple Health managed care contracts. View the Reprocurement fact sheet.

Agency priorities

We must take resource, system, and partner capacity into consideration to successfully achieve the significant work in front of us. HCA continues to explore reprocurement, refining the agency’s vision and goals. In the meantime, necessary adjustments to managed care will be made through the existing contracts.

The goals of these procurements are to ensure high value, equitable access to whole-person, quality, and cost-effective health care for the more than 2 million Washington residents we serve today and for those we look forward to covering in the future. We will work to align these procurements with each other and with our Medicaid Transformation Project waiver renewal work and other coverage from the Health Benefit Exchange and Cascade Care.

More information

Stay informed

Sign up for Apple Health (Medicaid) programs and eligibility general information and updates. HCA is committed to listening to input from the individuals we serve as we design these procurement processes. If you have questions, please submit via email. We will provide further information on hca.wa.gov as these projects progress.