Forms & publications

Notice: If you are a biller or provider, visit our Billers and Providers forms library.

Administrative hearing rights and deadlines - DSHS Classic Medicaid

This document provides information on your rights and the deadlines associated with administrative hearings. For DSHS Classic Medicaid clients.

12-508
Form

Alternate language versions:

Administrative hearing withdrawal

A form for withdrawing a request for an administrative hearing.

12-512
Form

Alternate language versions:

Adult dental coverage

This flyer provides an overview of dental services for adults, age 21 and older, covered by Washington Apple Health (Medicaid).

22-811
Publication

Alternate language versions:

AEM documentation requirements

Alien Emergency Medical (AEM) supporting medical evidence desk aid.

Publication

AEM FAQ

Frequently asked questions about the Alien Emergency Medical (AEM) program.

Publication

AEM fax cover sheet

Cover sheet to be used when faxing Alien Emergency Medical (AEM)-related materials to Health Care Authority.

Publication

Affordable Health Care for Native People with Disabilities

Apple Health for Workers with Disabilities provides health care coverage to Native people with disabilities in Washington for a $0 premium.

19-0111
Publication

Afghan special immigrant visas and special immigrant parolees

Afghan special immigrant status and humanitarian parolees fact sheet

Publication

After-Pregnancy Coverage webinar

Apple Health After-Pregnancy Coverage webinar

Publication

After-Pregnancy Coverage webinar FAQ

Publication

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