Upcoming Apple Health (Medicaid) Changes
As Washington State prepares to implement changes to Apple Health under the new federal law H.R. 1 beginning in fall 2026, Thriving Together NCW is partnering with the Washington Health Care Authority and the Coalition of ACHs to help raise public awareness.
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A new federal law, H.R. 1, will change some Apple Health rules starting in fall 2026. Washington State is still working out the details of how these changes will be put in place.
Thriving Together NCW is working with the Washington State Health Care Authority (HCA) and the Coalition of ACHs (CACH) on public awareness regarding these changes.
Guidebook on Federal Changes
This guidebook supports the Community Based Workforce in Navigating SNAP & Apple Health (Medicaid) eligibility with clients.
Become a Volunteer Assister: Virtual Training
Train as an enrollment volunteer assister. This is especially valuable for clients who need support in languages other than English.
Take a 30-second quiz to find out how you will be impacted
Use this quiz to see whether upcoming changes could affect your coverage or eligibility and learn what you may need to do.
What can I do to help keep my Apple Health (Medicaid)?
1
Keep Information Current
Mailing address, phone number, and email should be kept up to date with Apple Health.
2
Watch for Notices
Members may receive state notices more frequently and should review each request promptly.
3
Respond on Time
Provide requested information and documentation by the stated deadline.
If you need assistance, connect with our North Central Community Care Hub at https://www.northcentralcch.org/
If you have lost coverage, reach out to an Insurance Navigator for help getting re-enrolled.
Key Dates: Upcoming Changes
Select a date to learn more about upcoming Apple Health (Medicaid) changes.
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Eligibility for refugees, asylees, and other noncitizen adults is narrowing to specific immigration statuses.
[Fact sheet: English | Español | 14 more languages]
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Adults on Apple Health will need to work, train, or do community engagement 80 hours/month, with some exceptions.
[Fact sheet: English | Español | 14 more languages] -
Adults on Apple Health may pay up to $35 for some services. Primary care, behavioral health, emergency care, and certain rural services are excluded.
Additional Resources
Washington Immigrant Information Center – multilingual content about Apple Health (Medicaid) changes including changes for refugees and immigrants
Washington Healthplanfinder – where address, phone number, and email can be updated for Apple Health (Medicaid)
Washington State Health Care Authority – official information and updates about upcoming Apple Health (Medicaid) changes
Fact sheets
Toolkits
Navigators and community connectors
FAQ: Provides answers for top questions from recent webinars
Community Health Plans of Washington - information about upcoming Apple Health changes, including work requirements, more frequent renewals, important dates, and steps members can take to prepare
Coordinated Care of Washington - information about Apple Health coverage, member benefits, services, and assistance with health plan questions
Molina Healthcare of Washington - information about upcoming Apple Health changes, including work requirements, more frequent renewals, important dates, and steps members can take to prepare
United Health Care Community Plan - information for health care providers about federal Medicaid changes, work requirements, exemptions, and ways to support affected members
Wellpoint Washington - frequently asked questions about new Medicaid work requirements, who may be affected or exempt, and how members and providers can prepare
