Redetermination Resources

During the COVID-19 public health emergency, Apple Health (Medicaid) enrollees have received uninterrupted health coverage without annual proof of eligibility.  WA state continued its Eligibility Review (ER) process, but clients were not terminated for failing to provide an ER. If a client’s eligibility terminated for any other reason, HCA and DSHS reopened coverage.

A recent Omnibus bill was passed, decoupling redetermination efforts from the end of the PHE. We anticipate that Washington state will resume redetermination efforts and reinstate it’s pre-PHE process, including requiring annual proof of eligibility starting with individuals with a renewal/redetermination date of 4/1. WA will spend the next 12 months re-certifying clients’ eligibility for Apple Health based on each individual client’s renewal date. All Medicaid members must renew their benefits, so they don’t lose their health coverage.


If clients do not take action to respond to required outreach, Apple Health coverage will be terminated.  All clients who are terminated for not responding to required outreach will have the opportunity to appeal their termination. Clients have 90 days from the termination date to complete their renewal and be retroactively reinstated from the termination date, if eligible without a gap in coverage.

Below is a list of frequently asked questions and other valuable resources to help educate your patients on the importance of updating their contact information and renewing their edicaid coverage.


COVID-19 Resources

As the COVID-19 public health concern grows, Molina Healthcare would like to share resources with our provider partners. Our corporate Chief Medical Office (CMO) is working closely with our health plan CMOs across the country to ensure that we are prepared to assist our members and providers. We will keep this page updated with new resources as they become available. See how Molina is responding to COVID-19 here.