Medicare Blog

when dshs ask about health insurance do i include medicare

by Dr. Rowena Parker Published 2 years ago Updated 1 year ago

If you get Social Security Disability Income (SSDI), you probably have Medicare or are in a 24-month waiting period before it starts. You have options in either case. If you get Social Security Disability Income (SSDI) and have Medicare

Full Answer

What are the insurance requirements for a DSHS contract?

Basic insurance requirements for all DSHS contracts are as follows: General liability insurance coverage limits are $1 million per occurrence, and $2 million aggregate. In addition, DSHS must be named in all general liability policies as an additional insured.

Who do I call if I Have Questions about Medicare?

Do you have questions about your Medicare coverage? 1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048. What should I have ready when I call 1-800-MEDICARE?

Is DSHS an additional liability insurance policy?

In addition, DSHS must be named in all general liability policies as an additional insured. Business auto policies must contain a waiver of subrogation, or DSHS must be named as an additional insured.

Should I include someone on my health insurance application?

If you plan to claim someone as a tax dependent for the year you want coverage, do include them on your application. If you won’t claim them as a tax dependent, don’t include them.

How to contact Washington Recovery Help Line?

Does Apple Health cover children in Washington?

Can you give consent to mental health care in Washington State?

Can you get free medical insurance with a TANF grant?

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About this website

Is Medicare consider health insurance?

Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

Is Washington Apple health the same as Medicare?

While Medicare covers many medical expenses, it does not cover everything. If you meet the income and resource limits, Apple Health may help pay for any expenses Medicare does not. To get help with information about Medicare in your area, visit www.insurance.wa.gov/medicare.

Can you have Medicare and Medicaid in Washington state?

These Washington Apple Health (Medicaid) programs pay Medicare premiums and cost-sharing for very low-income individuals.

Is Washington health Medicare?

No. Medicare is not part of the Washington Healthplanfinder, our state's Exchange.

Is Medicare and Medicaid the same?

The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicare is managed by the federal government and is mainly based on age. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare.

Can you have Medicare and Medicaid?

If you are eligible for both Medicare and Medicaid (dually eligible), you can have both. They will work together to provide you with health coverage and lower your costs.

What is the monthly income limit for Medicaid in Washington state?

What is the most I can make per month to qualify?ProgramSingle person3-person householdApple Health for Adults (age 19 through 64 years of age)$1,563 monthly$2,649 monthly

What income qualifies for Medicaid in Washington state?

Who is eligible for Washington Medicaid?Household Size*Maximum Income Level (Per Year)1$18,0752$24,3533$30,6304$36,9084 more rows

Who is eligible for Medicare in Washington state?

Overview of Medicare in Washington Regardless of where you live in the United States, you're eligible for Medicare if you're 65 or older and either an American citizen or a permanent legal resident who has lived here at least five continuous years.

Is Community Health Plan of Washington Medicare?

Community Health Plan of Washington is an HMO plan with a Medicare contract.

Is Washington Apple health the same as Medicaid?

In Washington State, Medicaid is called Apple Health. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. If you are a biller, provider, or partner: visit our Billers, providers, and partners webpage.

Is health insurance required in Washington State?

Under the Patient Protection and Affordable Care Act (ACA), most people are currently required to enroll in health insurance or pay a penalty.

Provider billing guides and fee schedules | Washington State Health ...

Fee schedules. January 1, 2022 to present — COVID-19 fee schedule (updated May 26, 2022); July 1, 2021 to December 31, 2021 — COVID-19 fee schedule (updated November 4, 2021); April 1, 2021 to June 30, 2021 — COVID-19 fee schedule (updated June 28, 2021); View all COVID-19 fee schedules

Electronic DSHS Forms | DSHS

Number(desc) Form Name File Format ; 00-398 : Phase 1 Higher Education and Workforce Training COVID-19 Requirements (Home and Community Services)

Welcome to Benefits.gov | Benefits.gov

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Health care for children | Washington State Health Care Authority

WAC 182-505-0210 Eligibility for children. Effective July 1, 2017. General eligibility.For purposes of this section, a child must: Be a Washington state resident under WAC 182-503-0520 and 182-503-0525;; Provide a Social Security number under WAC 182-503-0515, unless exempt; and; Meet program-specific requirements.

Sign in to your account | Washington Healthplanfinder

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How to contact DDA financial team?

To reach a DDA Financial Team member, call 1-855-873-0642.

What is financial eligibility?

Financial Eligibility. If you receive certain services from the Developmental Disabilities Administration (DDA), such as those provided under a waiver, Medicaid Personal Care (MPC) or Community First Choice (CFC), you are required to have coverage on a corresponding medical program (Medicaid). For MPC or CFC services, if you are not receiving SSI ...

What is the Healthcare for Workers with Disabilities (HWD) (S08) medical program?

The HWD medical program recognizes the employment potential of people with disabilities. The enactment of the federal Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 enables many people with disabilities to work and keep their health care.

Who can process Healthcare for Workers with Disabilities (HWD) (S08) Assistance Units (AUs)?

Users with Secured Task HWD Update in their ACES.online profile can complete the following functions for S08 AUs:

What happens if the Healthcare for Workers with Disabilities (HWD) (S08) premium is not paid for an active S08 Assistance Unit (AU)?

If an HWD premium isn’t paid for 90 days on an active S08 AU, Barcode tickler HW02-90 DAYS NON-PAYMENT OF PREMIUM FEES generates. This tickler advises the user of record that the client is nearing HWD termination and sanction for non-payment of premiums.

What happens if a client is eligible for Healthcare for Workers with Disabilities (HWD) (S08) and other Categorically Needy (CN) or Medically Needy (MN) medical coverage?

If a client is approved for an MN SSI Related w/Spenddown (S99) Assistance Unit (AU) and they meet S08 employment requirements, Barcode Tickler HW01-S99 SPENDDOWN GREATER THAN HWD PREMIUM generates to the user of record.

How are S08 (Healthcare for Workers with Disabilities) premiums calculated?

For information on how S08 premiums are calculated, see Apple Health eligibility manual - WAC 182-511-1250 Healthcare for workers with disabilities (HWD) - Premium payments.

How do clients pay their S08 (Healthcare for Workers with Disabilities) premiums?

S08 premiums are paid directly to the Office of Financial Recovery (OFR). For more information, see Apple Health eligibility manual - WAC 182-511-1250 Healthcare for workers with disabilities (HWD) - Premium payments - Worker Responsibilities.

What happens if the S08 (Healthcare for Workers with Disabilities) premium is not paid?

If the premium is not paid for four consecutive months an interface from the Office of Financial Recovery communicates this information to ACES.

Who is included in the Health Insurance Marketplace?

For the Health Insurance Marketplace®, a household usually includes the tax filer, their spouse if they have one, and their tax dependents.

What happens if you aren't claimed as a tax dependent by someone else?

If you aren’t claimed as a tax dependent by someone else and have no tax dependents yourself: Count only yourself in your household. If you are claimed as a tax dependent by someone else: You’re counted as part of their household, not your own.

Do you have to include your parents on your taxes?

Include parents only if you’ll claim them as tax dependents. Include them only if you’ll claim them as tax dependents. Include your legally married spouse, whether opposite sex or same sex. In most cases, married couples must file taxes jointly to qualify for savings.

Can you claim a child as a dependent?

Dependent children, including adopted and foster children. Yes. Include any child you’ll claim as a tax dependent, regardless of age. Children, shared custody. Sometimes. Include children whose custody you share only during years you claim them as tax dependents. Non-dependent child under 26. Sometimes.

Do you have to include your spouse in a divorce?

(See next row for an important exception.) Spouse, if you’re a victim of domestic abuse, domestic violence, or spousal abandonment. Not required. In these cases, you don’t have to include your spouse.

What do you need to fill out a Marketplace application?

When you fill out a Marketplace application, you’ll need to estimate what your household income is likely to be for the year. Marketplace savings are based on your expected household income for the year you want coverage, not last year’s income. You must make your best estimate so you qualify for the right amount of savings.

Does MAGI include SSI?

Tax-exempt interest. MAGI does not include Supplemental Security Income (SSI) See how to make an estimate of your MAGI based on your Adjusted Gross Income. The chart below shows common types of income and whether they count as part of MAGI.

Do you have to report health insurance changes to the marketplace?

Report income changes to the Marketplace. Once you have Marketplace health insurance, it’s very important to report any income changes as soon as possible. If you don’t report these changes, you could miss out on savings or wind up having to pay money back when you file your federal tax return for the year.

Is Marketplace Savings based on income?

Marketplace savings are based on total household income, not the income of only household members who need insurance. If anyone in your household has coverage through a job-based plan, a plan they bought themselves, a public program like Medicaid, CHIP, or Medicare, or another source, include them and their income on your application.

How to contact Washington Recovery Help Line?

For more information or to apply for services, call the Washington Recovery Help Line at 1-866-789-1511. Note: Pamphlets, brochures, training, videos is available raising children when substance abuse is an issue with the parent or child.

Does Apple Health cover children in Washington?

Children who are dependents of the state are automatically eligible for Washington Apple Health coverage, no application is necessary. Children’s Administration notifies the Health Care Authority directly when the child is taken into care.

Can you give consent to mental health care in Washington State?

Washington State law now allows adults raising a relative's child to consent to medical and mental health care – services even if you don't have legal custody. For more in-depth information about this law, read A Kinship Caregiver's Guide to Consenting to Health Care from Washington Law Help website.

Can you get free medical insurance with a TANF grant?

Children who receive a TANF grant are eligible to receive free medical coverage. Children who do not receive a TANF grant may also qualify for free or low-cost medical coverage through the Washington Apple Health program. Even caregivers may be eligible for coverage. To find out if you are eligible for Washington Apple Health coverage you may apply ...

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