5
Chapter 4: Other Classic and MAGI Apple Health program information ..................................... 25
Language access ........................................................................................................................... 25
CHIP and HWD premiums ............................................................................................................ 25
Public charge ................................................................................................................................ 26
Appeals ......................................................................................................................................... 26
Reconsideration ........................................................................................................................... 26
Returned renewal mail ................................................................................................................. 26
Upcoming webinars ...................................................................................................................... 27
Contact .......................................................................................................................................... 27
Outreach ....................................................................................................................................... 28
Apple Health ambassador program ............................................................................................. 29
MCOs and 834 information .......................................................................................................... 29
Appendices .................................................................................................................................... 30
Appendix 1: Coverage groups ...................................................................................................... 30
Appendix 2: MAGI renewal notices, PER notice, and outreach ................................................... 36
New enhanced envelope .......................................................................................................... 36
Washington Apple Health Renewal – Review Only (EE008)..................................................... 37
Response Required: Apple Health Renewal (EE009) ................................................................ 38
Washington Apple Health Termination (EE011) ...................................................................... 39
Post-Eligibility Review – Response Required: Apple Health Request for Information (EE005) 40
Response Required: Apple Health Request for Information (EE005) ...................................... 42
Appendix 3: Classic Eligibility Review notices and outreach ........................................................ 43
Mail-in Eligibility Review (0022-01) .......................................................................................... 43
Mail-in Eligibility Review (0022-04) .......................................................................................... 44
Appendix 4: Notices to CHIP and HWD clients ............................................................................. 45
Healthcare for Workers with Disabilities (HWD) premium postcard ....................................... 45
Apple Health for Kids with Premiums (CHIP) postcard ............................................................ 46