This term means those who receive only Behavioral Health benefits based on income requirements.
C
Certificate of Coverage
A description of your health care coverage and benefits. Your member handbook serves as your certificate of coverage.
Countable Resource
A resource that is countable when determining resource eligibility.
D
Decertification
Loss of eligibility to participate as a Medicaid provider, or for a license to operate a Medical facility licensed by DHH.
Department of Social and Health Services (DSHS)
The state agency that administers public assistance programs in Washington State.
受撫養人
An individual who is the financial responsibility of a member of the income unit. 例如：This is someone who could be counted as a tax dependent, if income tax is filed.
藥物處方集
A list of approved prescription drugs developed the health plan.
An acceptable reason to defer the requirement to cooperate for certain eligibility factors.
H
Health Care Authority (HCA)
The state agency responsible for administering Washington Apple Health (Medicaid) and other state health programs.
聽力
聽證會是指您在計劃拒絕您的申訴後，要求您的健康計劃審查您的案件。
I
收入
A gain or recurrent benefit measured in money.
住院病患
入住健康照護機構過夜或停留更久且正在接受承保服務的患者。
L
Legal Guardian
A person who has been granted custody of a minor by court order.
M
Maternity Benefits Program
This Health Care Authority (HCA) program includes all Apple Health (Medicaid) benefits, including maternity benefits, maternity support services, and maternity case management, and is made available to Apple Health (Medicaid) members who become pregnant, notify HCA and UnitedHealthcare Community Plan, and apply for benefits. Eligibility for the program is determined by HCA.
Medicaid
A state health insurance program for people with low income who meet certain eligibility requirements. 各州的方案內容各有不同。For information on Washington’s Apple Health (Medicaid) programs, visit https://www.hca.wa.gov/apple-health
Medicare
A federal health insurance program for people who are 65 or older, people with disabilities, or those with end-stage kidney disease. Medicare 的審核標準並不是收入，且其基本保險範圍在各州都一樣。
您的個人健康照護提供者。Your primary care provider can be a family or general practitioner, internist, pediatrician, or other provider approved by UnitedHealthcare Community Plan. To receive benefits, your primary care provider must provide or coordinate your care. If you need to see a specialist, your primary care provider will refer you.
服務提供者
健康照護專業人員（例如醫生、護士、內科醫師等）或機構（例如醫院、診所等）。
R
Recertification
定期審查您家人的收入和資格。During recertification, you must submit current income and residency documentation to verify your eligibility and/or level of premium subsidy.
S
服務區域
The geographic area served by a health plan that provides coverage for Apple Health (Medicaid).
專科醫生
A provider of specialized medicine, such as a cardiologist or a neurosurgeon.
Spouse
An individual who is legally married to another or who presents to the community as a husband or wife in a non-legal relationship.
T
Third Party
An individual, institution, corporation or agency that is responsible for all or part of the medical costs for Medicaid.
W
Washington Apple Health (Medicaid)
Washington's Medicaid program, called Washington Apple Health (Medicaid), provides comprehensive free or low-cost health care to adults, families, individuals with disabilities, children under 19, children in foster care and pregnant individuals who meet income and eligibility requirements.
Washington Apple Health (Medicaid) – Integrated Managed Care
Washington's integrated managed care Apple Health (Medicaid) program provides comprehensive free or low-cost health care and behavioral health services to adults, families, people with disabilities, children under 19, children in foster care and pregnant women who meet income requirements.
Washington Healthplanfinder 計劃
It's your new way to find, compare and enroll in a health plan that fits your needs and budget. For more information about Apple Health (Medicaid) or to enroll, please visit: wahealthplanfinder.org or call 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604.
Washington Resident
A person physically residing and maintaining a residence in the state of Washington. You must be a Washington resident to be eligible for Washington Apple Health (Medicaid). To be considered a Washington resident, members who are temporarily out of Washington for any reason:
May be required to prove their intent to return to Washington State; and
May not be out of Washington State for more than three consecutive calendar months.
Dependent children who are attending school out of state may be considered residents if they are out of state during the school year, as long as their primary residence is in Washington State and they return to Washington State during breaks. Dependent children attending school out of state may be required to provide proof that they pay out-of-state tuition, vote in Washington, and file income taxes using a Washington address.
Your residence may be a home you own or are purchasing or renting, a shelter or other physical location where you are staying in lieu of a home, or another person's home.
