Kiddaw para iti naparbeng a panagbista a mainaig iti singasing a tignay ti ahensia, nakumpleto a tignay ti ahensia, wenno pannakapaay ti ahensia nga agaramid iti maitutup iti tiempo a desision.
Aplikasion
Pormal a kiddaw para kadagiti benepisio a naaramid iti ahensia babaen iti surat ken pinirmaan ti aplikante wenno sabali pay nga agtigtignay para iti aplikante. Mabalin a maawat ti aplikasion babaen iti koreo, telepono, fax, personal, wenno iti elektroniko a wagas.
B
Behavioral Health Services Only
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.
Dependent
An individual who is the financial responsibility of a member of the income unit. Kas pangarigan: This is someone who could be counted as a tax dependent, if income tax is filed.
Pormularyo ti Agas
A list of approved prescription drugs developed the health plan.
E
Emerhensia
Ti rumrummuar ken nakaro a panangrugi ti sintoma wenno dagiti sintoma, agraman ti nakaro nga ut-ot, a mangiturong iti nainsiriban a tao nga agtignay a nainkalintegan a mamati nga adda kasasaad ti salun-at a kasapulan ti dagus a medikal nga atension, no ti di panangipaay iti medikal nga atension ket agresulta iti nakaro a pannakadadael ti panagandar ti bagi wenno nakaro a saan nga panagandar ti organo wenno paset ti bagi, wenno mangikabil iti nakaro a peggad ti salun-at ti tao.
F
Panagloko
Ti inggagara nga intension a mangala kadagiti saan a kualipikado a benepisio wenno bayad.
G
Good Cause
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.
Panagdengngeg
Ti panangbista ket no kiddawem iti programam iti salun-at a mangrepaso iti kasom kalpasan a pinagkedkedanda ti planom iti apela.
I
Matgedan
A gain or recurrent benefit measured in money.
Inpatient
Ti pasiente a maawat para iti agpatnag wenno napapaut a panagtalinaed iti pasilidad ti panangtaripato ti salun-at ken umaw-awat kadagiti sakup a serbisio.
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. Dagiti programa ket agpaiduma tunggal estado. 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. Ti pannakaikari iti Medicare ket saan a maibatay iti matgedan, ken dagiti kangrunaan a benepisyo ti seguro ket agpapada iti tunggal estado.
Miembro
Maysa a maikari a tao a nakalista iti Plano iti Salun-at ti UnitedHealthcare.
O
Outpatient
Maysa a saan a naka-ospital a pasiente nga umaw-awat kadagiti masakupan a serbisio iti ruar ti ospital, kas iti opisina ti mangngagas wenno iti bukod a pagtaengan ti pasiente, wenno iti departamento nga outpatient wenno emerhensia ti ospital wenno iti sentro ti operasion.
P
Tagaipaay iti kangrunaan a taripato (PCP)
Ti personal a mangipapaay iti personal a taripato iti salun-atmo 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.
Mangipapaay Serbisyo
Ti propesional iti panangtaripato ti salun-at (kas iti doktor, nars, internist, kdp.) wenno pasilidad (kas iti ospital, klinika, kdp.).
R
Recertification
Pana-panawen a panangtingiting iti sapul ken kinakari ti pamiliam. During recertification, you must submit current income and residency documentation to verify your eligibility and/or level of premium subsidy.
S
Lugar ti Serbisio
The geographic area served by a health plan that provides coverage for Apple Health (Medicaid).
Espesialista
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 Healthplanfinder
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.
