Since 1965, the federal government has provided Medicaid for seniors to assist with medical expenses. But while Medicaid is a federal program, each state manages its own plan.
In this article, we’ll explain how the states of Oregon and Washington each provide Medicaid for seniors and walk you through the application process.
How to Apply for Medicaid in Oregon
The State of Oregon provides Medicaid through a program known as the Oregon Health Plan (OHP).
Who Can Qualify for Medicaid in Oregon?
Oregon provides a Medicaid package known as OHP Plus to low-income residents who meet the following criteria:
- Seniors 65+
- Children under age 19
- Pregnant, blind, or disabled persons
- Those who qualify for Temporary Aid to Needy Families (TANF)
As a simple rule, if you live in Oregon and receive SSI benefits, you qualify for OHP Plus.
How to Apply for OHP Plus in Oregon
If you’re a senior citizen in the state of Oregon, your easiest route is to apply online. If you require any assistance in this process, you can call 1-800-699-9075 for live support.
Oregon residents also have the option to download a paper application. To apply, print out the form and mail the completed form to the following address:
OHP Customer Service
P.O. Box 14015
Salem, OR 97309-5032
You can also fax the completed application to (503) 378-5628, though make sure to use the yellow cover sheet included in the application packet.
Note that certain questions are marked with a star. These represent required questions. Failing to complete these sections can delay your application if not denied.
Finally, Oregon residents can apply for OHP Plus by phone by calling (800) 359-9517.
How Long Does It Take to Receive Medicaid for Seniors in Oregon?
The Oregon Department of Human Services (DHS) must decide on your application within 45 days (or up to 90 days for those applying on the basis of disability).
Should you be denied, you may request a hearing by filling out a request form and submitting it to the DHS office in person.
How to Apply for Medicaid in Washington State
Washington State provides a Medicaid program known as Washington Apple Health. Qualified applicants can use Medicaid coverage for assisted living facilities and other health-related expenses.
Who Qualifies for Medicaid in Washington State?
Washington State provides Medicaid for seniors as well as the following groups of people:
- Blind individuals
- Disabled individuals
To apply, applicants must be a resident of Washington State. If you have questions about your eligibility, simply visit the Washington Connection website and click “See if I Qualify.”
How to Apply for Washington Apple Health (Medicaid)
In order to apply for Medicaid in Washington State, you’ll need the following information:
- Your monthly household income
- The Social Security Number (SSN) and date of birth of each member of your household
- Immigration status (if applicable)
Applicants can easily apply online at wahealthplanfinder.org. If you are applying for long-term care, you may do so through this application portal, but make sure to indicate that you are looking for long-term care services.
You may also download and print a paper copy of the Apple Health application form and can submit a completed form to your local Health Care Authority office or by mailing the completed form to:
Home and Community Services – LTSS
PO Box 45826
Olympia WA 98504-5826
Alternatively, you may fax your completed application to 1-855-635-8305.
Those who require assistance with their application can visit their local HCS office or the Senior Information and Assistance office.
How Long Does It Take to Qualify for Medicaid in Washington State?
Washington State promises to provide a decision about enrollment in Apple Health within 45 days, though it may take as long as 60 days for certain forms of disability.
Does Medicaid Transfer Between States?
Every state has specific requirements regarding Medicaid eligibility. That means it’s technically possible to qualify for Medicaid in one state but not another.
This also means that if you have Medicaid in one state but move to another, you’ll need to complete the Medicaid application for the state where you ultimately claim residency. Even if you’re simply visiting another state, you can’t use your Medicaid policy to cover non-emergency healthcare.
Can I Use Medicaid Coverage for Assisted Living Facilities?
You may use Medicaid coverage for assisted living facilities in both Oregon and Washington State. Medicaid covers activities associated with daily living, which may be covered on an in-home or residential basis.
Applicants can use the assisted living directory tool for both Oregon and Washington to locate facilities that accept Medicaid.
Does Caring Places Management Accept Medicaid?
Caring Places Management has facilities in both Oregon and Washington that accept Medicaid. If you’re interested in finding residency at Caring Places, contact us.
