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Apple Health (Medicaid) Work Requirements: American Indians and Alaska Natives Are Exempt
In short
Washington State is sending letters about new Apple Health work requirements that start January 1, 2027. American Indians and Alaska Natives are exempt, but other people in your household may not be.
What you need to know
- American Indians and Alaska Natives are exempt from the new work requirements and from the new 6-month renewals.
- If you get a letter from Washington State about work requirements, read it and keep it.
- People in your household who are not American Indian or Alaska Native may need to meet the work requirements starting January 1, 2027, unless another exemption applies. Other exemptions include pregnancy, caring for a child under 14, and being a disabled veteran with a 100% disability rating.
- This only affects Apple Health for Adults (ages 19 to 64). Apple Health for children, pregnancy and long-term care are not affected.
Apple Health for Kids
- Children’s Apple Health is not part of the new work requirements.
- Children up to age 19 who live in Washington may get free or low-cost coverage, depending on household income. For example, a family of 4 earning up to $5,913 a month qualifies for free coverage (the income limits change every April).
- For help applying, call the WithinReach Apple Health hotline at 206-204-3503 (weekdays).
Apple Health for Kids: who qualifies and how to apply (Washington State HCA)
The full Washington State fact sheet (June 2026) is below. Questions? Contact the Health Services Department.