Form HCA13-952 Retroactive Health Care Coverage Request Form - Magi Medicaid - Washington

What Is Form HCA13-952?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA13-952?
A: Form HCA13-952 is the Retroactive Health Care Coverage Request Form for Magi Medicaid in Washington.

Q: What is Magi Medicaid?
A: Magi Medicaid is a program in Washington that provides healthcare coverage to low-income individuals and families based on their Modified Adjusted Gross Income (MAGI).

Q: What is the purpose of Form HCA13-952?
A: The purpose of Form HCA13-952 is to request retroactive health care coverage for a specific period of time in Washington's Magi Medicaid program.

Q: Who can use Form HCA13-952?
A: Individuals or families who are eligible for Magi Medicaid in Washington and want to request retroactive coverage for a specific period of time can use Form HCA13-952.

Q: How do I fill out Form HCA13-952?
A: You need to provide your personal information, including your name, address, and Medicaid ID. You also need to specify the period for which you are requesting retroactive coverage and provide any supporting documentation.

Q: Is there a deadline to submit Form HCA13-952?
A: Yes, you need to submit Form HCA13-952 within 90 days of the date you want the retroactive coverage to begin.

Q: What happens after I submit Form HCA13-952?
A: The Washington State Health Care Authority (HCA) will review your request and determine if you are eligible for retroactive health care coverage. You will be notified of their decision.

Q: Can I appeal if my request for retroactive coverage is denied?
A: Yes, if the Washington State Health Care Authority (HCA) denies your request for retroactive coverage, you have the right to file an appeal and request a fair hearing.