HCA MAGI-based AEM

Apply online at Washington Healthplanfinder or by:

Submitting a paper application (HCA 18-001):

Write "AEM" on the top of the application

Write the date coverage needs to begin; and

Fax the completed application to: 866-841-2267

Routing Misdirected Applications (For internal HCA and DSHS AEM specialty staff only):

If the CSO, HCS or HCA receives a Form HCA 18-005 for AMP (non LTC): Route the application via DMS to CSO 132@AEM for processing.

If the CSO, HCS or HCA receives a Form HCA18-001 for AMP (non LTC): Route the application via DMS to @AEM076.