DSHS-Classic Apple Health Expansion (S20)

DSHS-CSD processes Apple Health Expansion under Classic Apple Health when the individual is age 65 or older.

The following immigration status’ are eligible for Apple Health Expansion:

Undocumented / No immigration status

Applicants for asylum

Applicants for withholding of deportation/removal

Registry applicants

Order of supervision

Applicant for cancellation of removal / Suspension of deportation

Expired or revoked immigration status

Household composition-Apple Health Expansion (S20) will follow the same household composition rules as S02:

Income: Countable Earned and Unearned income types are the same as S02/S07 medical.

SSI recipient spouse: If an Apple Health Expansion applicant is married and their spouse is an SSI recipient, they are not eligible for Apple Health Expansion.

When there are two applying spouses on the same AU and they're eligible for different programs, only one spouse will be approved for coverage on the AU.

Example

John and Beth apply for medical on 7/1/26.

John is a 70-year-old citizen and Beth is 65 and does not have legal status.

A worker screens in S02 for John and S20 for Beth, with both clients having financial responsibility Applicant (PN).

During Finalize the S02 is approved for John with certification 7/1/26 - 6/30/27.

Beth's financial responsibility is changed from Applicant (PN) to Ineligible Spouse (SP).

During the finalize for the S20 John would be ineligible spouse (SP) and Beth would be applicant (PN).

If there is a spot available and Beth is eligible, she would be approved S20 on Apple Health Expansion.