Clarifying information

Clients who are Federally Qualified (FQ) or Non-Federally Qualified (NF) are not eligible for Apple Health Expansion.

Clients who have not yet met their five-year bar are not eligible for Apple Health Expansion. This is due to being eligible for Qualified Health Plans with Advance Premium Tax Credits. These individuals could also be looked at for Alien Emergency Medical (AEM) .

There are no retro benefits for Apple Health Expansion. If retro is requested staff may look at AEM for retro months.

Apple Health Expansion does not include long-term services and supports (LTSS) authorized by the Developmental Disabilities Administration (DDA), Aging and Long-term Supports Administration (ALTSA), or Home and Community Services (HCS) in the scope of care benefit package.

Clients also currently active on Medical Care Services (MCS) coverage are not eligible for Apple Health Expansion coverage as they would be dual-enrolled in coverage.

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Clarifying information

Official source

Clients who are Federally Qualified (FQ) or Non-Federally Qualified (NF) are not eligible for Apple Health Expansion.

Clients who have not yet met their five-year bar are not eligible for Apple Health Expansion. This is due to being eligible for Qualified Health Plans with Advance Premium Tax Credits. These individuals could also be looked at for Alien Emergency Medical (AEM) .

There are no retro benefits for Apple Health Expansion. If retro is requested staff may look at AEM for retro months.

Apple Health Expansion does not include long-term services and supports (LTSS) authorized by the Developmental Disabilities Administration (DDA), Aging and Long-term Supports Administration (ALTSA), or Home and Community Services (HCS) in the scope of care benefit package.

Clients also currently active on Medical Care Services (MCS) coverage are not eligible for Apple Health Expansion coverage as they would be dual-enrolled in coverage.