What is an authorized representative (AREP)?
Defined in WAC 182-503-0130 , an AREP is a person or organization who is authorized by an applicant or recipient to get only the information needed to determine the applicant's or recipient's eligibility for Apple Health programs and other information related to Apple Health coverage such as certification periods, renewals, etc. An AREP assists the applicant/recipient with the application, recertification, and general eligibility processes. Designating an AREP is never required.
An AREP can be any adult (including anyone who is not a member of the household/medical assistance unit) or organization (including any department, division, or other subset of an organization) who is both:
Sufficiently aware of the applicant's or recipient's household circumstances, and
Authorized by the applicant or recipient to act on behalf of him or her for eligibility purposes.
If an AREP is an organization, other individuals of that organization may also act as AREPs. If an AREP is a division or another part of a larger organization, only individuals in that division or part may act as AREPs.
AREPS
King County Public Health is a large organization. If the Access and Outreach department of King County Public Health is designated an AREP, only those individuals in that department may act as AREPs. Individuals from other departments in King County Public Health are not AREPs.
An AREP is not authorized to receive health information about individuals unless they have power of attorney or have been named on the completed and signed DSHS 14-012 consent form .
An AREP can share any information relevant to eligibility; however, the department can only share information with the AREP that is necessary for the purposes of determining financial eligibility.
An AREP can receive letters, including the income computation sheet, renewal forms, and ProviderOne services cards if the individual has authorized the sharing of such correspondence.