DSHS Form 14-439 Washcap Application - Washington

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DSHS Form 14-439 Washcap Application - Washington

What Is DSHS Form 14-439?

This is a legal form that was released by the Washington State Department of Social and Health Services - 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 the DSHS Form 14-439 Washcap Application?
A: The DSHS Form 14-439 Washcap Application is a form used in Washington state to apply for the Washington State Combined Application Project (Washcap) benefits.

Q: What is the purpose of the Washcap program?
A: The Washcap program provides medical coverage for low-income residents of Washington state.

Q: Who is eligible to apply for Washcap benefits?
A: Low-income individuals and families who meet the income and other requirements are eligible to apply for Washcap benefits.

Q: What information is required on the Washcap application?
A: The Washcap application requires information about your household, income, assets, and any health insurance coverage you currently have.

Q: What documents do I need to submit with the Washcap application?
A: You may need to submit documents such as proof of identity, proof of income, and proof of residency along with your Washcap application.

Q: How long does it take to process a Washcap application?
A: The processing time for a Washcap application can vary, but it typically takes about 45 days for the Washington Department of Social and Health Services (DSHS) to process your application.

Q: What happens after my Washcap application is approved?
A: If your Washcap application is approved, you will receive an eligibility determination letter and be enrolled in the Washcap program.

Q: What if my Washcap application is denied?
A: If your Washcap application is denied, you have the right to request an administrative hearing and appeal the decision.

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Form Details:

  • Released on October 1, 2018;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 14-439 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 14-439 Washcap Application - Washington

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