| Provide your feedback on the H.R.1 work requirement exemption The Health Care Authority (HCA) is looking for your feedback and review of the preliminary set of medical billing codes and conditions that will be used to identify and verify the Apple Health (Medicaid) for Adults medically frail exemption work requirements. Background Beginning January 1, 2027, most individuals applying for or renewing Apple Health for Adults will need to meet new Medicaid work requirements or meet the criteria for an exemption. The law specifies nine exemption categories, one of which is for individuals who are determined “medically frail.” Under federal law, “medically frail” includes individuals with: A substance use disorder (SUD) A disabling mental disorder A physical, intellectual or developmental disability that significantly impairs their ability to perform one more activity of daily living A serious or complex medical condition Blindness or disability. Medically frail code list HCA developed a draft code set designed to identify and verify medically frail individuals enrolled in Apple Health for Adults. Use the link to review the list and instructions on submitting your feedback. Comments are due by June 19, 2026. View the medically frail code list Submit your feedback to HCA by emailing HCA Apple Health Eligibility Policy with your comments. hcaaheligibilitypolicy@hca.wa.gov H.R.1 resources Changes coming to Apple Health webpage Supporting clients with changes to Apple Health webpage H.R.1 impacts webpage |