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  • Decline Medicaid Coverage Form - Dc Health Link

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DECLINING YOUR MEDICAID HEALTH COVERAGE If you and/or other members of your family have been determined eligible for Medicaid health coverage through DC Health Link, you have the right to decline.

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Related links form

OH BWC BWC-1101 2009 OH BWC BWC-1101 2002 OH BWC MEDCO-13 2006 OH BWC-1231 C-108 2012

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If you want to end your plan before it starts, call DC Health Link at (855) 532-5465. This is called cancellation. If you want to end your plan after it starts, login to your account at dchealthlink.com, or call DC Health Link at (855) 532-5465. This is called termination.

Options for canceling MAGI Medicaid coverage Online: Go to Washington Healthplanfinder - log in and select "Report a change in income or household" under Quick Links. ... Phone: Call the HCA Medical Assistance Customer Service Center at 1-800-562-3022. Email: askmagi@hca.wa.gov.

Call the Health Care Authority at 1-800-562-3022 (TRS: 711).

How to Request an Appeal. You may request an appeal by doing any of the following: Calling the DC Health Link Contact Center toll free at 1-855-532-5465. Completing an Appeal Request Form and faxing it to (202) 724-2041, or e-mail to DC.OARA@DC.GOV.

Please call DC Health Link at 855-532-5465 to report any changes.

Options for canceling MAGI Medicaid coverage Online: Go to Washington Healthplanfinder - log in and select "Report a change in income or household" under Quick Links. ... Phone: Call the HCA Medical Assistance Customer Service Center at 1-800-562-3022. Email: askmagi@hca.wa.gov.

Call the Health Care Authority at 1-800-562-3022 (TTY: 711). Other members should call Apple Health Customer Service at 1-800-562-3022 to cancel/terminate Medicaid coverage.

Phone: 1-800-562-3022. Mailing address: Send a request to cancel coverage to: HCA-MEDS, PO Box 45531, Olympia WA 98504. Online: Sign in to your Healthplanfinder account and select "Report a change" from the Account Home on your dashboard.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232