WA Senior Resources
All programs
Medicaid LTSS · state

Apple Health for Workers with Disabilities (HWD)

WA Health Care Authority

Apple Health for Workers with Disabilities (HWD), program code S08, is a Medicaid buy-in program for working adults age 16 or older with blindness or a disability. HWD provides full Categorically Needy (CN) scope of coverage. Unlike most disability-based Medicaid, HWD has no asset test and no upper income limit, eligibility is based on disability status (federal disability requirements) and being employed (full or part time, including self-employment). Enrollees pay a sliding-scale monthly premium that never exceeds 7.5% of total income. American Indians and Alaska Natives are exempt from premiums. While enrolled in HWD, a person may put earnings into a separate designated account that won't be counted toward eligibility for other Medicaid programs.

Who qualifies

Aged 16 or older; meets federal disability or blindness requirements; employed (full or part time, including self-employment); pays the monthly premium.

What it covers

Full Categorically Needy (CN) scope of coverage, comprehensive medical, behavioral health, dental, vision, hearing, prescription drugs, durable medical equipment, etc.

Cost

Source: HCA 22-315 (April 2026 fact sheet).

How to apply

Apply through Washington Connection or by paper HCA Form 18-005. DSHS administers enrollment.

Source www.hca.wa.gov/assets/free-or-low-cost/22-315.pdf