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Recertification

Basic Health is required by Washington State law to periodically verify members' income and eligibility for the program. This process is called "recertification." Basic Health recertifies all members' accounts at least once a year, and those members who have been assigned I.D. numbers may be selected twice a year. Whether a member is selected once or twice a year, the same requirements apply.

When selected for recertification, members need to complete and return all forms they receive along with required supporting documentation showing proof of income and Washington State residency.

It is very important that members respond to recertification requests by the due date, or they may be disenrolled from Basic Health and will not be allowed to re-enroll for at least 12 months.

Helpful tips and information

• Income table
• Required documentation
• Who and when to call
• How to appeal (35.5 KB)

Materials You Can Download

(Some of these files are large, and could take some time to download. Please note these forms are updated on an ongoing basis. To ensure you are using the most recent version, download the form as needed.)

--- Select a form or sample letter to download --- Recert. requirements/instructions - initial Recert. requirements/instructions - Spanish initial Recert. requirements/instructions - reminder Recert. requirements/instructions - Spanish reminder Recert. incomplete sample letter Recert. incomplete sample letter - Spanish Age 19 enrolled sample letter Age 19-22 enrolled sample letter Age 23 enrolled sample letter Disenrolled non-compliance sample letter Disenrolled non-compliance sample letter - Spanish Family Income Worksheet Eligibility Review - initial Eligibility Review - Spanish initial Self-employment or Rental Income Worksheet Family Changes Form

Be Sure To:

• Complete, sign, and date the Eligibility Review (469 KB)
• Include all required documentation
• Send written proof that you live in Washington State
• Include a completed copy of the Family Income Worksheet (225.3 KB)
• Send all items so Basic Health receives them by the due date. An envelope is enclosed for your use
• Keep a copy of all documentation for your records

Do not send original documents. They will not be returned.

If you have questions, call toll-free at 1-800-660-9840. Do not wait to answer your letter-your continued coverage and access to health care are very important.

Mail your recertification documents to:

Recertification
Basic Health
PO Box 42687
Olympia, WA 98504-2687

Example of Recertification Timeline

Sample date of notice	Sample due date	Required action
January 31 initial letter (HCA 25-867)	March 31	Must have complete documentation
March 6 reminder letter (HCA 25-874)	March 31	Must have complete documentation
April 9 Disenrollment letter (HCA 25-999)		Disenrollment effective June 1