Black Health

Washington Medicaid

Apple Health

Expansion adopted (2014) 12-month postpartum Doula covered · $3,450

Apple Health covers pregnant women up to 198% of the federal poverty line — roughly $51,120 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2014. Apply at https://www.wahealthplanfinder.org/ or call 1-855-923-4633.

On maternal health specifically: Apple Health has extended postpartum Medicaid coverage to 12 months (effective 2022-06-01), and covers doula services through Medicaid at up to $3,450 per full perinatal package (effective 2024-07-01).

Washington added Apple Health doula coverage at the highest rate in the country — $3,450 per full perinatal package — in July 2024 under SHB 1881 (2023). The Surge Reproductive Justice collective and Within Birth Services in Seattle coordinated Black birth worker advocacy.

Key facts at a glance

  • Pregnant women eligible up to 198% FPL ($51,120 for a family of three in 2025).
  • Children 0-5 eligible up to 317% FPL ($81,850 for a family of three).
  • Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
  • Doula reimbursement: $3,450 per full perinatal package.
  • Postpartum Medicaid extended to 12 months (effective 2022-06-01).

For Black families

Roughly 95,000 Black residents are enrolled in Apple Health, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

Washington added Apple Health doula coverage at the highest rate in the country — $3,450 per full perinatal package — in July 2024 under SHB 1881 (2023). The Surge Reproductive Justice collective and Within Birth Services in Seattle coordinated Black birth worker advocacy.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/wa/.

Data sources

Data refreshed: