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State presenters outline enrollment rules and coverage options for Native youth in foster care

Department of Children, Youth, and Families (DCYF) — Office of Tribal Relations · February 20, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

State agencies and Coordinated Care explained Apple Health enrollment paths for youth in foster care, highlighted exceptions for American Indian/Alaska Native (AIAN) youth and described the form-and-data steps required to change coverage or placements.

State health and child‑welfare staff summarized how Medicaid coverage works for American Indian and Alaska Native (AIAN) youth in foster care, stressing that tribal sovereignty and program rules affect whether a child is placed in managed care.

In a virtual session hosted by the Department of Children, Youth, and Families’ Office of Tribal Relations, presenters from the Washington State Health Care Authority (HCA), the Department of Social and Health Services (DSHS) and Coordinated Care described three Medicaid pathways for youth in out‑of‑home placement: full managed care (Apple Health Core Connections), behavioral‑health‑services‑only (BHSO) with medical fee‑for‑service, and fee‑for‑service Apple Health without managed care. "One thing we do want to start with is that there...are no standard…

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