Eligibility Questions

The Adolescent & Young Adult Health Unit at the Washington State Department of Health (DOH) and the Health Care Authority (HCA) are holding listening sessions ("community chats") to get a better understanding of how teens and young adults eligible for Apple Health (Medicaid) in Washington experience getting OTC contraception.

We want to understand what young people know about OTC contraception, where they get it, and what makes getting OTC contraception at the pharmacy challenging so we can identify ways to make it easier. OTC contraception includes drugs like daily oral birth control pills (OPill) and emergency contraception (Plan B), as well as contraceptive devices, like condoms.
Answer the questions below to find out if you are eligible to participate in the community chat.

If you are eligible, you will be prompted to select a date. A DOH staff member will reach out to confirm your participation and send a zoom link. This form will take you 5 minutes to complete. Please email [email protected] with any questions.

Information collected via this application may be subject to release in accordance with RCW 42.56 (Public Records Act).

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* 1. What is your age?

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* 2. Have you ever tried to get over-the-counter (OTC) contraception at a pharmacy in Washington State? (Does not need to have been successful)

OTC contraception includes condoms, OPill, spermicide, Plan B, and other contraceptive drugs or devices you can get off the shelf without a prescription.

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* 3. Do you have Apple Health (Medicaid) as your insurance?

You can tell whether you have Apple Health by looking at your insurance card. Apple Health clients may have a ProviderOne card (pictured below) or a card from one of the five Apple Health Managed Care Organizations (MCOs):
  • Community Health Plan of Washington (CHPW)
  • Coordinated Care (CC)
  • Molina Healthcare of Washington (MHW)
  • UnitedHealthcare Community Plan (UHC)
  • Wellpoint Washington (previously Amerigroup) (WLP)

State of Washington Services Card template with the state seal of Washington and the name "Martha Washington"

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* 4. If you do not currently have Apple Health (Medicaid), are you eligible for it?

Learn more about eligibility for Apple Health here.

 
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