RCW 74.13.1051 — Washington Code / Title 74 / Chapter 13 / Section 1051
RCW 74.13.1051: Foster youth education and plans for the future—Memoranda of understanding among agencies—Transfer of responsibilities from the department—Indicators relating to education outcomes.
Status: in_force

(1) In order to proactively support foster youth to complete high school, enroll and complete postsecondary education, and successfully implement their own plans for their futures, the department, the student achievement council, and the office of the superintendent of public instruction shall enter into, or revise existing, memoranda of understanding that: (a) Facilitate student referral, data and information exchange, agency roles and responsibilities, and cooperation and collaboration among state agencies and nongovernmental entities; and (b) Effectuate the transfer of responsibilities from the department to the office of the superintendent of public instruction with respect to the programs in RCW 28A.300.592 , and from the department to the student achievement council with respect to the program in RCW 28B.77.250 in a smooth, expedient, and coordinated fashion. (2) The student achievement council and the office of the superintendent of public instruction shall establish a set of indicators relating to the outcomes provided in RCW 28A.300.590 and 28A.300.592 to provide consistent services for youth, facilitate transitions among contractors, and support outcome-driven contracts. The student achievement council and the superintendent of public instruction shall collaborate with nongovernmental contractors and the department to develop a list of the most critical indicators, establishing a common set of indicators to be used in the outcome-driven contracts in RCW 28A.300.590 and 28A.300.592 .
RCW 74.20A.910 — Washington Code / Title 74 / Chapter 20A / Section 910
RCW 74.20A.910: Savings clause.
Status: repealed

The repeal of RCW 74.20A.050 and the amendment of RCW 74.20A.030 and 74.20A.250 by this 1979 act is not intended to affect any existing or accrued right, any action or proceeding already taken or instituted, any administrative action already taken, or any rule, regulation, or order already promulgated. The repeal and amendments are not intended to revive any law heretofore repealed.
RCW 74.42.920 — Washington Code / Title 74 / Chapter 42 / Section 920
RCW 74.42.920: Chapter 74.42 RCW suspended—Effective date delayed until January 1, 1981.
Status: in_force

Chapter 74.42 RCW shall be suspended immediately, and its effective date delayed so that it shall take effect on January 1, 1981.
RCW 74.08.043 — Washington Code / Title 74 / Chapter 08 / Section 043
RCW 74.08.043: Need for personal and special care—Authority to consider in determining living requirements.
Status: in_force

In determining the living requirements of otherwise eligible applicants and recipients of supplemental security income and benefits under RCW 74.62.030 and 43.185C.220 , the department is authorized to consider the need for personal and special care and supervision due to physical and mental conditions.
RCW 74.34.020 — Washington Code / Title 74 / Chapter 34 / Section 020
RCW 74.34.020: Definitions.
Status: in_force

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. (1) "Abandonment" means action or inaction by a person or entity with a duty of care for a vulnerable adult that leaves the vulnerable person without the means or ability to obtain necessary food, clothing, shelter, or health care. (2) "Abuse" means the intentional, willful, or reckless action or inaction that inflicts injury, unreasonable confinement, intimidation, or punishment on a vulnerable adult. In instances of abuse of a vulnerable adult who is unable to express or demonstrate physical harm, pain, or mental anguish, the abuse is presumed to cause physical harm, pain, or mental anguish. Abuse includes sexual abuse, mental abuse, physical abuse, and personal exploitation of a vulnerable adult, and improper use of restraint against a vulnerable adult which have the following meanings: (a) "Sexual abuse" means any form of nonconsensual sexual conduct, including but not limited to unwanted or inappropriate touching, rape, molestation, indecent liberties, sexual coercion, sexually explicit photographing or recording, voyeurism, indecent exposure, and sexual harassment. Sexual abuse also includes any sexual conduct between a staff person, who is not also a resident or client, of a facility or a staff person of a program authorized under chapter 71A.12 RCW, and a vulnerable adult living in that facility or receiving service from a program authorized under chapter 71A.12 RCW, whether or not it is consensual. (b) "Physical abuse" means the intentional, willful, or reckless action of inflicting bodily injury or physical mistreatment. Physical abuse includes, but is not limited to, striking with or without an object, slapping, pinching, choking, kicking, shoving, or prodding. (c) "Mental abuse" means an intentional, willful, or reckless verbal or nonverbal action that threatens, humiliates, harasses, coerces, intimidates, isolates, unreasonably confines, or punishes a vulnerable adult. Mental abuse may include ridiculing, yelling, or swearing. (d) "Personal exploitation" means an act of forcing, compelling, or exerting undue influence over a vulnerable adult causing the vulnerable adult to act in a way that is inconsistent with relevant past behavior, or causing the vulnerable adult to perform services for the benefit of another. (e) "Improper use of restraint" means the inappropriate use of chemical, physical, or mechanical restraints for convenience or discipline or in a manner that: (i) Is inconsistent with federal or state licensing or certification requirements for facilities, hospitals, or programs authorized under chapter 71A.12 RCW; (ii) is not medically authorized; or (iii) otherwise constitutes abuse under this section. (3) "Chemical restraint" means the administration of any drug to manage a vulnerable adult's behavior in a way that reduces the safety risk to the vulnerable adult or others, has the temporary effect of restricting the vulnerable adult's freedom of movement, and is not standard treatment for the vulnerable adult's medical or psychiatric condition. (4) "Consent" means express written consent granted after the vulnerable adult or his or her legal representative has been fully informed of the nature of the services to be offered and that the receipt of services is voluntary. (5) "Department" means the department of social and health services. (6) "Facility" means a residence licensed or required to be licensed under chapter 18.20 RCW, assisted living facilities; chapter 18.51 RCW, nursing homes; chapter 70.128 RCW, adult family homes; chapter 72.36 RCW, soldiers' homes; chapter 71A.20 RCW, residential habilitation centers; any other facility licensed or certified by the department; or a medical foster home as defined in 38 C.F.R. 17.73. (7) "Financial exploitation" means the illegal or improper use, control over, or withholding of the property, income, resources, or trust funds of the vulnerable adult by any person or entity for any person's or entity's profit or advantage other than for the vulnerable adult's profit or advantage. "Financial exploitation" includes, but is not limited to: (a) The use of deception, intimidation, or undue influence by a person or entity in a position of trust and confidence with a vulnerable adult to obtain or use the property, income, resources, or trust funds of the vulnerable adult for the benefit of a person or entity other than the vulnerable adult; (b) The breach of a fiduciary duty, including, but not limited to, the misuse of a power of attorney, trust, or a guardianship appointment, that results in the unauthorized appropriation, sale, or transfer of the property, income, resources, or trust funds of the vulnerable adult for the benefit of a person or entity other than the vulnerable adult; or (c) Obtaining or using a vulnerable adult's property, income, resources, or trust funds without lawful authority, by a person or entity who knows or clearly should know that the vulnerable adult lacks the capacity to consent to the release or use of his or her property, income, resources, or trust funds. (8) "Financial institution" has the same meaning as in RCW 30A.22.040 and 30A.22.041 . For purposes of this chapter only, "financial institution" also means a "broker-dealer" or "investment adviser" as defined in RCW 21.20.005 . (9) "Hospital" means a facility licensed under chapter 70.41 or 71.12 RCW or a state hospital defined in chapter 72.23 RCW and any employee, agent, officer, director, or independent contractor thereof. (10) "Individual provider" has the same meaning as in RCW 74.39A.240 . (11) "Interested person" means a person who demonstrates to the court's satisfaction that the person is interested in the welfare of the vulnerable adult, that the person has a good faith belief that the court's intervention is necessary, and that the vulnerable adult is unable, due to incapacity, undue influence, or duress at the time the petition is filed, to protect his or her own interests. (12)(a) "Isolate" or "isolation" means to restrict a vulnerable adult's ability to communicate, visit, interact, or otherwise associate with persons of his or her choosing. Isolation may be evidenced by acts including but not limited to: (i) Acts that prevent a vulnerable adult from sending, making, or receiving his or her personal mail, electronic communications, or telephone calls; or (ii) Acts that prevent or obstruct the vulnerable adult from meeting with others, such as telling a prospective visitor or caller that a vulnerable adult is not present, or does not wish contact, where the statement is contrary to the express wishes of the vulnerable adult. (b) The term "isolate" or "isolation" may not be construed in a manner that prevents a guardian or limited guardian from performing his or her fiduciary obligations under chapter 11.130 RCW or prevents a hospital or facility from providing treatment consistent with the standard of care for delivery of health services. (13) "Mandated reporter" is an employee of the department or the department of children, youth, and families; law enforcement officer; social worker; professional school personnel; individual provider; an operator of a facility or a certified residential services and supports agency under chapter 71A.12 RCW; an employee of a facility; an employee of a social service, welfare, mental health, adult day health, adult day care, home health, home care, hospice, or certified residential services and supports agency; county coroner or medical examiner; Christian Science practitioner; or health care provider subject to chapter 18.130 RCW. (14) "Mechanical restraint" means any device attached or adjacent to the vulnerable adult's body that he or she cannot easily remove that restricts freedom of movement or normal access to his or her body. "Mechanical restraint" does not include the use of devices, materials, or equipment that are (a) medically authorized, as required, and (b) used in a manner that is consistent with federal or state licensing or certification requirements for facilities, hospitals, or programs authorized under chapter 71A.12 RCW. (15) "Neglect" means (a) a pattern of conduct or inaction by a person or entity with a duty of care that fails to provide the goods and services that maintain physical or mental health of a vulnerable adult, or that fails to avoid or prevent physical or mental harm or pain to a vulnerable adult; or (b) an act or omission by a person or entity with a duty of care that demonstrates a serious disregard of consequences of such a magnitude as to constitute a clear and present danger to the vulnerable adult's health, welfare, or safety, including but not limited to conduct prohibited under RCW 9A.42.100 . (16) "Permissive reporter" means any person, including, but not limited to, an employee of a financial institution, attorney, or volunteer in a facility or program providing services for vulnerable adults. (17) "Physical restraint" means the application of physical force without the use of any device, for the purpose of restraining the free movement of a vulnerable adult's body. "Physical restraint" does not include (a) briefly holding without undue force a vulnerable adult in order to calm or comfort him or her, or (b) holding a vulnerable adult's hand to safely escort him or her from one area to another. (18) "Protective services" means any services provided by the department to a vulnerable adult with the consent of the vulnerable adult, or the legal representative of the vulnerable adult, who has been abandoned, abused, financially exploited, neglected, or in a state of self-neglect. These services may include, but are not limited to case management, social casework, home care, placement, arranging for medical evaluations, psychological evaluations, day care, or referral for legal assistance. (19) "Self-neglect" means the failure of a vulnerable adult, not living in a facility, to provide for himself or herself the goods and services necessary for the vulnerable adult's physical or mental health, and the absence of which impairs or threatens the vulnerable adult's well-being. This definition may include a vulnerable adult who is receiving services through home health, hospice, or a home care agency, or an individual provider when the neglect is not a result of inaction by that agency or individual provider. (20) "Social worker" means: (a) A social worker as defined in RCW 18.320.010 (2); or (b) Anyone engaged in a professional capacity during the regular course of employment in encouraging or promoting the health, welfare, support, or education of vulnerable adults, or providing social services to vulnerable adults, whether in an individual capacity or as an employee or agent of any public or private organization or institution. (21) "Vulnerable adult" includes a person: (a) Sixty years of age or older who has the functional, mental, or physical inability to care for himself or herself; or (b) Subject to a guardianship under RCW 11.130.265 or adult subject to conservatorship under RCW 11.130.360 ; or (c) Who has a developmental disability as defined under RCW 71A.10.020 ; or (d) Admitted to any facility; or (e) Receiving services from home health, hospice, or home care agencies licensed or required to be licensed under chapter 70.127 RCW; or (f) Receiving services from an individual provider; or (g) Who self-directs his or her own care and receives services from a personal aide under chapter 74.39 RCW. (22) "Vulnerable adult advocacy team" means a team of three or more persons who coordinate a multidisciplinary process, in compliance with chapter 266, Laws of 2017 and the protocol governed by RCW 74.34.320 , for preventing, identifying, investigating, prosecuting, and providing services related to abuse, neglect, or financial exploitation of vulnerable adults.
RCW 74.42.380 — Washington Code / Title 74 / Chapter 42 / Section 380
RCW 74.42.380: Director of nursing services.
Status: in_force

(1) The facility shall have a director of nursing services. The director of nursing services shall be a registered nurse or an *advanced registered nurse practitioner. (2) The director of nursing services is responsible for: (a) Coordinating the plan of care for each resident; (b) Permitting only licensed personnel to administer medications: PROVIDED, That nothing herein shall be construed as prohibiting graduate nurses or student nurses from administering medications when permitted to do so under chapter 18.79 RCW and rules adopted under it: PROVIDED FURTHER, That nothing herein shall be construed as prohibiting persons certified under **chapter 18.135 RCW from practicing pursuant to the delegation and supervision requirements of **chapter 18.135 RCW and rules adopted under it; and (c) Insuring that the licensed practical nurses and the registered nurses comply with chapter 18.79 RCW, and persons certified under **chapter 18.135 RCW comply with the provisions of that chapter and rules adopted under it.
RCW 74.08A.411 — Washington Code / Title 74 / Chapter 08A / Section 411
RCW 74.08A.411: Outcome measures—Data—Report to the legislature and the legislative-executive WorkFirst poverty reduction oversight task force.
Status: in_force

The department shall continue to implement WorkFirst program improvements that are designed to achieve progress against outcome measures specified in RCW 74.08A.410 . Outcome data regarding job retention and wage progression shall be reported quarterly to the appropriate fiscal and policy committees of the legislature and to the legislative-executive WorkFirst poverty reduction oversight task force for families who leave assistance for any reason, measured after twelve months, twenty-four months, and thirty-six months. The department shall also report the percentage of families who have returned to temporary assistance for needy families after twelve months, twenty-four months, and thirty-six months. The department shall make every effort to maximize vocational training, as allowed by federal and state requirements.
RCW 74.12.361 — Washington Code / Title 74 / Chapter 12 / Section 361
RCW 74.12.361: Supplemental security income program—Enrollment of disabled persons.
Status: in_force

The department shall actively develop mechanisms for the income assistance program, the medical assistance program, and the community services administration to facilitate the enrollment in the federal supplemental security income program of disabled persons currently part of assistance units receiving temporary assistance for needy families benefits.
RCW 74.42.120 — Washington Code / Title 74 / Chapter 42 / Section 120
RCW 74.42.120: Personal possessions.
Status: in_force

The facility shall allow residents to have personal possessions as space or security permits.
RCW 74.13.0311 — Washington Code / Title 74 / Chapter 13 / Section 0311
RCW 74.13.0311: Services provided under deferred prosecution order.
Status: in_force

The department may provide child welfare services pursuant to a deferred prosecution plan ordered under chapter 10.05 RCW. Child welfare services provided under this chapter pursuant to a deferred prosecution order may not be construed to prohibit the department from providing services or undertaking proceedings pursuant to chapter 13.34 or 26.44 RCW.
RCW 74.18.110 — Washington Code / Title 74 / Chapter 18 / Section 110
RCW 74.18.110: Receipt of gifts, grants, and bequests.
Status: in_force

The department may receive, accept, and disburse gifts, grants, conveyances, devises, and bequests from public or private sources, in trust or otherwise, if the terms and conditions thereof will provide services for blind persons in a manner consistent with the purposes of this chapter and with other provisions of law. Any money so received shall be deposited in the state treasury for investment or expenditure in accordance with the conditions of its receipt.
RCW 74.64.030 — Washington Code / Title 74 / Chapter 64 / Section 030
RCW 74.64.030: Funding for chapter—Reimbursement methods.
Status: in_force

It is the intent of the legislature that the savings achieved through this chapter shall more than cover the cost of implementation and administration. Therefore, to the extent possible, technology services used in carrying out this chapter must be secured using the savings generated by the program, whereby the state's only direct cost will be funded through the actual savings achieved. Further, to enable this model, reimbursement to the contractor may be contracted on the basis of a percentage of achieved savings model, a per beneficiary per month model, a per transaction model, a case-rate model, or any blended model of the aforementioned methodologies. Reimbursement models with the contractor may include performance guarantees of the contractor to ensure savings identified exceeds [exceed] program costs.
RCW 74.13.310 — Washington Code / Title 74 / Chapter 13 / Section 310
RCW 74.13.310: Foster parent training.
Status: in_force

Adequate foster parent training has been identified as directly associated with increasing the length of time foster parents are willing to provide foster care and reducing the number of placement disruptions for children. Placement disruptions can be harmful to children by denying them consistent and nurturing support. Foster parents have expressed the desire to receive training in addition to the foster parent training currently offered. Foster parents who care for more demanding children, such as children with severe disabilities, would especially benefit from additional training. The department shall develop additional training for foster parents that focuses on skills to assist foster parents in caring for children with disabilities.
RCW 74.08A.030 — Washington Code / Title 74 / Chapter 08A / Section 030
RCW 74.08A.030: Provision of services by religiously affiliated organizations—Rules.
Status: in_force

(1) The department shall allow religiously affiliated organizations to provide services to families receiving temporary assistance for needy families on the same basis as any other nongovernmental provider, without impairing the religious character of such organizations, and without diminishing the religious freedom of beneficiaries of assistance funded under chapter 74.12 RCW. (2) The department shall adopt rules implementing this section, and the applicable sections of P.L. 104-193 related to services provided by charitable, religious, or private organizations.
RCW 74.18.045 — Washington Code / Title 74 / Chapter 18 / Section 045
RCW 74.18.045: Telephonic reading service.
Status: in_force

(1)(a) The director shall provide access to a telephonic reading service for blind persons and persons with disabilities. (b) The director shall establish criteria for eligibility for blind persons and persons with disabilities who may receive the telephonic reading services. The criteria may be based upon the eligibility criteria for persons who receive services established by the national library service for the blind and print disabled of the library of congress. (2) The director may enter into contracts or other agreements that he or she determines to be appropriate to provide telephonic reading services pursuant to this section. (3) The director may expand the type and scope of materials available on the telephonic reading service in order to meet the local, regional, or foreign language needs of blind or visually impaired residents of this state. The director may also expand the scope of services and availability of telephonic reading services by current methods and technologies that may be developed. The director may inform current and potential patrons of the availability of telephonic reading services through appropriate means, including, but not limited to, direct mailings, direct telephonic contact, and public service announcements. (4) The director may expend moneys from the business enterprises revolving account accrued from vending machine sales in state and local government buildings, as well as donations and grants, for the purpose of supporting the cost of activities described in this section.
RCW 74.42.030 — Washington Code / Title 74 / Chapter 42 / Section 030
RCW 74.42.030: Resident to receive statement of rights, rules, services, and charges.
Status: in_force

Each resident or guardian or legal representative, if any, shall be fully informed and receive in writing, in a language the resident or his or her representative understands, the following information: (1) The resident's rights and responsibilities in the facility; (2) Rules governing resident conduct; (3) Services, items, and activities available in the facility; and (4) Charges for services, items, and activities, including those not included in the facility's basic daily rate or not paid by medicaid. The facility shall provide this information before admission, or at the time of admission in case of emergency, and as changes occur during the resident's stay. The resident and his or her representative must be informed in writing in advance of changes in the availability or charges for services, items, or activities, or of changes in the facility's rules. Except in unusual circumstances, thirty days' advance notice must be given prior to the change. The resident or legal guardian or representative shall acknowledge in writing receipt of this information. The written information provided by the facility pursuant to this section, and the terms of any admission contract executed between the facility and an individual seeking admission to the facility, must be consistent with the requirements of this chapter and chapter 18.51 RCW and, for facilities certified under medicaid or medicare, with the applicable federal requirements.
RCW 74.14A.020 — Washington Code / Title 74 / Chapter 14A / Section 020
RCW 74.14A.020: Services for emotionally disturbed and mentally ill children, potentially dependent children, and families-in-conflict.
Status: in_force

State efforts shall address the needs of children and their families, including emotionally disturbed and mentally ill children, potentially dependent children, and families-in-conflict by: (1) Serving children and families as a unit in the least restrictive setting available and in close proximity to the family home, consistent with the best interests and special needs of the child; (2) Ensuring that appropriate social and health services are provided to the family unit both prior to and during the removal of a child from the home and after family reunification; (3) Ensuring that the safety and best interests of the child are the paramount considerations when making placement and service delivery decisions; (4) Recognizing the interdependent and changing nature of families and communities, building upon their inherent strengths, maintaining their dignity and respect, and tailoring programs to their specific circumstances; (5) Developing and implementing comprehensive, preventive, and early intervention social and health services which have demonstrated the ability to delay or reduce the need for out-of-home placements and ameliorate problems before they become chronic or severe; (6) Authorizing and facilitating blended funding for children who require services and residential treatment from multiple services systems; including child welfare services, mental health, alcohol and drug, and juvenile rehabilitation; (7) Being sensitive to the family and community culture, norms, values, and expectations, ensuring that all services are provided in a culturally appropriate and relevant manner, and ensuring participation of racial and ethnic minorities at all levels of planning, delivery, and evaluation efforts; (8)(a) Developing coordinated social and health services which: (i) Identify problems experienced by children and their families early and provide services which are adequate in availability, appropriate to the situation, and effective; (ii) Seek to bring about meaningful change before family situations become irreversibly destructive and before disturbed psychological behavioral patterns and health problems become severe or permanent; (iii) Serve children and families in their own homes thus preventing unnecessary out-of-home placement or institutionalization; (iv) Focus resources on social and health problems as they begin to manifest themselves rather than waiting for chronic and severe patterns of illness, criminality, and dependency to develop which require long-term treatment, maintenance, or custody; (v) Reduce duplication of and gaps in service delivery; (vi) Improve planning, budgeting, and communication among all units of the department and among all agencies that serve children and families; and (vii) Utilize outcome standards for measuring the effectiveness of social and health services for children and families. (b) In developing services under this subsection, local communities must be involved in planning and developing community networks that are tailored to their unique needs.
RCW 74.20A.059 — Washington Code / Title 74 / Chapter 20A / Section 059
RCW 74.20A.059: Modification of administrative orders establishing child support—Petition—Grounds—Procedure.
Status: in_force

(1) The department, the payee under the order or the person entitled to receive support, or the person required to pay support may petition for a prospective modification of a final administrative order if: (a) The administrative order has not been superseded by a superior court order; and (b) There has been a substantial change of circumstances, except as provided under RCW 74.20A.055 (4)(d) or subsection (2) of this section. (2) The department, the person entitled to receive support, the payee under the order, or the person required to pay support may petition for a prospective modification of a final administrative order if the person required to pay support is currently confined in a jail, prison, or correctional facility for at least six months or is serving a sentence greater than six months in a jail, prison, or correctional facility, and the support order does not contain language regarding abatement due to incarceration. (a) The petition may be filed at any time after the administrative support order became a final order, as long as the person required to pay support is currently incarcerated. (b) As part of the petition for modification, the petitioner may also request that the support obligation be abated to ten dollars per month per order due to incarceration, as provided in RCW 26.09.320 . (3) An order of child support may be modified at any time without a showing of substantially changed circumstances if incarceration of the person required to pay support is the basis for the inconsistency between the existing child support order amount and the amount of support determined as a result of a review. (4) An order of child support may be modified one year or more after it has been entered without showing a substantial change of circumstances: (a) If the order in practice works a severe economic hardship on either party or the child; or (b) If a child is a full-time student and reasonably expected to complete secondary school or the equivalent level of vocational or technical training before the child becomes nineteen years of age upon a finding that there is a need to extend support beyond the eighteenth birthday. (5) An order may be modified without showing a substantial change of circumstances if the requested modification is to: (a) Require medical support under RCW 26.09.105 for a child covered by the order; (b) Modify an existing order for health care coverage; or (c) Modify an existing order when the person required to pay support has been released from incarceration, as provided in RCW 26.09.320 (3)(d). (6) Support orders may be adjusted once every twenty-four months based upon changes in the income of the parties to the order without a showing of substantially changed circumstances. This provision does not mean that the income of a person entitled to receive support who is not a parent of the child or children covered by the order must be disclosed or be included in the calculations under chapter 26.19 RCW when determining the support obligation. (7)(a) All administrative orders entered on, before, or after September 1, 1991, may be modified based upon changes in the child support schedule established in chapter 26.19 RCW without a substantial change of circumstances. The petition may be filed based on changes in the child support schedule after twelve months has expired from the entry of the administrative order or the most recent modification order setting child support, whichever is later. However, if a party is granted relief under this provision, twenty-four months must pass before another petition for modification may be filed pursuant to subsection (6) of this section. (b) If, pursuant to subsection (6) of this section or (a) of this subsection, the order modifies a child support obligation by more than thirty percent and the change would cause significant hardship, the change may be implemented in two equal increments, one at the time of the entry of the order and the second six months from the entry of the order. Twenty-four months must pass following the second change before a petition for modification under subsection (6) of this section may be filed. (8) An increase in the wage or salary of the person entitled to receive the support transfer payments is not a substantial change in circumstances for purposes of modification under subsection (1)(b) of this section. The voluntary unemployment or voluntary underemployment of the person required to pay support, by itself, is not a substantial change of circumstances. The income of the person entitled to receive support is only disclosed or considered if that person is a parent of the child or children covered by the order. (9) The department shall file the petition and a supporting affidavit with the office of administrative hearings when the department petitions for modification. (10) The person required to pay support or the payee under the order or the person entitled to receive support shall follow the procedures in this chapter for filing an application for an adjudicative proceeding to petition for modification. (11) Upon the filing of a proper petition or application, the office of administrative hearings shall issue an order directing each party to appear and show cause why the order should not be modified. (12) If the presiding or reviewing officer finds a modification is appropriate, the officer shall modify the order and set current and future support under chapter 26.19 RCW.
RCW 74.18.180 — Washington Code / Title 74 / Chapter 18 / Section 180
RCW 74.18.180: Services for independent living.
Status: in_force

(1) The department may provide a program of independent living services for blind persons who are not seeking vocational rehabilitation services. (2) Independent living services may include, but are not limited to, instruction in adaptive skills of blindness, counseling regarding adjustment to vision loss, and provision of adaptive devices that enable service recipients to participate in the community and maintain or increase their independence.
RCW 74.46.441 — Washington Code / Title 74 / Chapter 46 / Section 441
RCW 74.46.441: Public disclosure of rate-setting information.
Status: in_force

The department shall disclose to any member of the public all rate-setting information consistent with requirements of state and federal laws.
RCW 74.12.240 — Washington Code / Title 74 / Chapter 12 / Section 240
RCW 74.12.240: Services provided to help attain maximum self-support and independence of parents and relatives.
Status: in_force

The department is authorized to provide such social and related services as are reasonably necessary to encourage the care of dependent children in their own homes or in the homes of relatives, to help maintain and strengthen family life and to help such parents or relatives to attain maximum self-support and personal independence consistent with the maintenance of continuing parental care and protection. In the provision of such services, maximum utilization of other agencies providing similar or related services shall be effected.
RCW 74.25A.900 — Washington Code / Title 74 / Chapter 25A / Section 900
RCW 74.25A.900: Intent—Finding—Severability—Conflict with federal requirements—1994 c 299.
Status: in_force

See notes following RCW 74.12.400 .
RCW 74.39A.275 — Washington Code / Title 74 / Chapter 39A / Section 275
RCW 74.39A.275: Individual provider overtime—Annual expenditure reports to legislature and joint legislative-executive overtime oversight task force.
Status: in_force

In order to monitor quality of care and safety of consumers, employment conditions of individual providers, and compliance with the provisions of payment of hours in excess of forty hours each workweek for any single individual provider, the department must provide annual expenditure reports to the legislative fiscal committees and joint legislative-executive overtime oversight task force created under RCW 74.39A.525 . The report must contain the following information: (1) The number of individual providers receiving payment for more than forty hours in a workweek, specifying how many of those individual providers were eligible for those hours due to meeting the conditions of RCW 74.39A.525 . (2) The number of hours paid and the amount paid for hours in excess of forty hours in a workweek, specifying how many of those hours and payments were for individual providers eligible for those hours and payments due to meeting the conditions of RCW 74.39A.525 (1) or (2). (3) In reporting the information required in subsections (1) and (2) of this section, the department must provide total amounts, averages, and a display of the distribution of the amounts. (4) The information required must be provided by department region and county of client, department program, and must be specified for individual providers by the number of clients they serve. (5) Any personally identifiable information of consumers and individual providers used to develop this report is confidential under RCW 43.17.410 and exempt from public disclosure, inspection, or copying in accordance with chapter 42.56R CW. However, information may be released in aggregate form, with any personally identifiable information redacted, for the purpose of statistical analysis and oversight of agency performance and actions.
RCW 74.66.010 — Washington Code / Title 74 / Chapter 66 / Section 010
RCW 74.66.010: Definitions.
Status: in_force

Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter: (1)(a) "Claim" means any request or demand made for a medicaid payment under chapter 74.09 RCW or other applicable law, whether under a contract or otherwise, for money or property and whether or not a government entity has title to the money or property, that: (i) Is presented to an officer, employee, or agent of a government entity; or (ii) Is made to a contractor, grantee, or other recipient, if the money or property is to be spent or used on the government entity's behalf or to advance a government entity program or interest, and the government entity: (A) Provides or has provided any portion of the money or property requested or demanded; or (B) Will reimburse such contractor, grantee, or other recipient for any portion of the money or property which is requested or demanded. (b) A "claim" does not include requests or demands for money or property that the government entity has paid to an individual as compensation for employment or as an income subsidy with no restrictions on that individual's use of the money or property. (2) "Custodian" means the custodian, or any deputy custodian, designated by the attorney general. (3) "Documentary material" includes the original or any copy of any book, record, report, memorandum, paper, communication, tabulation, chart, or other document, or data compilations stored in or accessible through computer or other information retrieval systems, together with instructions and all other materials necessary to use or interpret the data compilations, and any product of discovery. (4) "False claims act investigation" means any inquiry conducted by any false claims act investigator for the purpose of ascertaining whether any person is or has been engaged in any violation of this chapter. (5) "False claims act investigator" means any attorney or investigator employed by the state attorney general who is charged with the duty of enforcing or carrying into effect any provision of this chapter, or any officer or employee of the state of Washington acting under the direction and supervision of the attorney or investigator in connection with an investigation pursuant to this chapter. (6) "Government entity" means all Washington state agencies that administer medicaid-funded programs under this title. (7)(a) "Knowing" and "knowingly" mean that a person, with respect to information: (i) Has actual knowledge of the information; (ii) Acts in deliberate ignorance of the truth or falsity of the information; or (iii) Acts in reckless disregard of the truth or falsity of the information. (b) "Knowing" and "knowingly" do not require proof of specific intent to defraud. (8) "Material" means having a natural tendency to influence, or be capable of influencing, the payment or receipt of money or property. (9) "Obligation" means an established duty, whether or not fixed, arising from an express or implied contractual, grantor-grantee, or licensor-licensee relationship, from a fee-based or similar relationship, from statute or rule, or from the retention of any overpayment. (10) "Official use" means any use that is consistent with the law, and the rules and policies of the attorney general, including use in connection with: Internal attorney general memoranda and reports; communications between the attorney general and a federal, state, or local government agency, or a contractor of a federal, state, or local government agency, undertaken in furtherance of an investigation or prosecution of a case; interviews of any qui tam relator or other witness; oral examinations; depositions; preparation for and response to civil discovery requests; introduction into the record of a case or proceeding; applications, motions, memoranda, and briefs submitted to a court or other tribunal; and communications with attorney general investigators, auditors, consultants and experts, the counsel of other parties, and arbitrators or mediators, concerning an investigation, case, or proceeding. (11) "Person" means any natural person, partnership, corporation, association, or other legal entity, including any local or political subdivision of a state. (12) "Product of discovery" includes: (a) The original or duplicate of any deposition, interrogatory, document, thing, result of the inspection of land or other property, examination, or admission, which is obtained by any method of discovery in any judicial or administrative proceeding of an adversarial nature; (b) Any digest, analysis, selection, compilation, or derivation of any item listed in (a) of this subsection; and (c) Any index or other manner of access to any item listed in (a) of this subsection. (13) "Qui tam action" is an action brought by a person under RCW 74.66.050 . (14) "Qui tam relator" or "relator" is a person who brings an action under RCW 74.66.050 .
RCW 74.25A.020 — Washington Code / Title 74 / Chapter 25A / Section 020
RCW 74.25A.020: Pilot projects—Grants to be used as wage subsidies—Criteria.
Status: in_force

The secretary of the department of social and health services shall establish pilot projects that enable grants to be used as a wage subsidy. The department of social and health services shall comply with applicable federal statutes and regulations, and shall seek any waivers from the federal government necessary to operate the employment partnership program. The projects shall be available on an individual case-by-case basis or subject to the limitations outlined in RCW 74.25A.040 for the start-up or reopening of a plant under worker ownership. The projects shall be subject to the following criteria: (1) It shall be a voluntary program and no person may have any sanction applied for failure to participate. (2) Employment positions established by this chapter shall not be created as the result of, nor result in, any of the following: (a) Displacement of current employees, including overtime currently worked by these employees; (b) The filling of positions that would otherwise be promotional opportunities for current employees; (c) The filling of a position, before compliance with applicable personnel procedures or provisions of collective bargaining agreements; (d) The filling of a position created by termination, layoff, or reduction in workforce; (e) The filling of a work assignment customarily performed by a worker in a job classification within a recognized collective bargaining unit in that specific worksite, or the filling of a work assignment in any bargaining unit in which funded positions are vacant or in which regular employees are on layoff; (f) A strike, lockout, or other bona fide labor dispute, or violation of any existing collective bargaining agreement between employees and employers; (g) Decertification of any collective bargaining unit. (3) Wages shall be paid at the usual and customary rate of comparable jobs and may include a training wage if permitted by applicable federal statutes and regulations; (4) A recoupment process shall recover state supplemented wages from an employer when a job does not last six months following the subsidization period for reasons other than the employee voluntarily quitting or being fired for good cause as determined by the local employment partnership council under rules prescribed by the secretary; (5) Job placements shall have promotional opportunities or reasonable opportunities for wage increases; (6) Other necessary support services such as training, day care, medical insurance, and transportation shall be provided to the extent possible; (7) Employers shall provide monetary matching funds of at least fifty percent of total wages; (8) Wages paid to participants shall be a minimum of five dollars an hour; and (9) The projects shall target the populations in the priority and for the purposes set forth in *RCW 74.25.020 , to the extent that necessary support services are available.
RCW 74.14A.010 — Washington Code / Title 74 / Chapter 14A / Section 010
RCW 74.14A.010: Legislative declaration.
Status: in_force

The legislature reaffirms its declarations under RCW 13.34.020 that the family unit is the fundamental resource of American life which should be nurtured and that the family unit should remain intact in the absence of compelling evidence to the contrary. The legislature declares that the goal of serving emotionally disturbed and mentally ill children, potentially dependent children, and families-in-conflict in their own homes to avoid out-of-home placement of the child, when that form of care is premature, unnecessary, or inappropriate, is a high priority of this state.
RCW 74.38.060 — Washington Code / Title 74 / Chapter 38 / Section 060
RCW 74.38.060: Expansion of federal programs authorized.
Status: in_force

The department may expand the foster grandparent, senior companion and retired senior volunteer programs funded under the Federal Volunteer Agency (ACTION) (P.L. 93-113 Title II), or its successor agency, which provide senior citizens with volunteer stipends, out-of-pocket expenses, or wages to perform services in the community.
RCW 74.04.00511 — Washington Code / Title 74 / Chapter 04 / Section 00511
RCW 74.04.00511: Limitations on "income" and "resource."
Status: in_force

For purposes of RCW 74.04.005 (9) and (13), "income" and "resource" do not include educational assistance awarded under *the gaining independence for students with dependents program as defined in chapter 19, Laws of 2003 for recipients of temporary assistance for needy families.
RCW 74.39A.032 — Washington Code / Title 74 / Chapter 39A / Section 032
RCW 74.39A.032: Medicaid payment methodology for certain contracted assisted living facilities—Established by rule—Required components.
Status: in_force

*** CHANGE IN 2026 *** (SEE 5998-S.SL ) ***

(1) The department shall establish in rule a new medicaid payment system for contracted assisted living, adult residential care, and enhanced adult residential care. Beginning July 1, 2019, payments for these contracts must be based on the new methodology which must be phased-in to full implementation according to funding made available by the legislature for this purpose. The new payment system must have these components: Client care, operations, and room and board. (2) Client care is the labor component of the system and must include variables to recognize the time and intensity of client care and services, staff wages, and associated fringe benefits. The wage variable in the client care component must be adjusted according to service areas based on labor costs. (a) The time variable is used to weight the client care payment to client acuity and must be scaled according to the classification levels utilized in the department's assessment tool. The initial system shall establish a variable for time using the residential care time study conducted in 2001 and the department's corresponding estimate of the average staff hours per client by job position. (b) The wage variable shall include recognition of staff positions needed to perform the functions required by contract, including nursing services. Data used to establish the wage variable must be adjusted so that no baseline wage is below the state minimum in effect at the time of implementation. The wage variable is a blended wage based on the federal bureau of labor statistics wage data and the distribution of time according to staff position. Blended wages are established for each county and then counties are arrayed from highest to lowest. Service areas are established and the median blended wage in each service area becomes the wage variable for all the assigned counties in that service area. The system must have no less than two service areas, one of which shall be a high labor cost service area and shall include counties at or above the ninety-fifth percentile in the array of blended wages. (c) The fringe benefit variable recognizes employee benefits and payroll taxes. The factor to calculate the percentage of fringe benefits shall be established using the statewide nursing facility cost ratio of benefits and payroll taxes to in-house wages. (3) The operations component must recognize costs that are allowable under federal medicaid rules for the federal matching percentage. The operations component is calculated at ninety percent or greater of the statewide median nursing facility costs associated with the following: (a) Supplies; (b) Nonlabor administrative expenses; (c) Staff education and in-service training; and (d) Operational overhead including licenses, insurance, and business and occupational [occupation] taxes. (4) The room and board component recognizes costs that do not qualify for federal financial participation under medicaid rules by compensating providers for the medicaid client's share of raw food and shelter costs including expenses related to the physical plant such as property taxes, property and liability insurance, debt service, and major capital repairs. The room and board component is subject to the department's and the Washington state health care authority's rules related to client financial responsibility. (5) Subsections (2) and (3) of this section establish the rate for medicaid covered services. Subsection (4) of this section establishes the rate for nonmedicaid covered services. (6) The rates paid on July 1, 2019, shall be based on data from the 2016 calendar year, except for the time variable under subsection (2)(a) of this section. The client care and operations components must be rebased in even-numbered years. Beginning with rates paid on July 1, 2020, wages, benefits and taxes, and operations costs shall be rebased using 2018 data. (7) Beginning July 1, 2020, the room and board component shall be updated annually subject to the department's and the Washington state health care authority's rules related to client financial responsibility.
RCW 74.15.060 — Washington Code / Title 74 / Chapter 15 / Section 060
RCW 74.15.060: Health protection—Powers and duties of secretary of health.
Status: in_force

The secretary of health shall have the power and it shall be his or her duty: In consultation with the children's services advisory committee and with the advice and assistance of persons representative of the various type agencies to be licensed, to develop minimum requirements pertaining to each category of agency established pursuant to chapter 74.15 RCW and RCW 74.13.031 , necessary to promote the health of all persons residing therein. The secretary of health or the city, county, or district health department designated by the secretary shall have the power and the duty: (1) To make or cause to be made such inspections and investigations of agencies as may be deemed necessary; and (2) To issue to applicants for licenses hereunder who comply with the requirements adopted hereunder, a certificate of compliance, a copy of which shall be presented to the department before a license shall be issued, except that an initial license may be issued as provided in RCW 74.15.120 .
RCW 74.09.888 — Washington Code / Title 74 / Chapter 09 / Section 888
RCW 74.09.888: Apple health and homes program—Authority duties—Funding—Reports to legislature.
Status: in_force

(1) To establish and administer RCW 74.09.886 , the authority shall: (a)(i) Establish or amend a contract with a coordinating entity to: (A) Assure the availability of access to eligibility determinations services for community support services benefits and permanent supportive housing benefits; (B) Verify that persons meet the eligibility standards of RCW 74.09.886 (2); (C) Coordinate enrollment in medical assistance programs for persons who meet the eligibility standards of RCW 74.09.886 (2), except for actual enrollment in a medical assistance program under this chapter; and (D) Coordinate with a network of community support services providers to arrange with local housing providers for the placement of an eligible person in permanent supportive housing appropriate to the person's needs and assure that community support services are provided to the person by a community support services provider. (ii) The primary role of the coordinating entity or entities is administrative and operational, while the authority shall establish the general policy parameters for the work of the coordinating entity or entities. (iii) In selecting the coordinating entity or entities, the authority shall: Choose one or more organizations that are capable of coordinating access to both community support services and permanent supportive housing services to eligible persons under RCW 74.09.886 ; and select no more than one coordinating entity per region which is served by medicaid managed care organizations; (b) Report to the office for the ongoing monitoring of the program; and (c) Adopt any rules necessary to implement the program. (2) The authority shall establish a work group to provide feedback to the agency on its foundational community supports program as it aligns with the work of the housing benefit. The work group may include representatives of state agencies, behavioral health administrative services organizations, the coordinating entity or entities, and contracted agencies providing foundational community supports services. Topics may include, but are not limited to, best practices in eligibility screening processes and case rate billing for foundational community supports housing, regional cost differentials, costs consistent with specialized needs, improved data access and data sharing with foundational community supports providers, and requirements related to the use of a common practice tool among community support services providers to integrate social determinants of health into service delivery. The authority, in consultation with foundational community supports providers and their stakeholders, shall engage each region on case management tools and programs, evaluate effectiveness, and inform the appropriate committees of the legislature on the use of case management tools. Case management shall also be a regular item of engagement in the work group. The authority shall convene the work group at least once each quarter and may expand upon, but not duplicate, existing work groups or advisory councils at the authority or other state agencies. (3) To support the goals of the program and the goals of other statewide initiatives to identify and address social needs, including efforts within the 1115 waiver renewal to advance health equity and health-related supports, the authority shall work with the office and the department of social and health services to research, identify, and implement statewide universal measures to identify and consider social determinants of health domains, including housing, food security, transportation, financial strain, and interpersonal safety. The authority shall select an accredited or nationally vetted tool, including criteria for prioritization, for the community support services provider to use when making determinations about housing options and other support services to offer individuals eligible for the program. This screening and prioritization process may not exclude clients transitioning from inpatient or other behavioral health residential treatment settings. The authority shall inform the governor and the appropriate committees of the legislature on progress to this end. (4)(a) The authority and the department may seek and accept funds from private and federal sources to support the purposes of the program. (b) The authority shall seek approval from the federal department of health and human services to: (i) Receive federal matching funds for administrative costs and services provided under the program to persons enrolled in medicaid; (ii) Align the eligibility and benefit standards of the foundational community supports program established pursuant to the waiver, entitled "medicaid transformation project" and initially approved November 2017, between the authority and the federal centers for medicare and medicaid services, as amended and reauthorized, with the standards of the program, including extending the duration of the benefits under the foundational community supports program to not less than 12 months; and (iii) Implement a medical and psychiatric respite care benefit for certain persons enrolled in medicaid. (5)(a) By December 1, 2022, the authority and the office shall report to the governor and the legislature on preparedness for the first year of program implementation, including the estimated enrollment, estimated program costs, estimated supportive housing unit availability, funding availability for the program from all sources, efforts to improve billing and administrative burdens for foundational community supports providers, efforts to streamline continuity of care and system connection for persons who are potentially eligible for foundational community supports, and any statutory or budgetary needs to successfully implement the first year of the program. (b) By December 1, 2023, the authority and the office shall report to the governor and the legislature on the progress of the first year of program implementation and preparedness for the second year of program implementation. (c) By December 1, 2024, the authority and the office shall report to the governor and the legislature on the progress of the first two years of program implementation and preparedness for ongoing housing acquisition and development. (d) By December 1, 2026, the authority and the office shall report to the governor and the legislature on the full implementation of the program, including the number of persons served by the program, available permanent supportive housing units, estimated unmet demand for the program, ongoing funding requirements for the program, and funding availability for the program from all sources. Beginning December 1, 2027, the authority and the office shall provide annual updates to the governor and the legislature on the status of the program.
RCW 74.04.510 — Washington Code / Title 74 / Chapter 04 / Section 510
RCW 74.04.510: Food stamp program—Rules.
Status: in_force

The department shall adopt rules conforming to federal laws, rules, and regulations required to be observed in maintaining the eligibility of the state to receive from the federal government and to issue or distribute to recipients, food stamps, coupons, or food stamp or coupon benefits transferred electronically under a food stamp or benefits plan. Such rules shall relate to and include, but shall not be limited to: (1) The classifications of and requirements of eligibility of households to receive food stamps, coupons, or food stamp or coupon benefits transferred electronically; and (2) the periods during which households shall be certified or recertified to be eligible to receive food stamps, coupons, or food stamp or coupon benefits transferred electronically under this plan.
RCW 74.39A.360 — Washington Code / Title 74 / Chapter 39A / Section 360
RCW 74.39A.360: Training partnership.
Status: in_force

(1) If the department has any contracts for personal care services with any individual providers represented by an exclusive bargaining representative: (a) All training and peer mentoring required under this chapter shall be provided by a training partnership; (b) Contributions to the partnership shall be made under a collective bargaining agreement negotiated under this chapter; (c) The training partnership shall provide reports as required by the department verifying that all individual providers have complied with all training requirements; and (d) The exclusive bargaining representative shall designate the training partnership. (2) When individual providers are employed by a consumer directed employer, funding for training shall be included in the labor rate component paid to the consumer directed employer as determined and funded under RCW 74.39A.530 .
RCW 74.14B.030 — Washington Code / Title 74 / Chapter 14B / Section 030
RCW 74.14B.030: Child abuse and neglect—Multidisciplinary teams.
Status: in_force

The department shall establish and maintain one or more multidisciplinary teams in each state region of the division of children and family services. The team shall consist of at least four persons, selected by the department, from professions which provide services to abused and neglected children and/or the parents of such children. The teams shall be available for consultation on all cases where a risk exists of serious harm to the child and where there is dispute over whether out-of-home placement is appropriate.
RCW 74.13.680 — Washington Code / Title 74 / Chapter 13 / Section 680
RCW 74.13.680: Foster care to twenty-one program—Termination.
Status: in_force

(1) Within amounts appropriated for this specific purpose, the department shall continue to operate the state-funded foster care to twenty-one program for three years after June 7, 2012, at which point the program shall cease to operate. (2) The department shall not have the authority to enroll any new youth under this program after June 7, 2012, and shall only serve eligible youth enrolled prior to that date. (3) The purpose of the foster care to twenty-one program is to serve youth ages eighteen to twenty-one who are enrolled and participating in a postsecondary academic or postsecondary vocational program. (4) A youth participating in this program may, within amounts appropriated for this specific purpose, continue to receive placement services until the youth reaches his or her twenty-first birthday or is no longer enrolled in and participating in a postsecondary program, whichever is earlier.
RCW 74.13B.010 — Washington Code / Title 74 / Chapter 13B / Section 010
RCW 74.13B.010: Definitions.
Status: in_force

For purposes of this chapter: (1) "Case management" means convening family meetings, developing, revising, and monitoring implementation of any case plan or individual service and safety plan, coordinating and monitoring services needed by the child and family, caseworker-child visits, family visits, and the assumption of court-related duties, excluding legal representation, including preparing court reports, attending judicial hearings and permanency hearings, and ensuring that the child is progressing toward permanency within state and federal mandates, including the Indian child welfare act. (2) "Child" means: (a) A person less than eighteen years of age; or (b) A person age eighteen to twenty-one years who is eligible to receive the extended foster care services authorized under RCW 74.13.031 . (3) "Child-placing agency" has the same meaning as in RCW 74.15.020 . (4) "Child welfare services" means social services including voluntary and in-home services, out-of-home care, case management, and adoption services which strengthen, supplement, or substitute for, parental care and supervision for the purpose of: (a) Preventing or remedying, or assisting in the solution of problems which may result in families in conflict, or the neglect, abuse, exploitation, or criminal behavior of children; (b) Protecting and caring for dependent, abused, or neglected children; (c) Assisting children who are in conflict with their parents, and assisting parents who are in conflict with their children, with services designed to resolve such conflicts; (d) Protecting and promoting the welfare of children, including the strengthening of their own homes where possible, or, where needed; (e) Providing adequate care of children away from their homes in foster family homes or day care or other child care agencies or facilities. (5) "Department" means the department of children, youth, and families. (6) "Evidence-based" means a program or practice that is cost-effective and includes at least two randomized or statistically controlled evaluations that have demonstrated improved outcomes for its intended population. (7) "Network administrator" means an entity that contracts with the department to provide defined services to children and families in the child welfare system through its provider network, as provided in RCW 74.13B.020 . (8) "Performance-based contracting" means structuring all aspects of the procurement of services around the purpose of the work to be performed and the desired results with the contract requirements set forth in clear, specific, and objective terms with measurable outcomes and linking payment for services to contractor performance. (9) "Promising practice" means a practice that presents, based upon preliminary information, potential for becoming a research-based or consensus-based practice. (10) "Provider network" means those service providers who contract with a network administrator to provide services to children and families in the geographic area served by the network administrator. (11) "Research-based" means a program or practice that has some research demonstrating effectiveness, but that does not yet meet the standard of evidence-based practices.
RCW 74.08A.250 — Washington Code / Title 74 / Chapter 08A / Section 250
RCW 74.08A.250: "Work activity" defined.
Status: in_force

Unless the context clearly requires otherwise, as used in this chapter, "work activity" means: (1) Unsubsidized paid employment in the private or public sector; (2) Subsidized paid employment in the private or public sector, including employment through the state or federal work-study program for a period not to exceed 24 months; (3) Work experience, including: (a) An internship or practicum, that is paid or unpaid and is required to complete a course of vocational training or to obtain a license or certificate in a high-demand occupation, as determined by the employment security department. No internship or practicum shall exceed 12 months; or (b) Work associated with the refurbishing of publicly assisted housing, if sufficient paid employment is not available; (4) On-the-job training; (5) Job search and job readiness assistance; (6) Community service programs, including a recipient's voluntary service at a child care or preschool facility licensed under chapter 43.216 RCW or an elementary school in which his or her child is enrolled; (7) Vocational educational training, not to exceed 12 months with respect to any individual except that this 12-month limit may be increased to 24 months subject to funding appropriated specifically for this purpose; (8) Job skills training directly related to employment; (9) Education directly related to employment, in the case of a recipient who has not received a high school diploma or a high school equivalency certificate as provided in RCW 28B.50.536 ; (10) Satisfactory attendance at secondary school or in a course of study leading to a high school equivalency certificate as provided in RCW 28B.50.536 , in the case of a recipient who has not completed secondary school or received such a certificate; (11) The provision of child care services to an individual who is participating in a community service program; (12) Internships, that shall be paid or unpaid work experience performed by an intern in a business, industry, or government or nongovernmental agency setting; (13) Practicums, which include any educational program in which a student is working under the close supervision of a professional in an agency, clinic, or other professional practice setting for purposes of advancing their skills and knowledge; (14) Services required by the recipient under RCW 74.08.025 (2) and 74.08A.010 (3) to become employable; (15) Financial literacy activities designed to be effective in assisting a recipient in becoming self-sufficient and financially stable; and (16) Parent education services or programs that support development of appropriate parenting skills, life skills, and employment-related competencies.
RCW 74.31.040 — Washington Code / Title 74 / Chapter 31 / Section 040
RCW 74.31.040: Public awareness campaign.
Status: in_force

In collaboration with the council, the department shall conduct a public awareness campaign that utilizes funding from the traumatic brain injury account to leverage a private advertising campaign to persuade Washington residents to be aware and concerned about the issues facing individuals with traumatic brain injuries through all forms of media including internet, television, radio, and print. The public awareness campaign must also include information on the availability and benefits of in-person peer support groups, community integration programs, and other services designed to assist individuals with traumatic brain injuries and their families.
RCW 74.20A.200 — Washington Code / Title 74 / Chapter 20A / Section 200
RCW 74.20A.200: Judicial relief after administrative remedies exhausted.
Status: in_force

Any person against whose property a support lien has been filed or an order to withhold and deliver has been served pursuant to this chapter may apply for relief to the superior court of the county wherein the property is located. It is the intent of this chapter that jurisdictional and constitutional issues, if any, shall be subject to review, but that administrative remedies be exhausted prior to judicial review.
RCW 74.76.050 — Washington Code / Title 74 / Chapter 76 / Section 050
RCW 74.76.050: Medicaid access program—Rates—Study.
Status: in_force

*** CHANGE IN 2026 *** (SEE 2385.SL ) ***

(1) The medicaid access program is hereby created. (2) By January 1st of the second plan year after conditions of RCW 74.76.020 are met, professional services rates for anesthesia, diagnostics, intense outpatient, opioid treatment programs, emergency room, inpatient and outpatient surgery, inpatient visits, low-level behavioral health, maternity services, office and home visits, consults, office administered drugs, vision, and other physician services, for services that are not reimbursed at or above medicare rates as of December 31, 2024, must be increased uniformly across professional service categories by a percentage of corresponding medicare rates as of December 31, 2024, based on availability of funds in the account created in RCW 74.76.040 for rate increases from collections in the preceding plan year. (3) By January 1st of the third plan year after the conditions of RCW 74.76.020 are met, and annually thereafter, the rates for all services listed in subsection (2) of this section shall be adjusted using the most recently published medicare economic index available at the time rates are established for the plan year. (4)(a) Beginning January 1st of the third plan year after the conditions of RCW 74.76.020 are met and by January 1st in each of the two subsequent plan years, the authority shall study the impact of the professional services rate increases described in this section on medicaid access. The authority shall provide information to fiscal and health committees of the legislature whether these rate increases have increased access for medicaid enrollees, using metrics including but not limited to: (i) Increases in utilization of services from licensed health care providers; (ii) Number of contracts with identifiable provider types enrolled to provide services to medicaid enrollees; (iii) Patient access measures in the CAHPS [consumer assessment of healthcare providers and systems] health plan surveys of managed care organizations; and (iv) Other external quality review metrics. (b) The authority shall provide the information in a fashion that disaggregates managed care organizations and fee-for-service.
RCW 74.13.335 — Washington Code / Title 74 / Chapter 13 / Section 335
RCW 74.13.335: Foster care—Reimbursement—Property damage.
Status: in_force

Within available funds and subject to such conditions and limitations as may be established by the department or by the legislature in the omnibus appropriations act, the department shall reimburse foster parents for property damaged or destroyed by foster children placed in their care. The department shall establish by rule a maximum amount that may be reimbursed for each occurrence. The department shall reimburse the foster parent for the replacement value of any property covered by this section. If the damaged or destroyed property is covered and reimbursed under an insurance policy, the department shall reimburse foster parents for the amount of the deductible associated with the insurance claim, up to the limit per occurrence as established by the department.
RCW 74.04.280 — Washington Code / Title 74 / Chapter 04 / Section 280
RCW 74.04.280: Assistance nontransferable and exempt from process.
Status: in_force

Assistance given under this title shall not be transferable or assignable at law or in equity and none of the moneys received by recipients under this title shall be subject to execution, levy, attachment, garnishment, or other legal process, or to the operation of any bankruptcy or insolvency law.
RCW 74.42.170 — Washington Code / Title 74 / Chapter 42 / Section 170
RCW 74.42.170: Rehabilitative services.
Status: in_force

(1) The facility shall provide rehabilitative services itself or arrange for the provision of rehabilitative services with qualified outside resources for each resident whose comprehensive plan of care requires the provision of rehabilitative services. (2) The rehabilitative service personnel shall be qualified therapists, qualified therapists' assistants, or mental health professionals. Other support personnel under appropriate supervision may perform the duties of rehabilitative service personnel. (3) The rehabilitative services shall be designed to maintain and improve the resident's ability to function independently; prevent, as much as possible, advancement of progressive disabilities; and restore maximum function.
RCW 74.09.220 — Washington Code / Title 74 / Chapter 09 / Section 220
RCW 74.09.220: Liability for receipt of excess payments.
Status: in_force

Any person, firm, corporation, partnership, association, agency, institution or other legal entity, but not including an individual public assistance recipient of health care, that, without intent to violate this chapter or other applicable law, obtains benefits or payments under this code to which such person or entity is not entitled, or in a greater amount than that to which entitled, shall be liable for (1) any excess benefits or payments received, and (2) interest calculated at the rate and in the manner provided in RCW 43.20B.695 or 41.05A.220 . Whenever a penalty is due under RCW 74.09.210 or interest is due under RCW 43.20B.695 or 41.05A.220 , such penalty or interest shall not be reimbursable by the state as an allowable cost under any of the provisions of this chapter or other applicable law.
RCW 74.39A.900 — Washington Code / Title 74 / Chapter 39A / Section 900
RCW 74.39A.900: Section captions—1993 c 508.
Status: in_force

Section captions as used in this act constitute no part of the law.
RCW 74.09.160 — Washington Code / Title 74 / Chapter 09 / Section 160
RCW 74.09.160: Presentment of charges by contractors.
Status: in_force

Each vendor or group who has a contract and is rendering service to eligible persons as defined in this chapter or other applicable law shall submit such charges as agreed upon between the department or authority, as appropriate, and the individual or group no later than twelve months from the date of service. If the final charges are not presented within the twelve-month period, they shall not be a charge against the state. Said twelve-month period may also be extended by regulation, but only if required by applicable federal law or regulation, and to no more than the extension of time so required.
RCW 74.09.460 — Washington Code / Title 74 / Chapter 09 / Section 460
RCW 74.09.460: Children's affordable health coverage—Findings—Intent.
Status: in_force

(1) The legislature finds that parents have a responsibility to: (a) Enroll their children in affordable health coverage; (b) Ensure that their children receive appropriate well-child preventive care; (c) Link their child with a medical home; and (d) Understand and act upon the health benefits of good nutrition and physical activity. (2) The legislature intends that the programs and outreach and education efforts established in RCW 74.09.470 (6), as well as partnerships with the public and private sectors, provide the support and information needed by parents to meet the responsibilities set forth in this section.
RCW 74.70.060 — Washington Code / Title 74 / Chapter 70 / Section 060
RCW 74.70.060: Add-on increase—Funding.
Status: in_force

*** CHANGE IN 2026 *** (SEE 2531.SL ) ***

(1) Beginning July 1, 2021, and for each state fiscal year thereafter, reimbursement for emergency ambulance transports provided by ambulance transport providers shall be increased by application of an add-on to the associated medicaid fee-for-service payment schedule. The add-on increase to the fee-for-service payment schedule under this section shall be calculated by June 15, 2021, and shall remain the same for later state fiscal years, to the extent the authority determines federal financial participation is available. The authority shall calculate the projections required by this subsection based on the number of emergency ambulance transports and gross revenue data submitted pursuant to RCW 74.70.040 . The fee-for-service add-on shall be equal to the quotient of the available fee amount projected by the authority on or before June 15, 2021, for the 2021–22 state fiscal year, divided by the total medicaid emergency ambulance transports, projected by the authority on or before June 15, 2021, for the 2021–22 state fiscal year. The resulting fee-for-service payment schedule amounts after the application of this section shall be equal to the sum of the medicaid fee-for-service payment schedule amount and the add-on increase. (2) The increased payments required by this section shall be funded solely from the following: (a) The quality assurance fee set forth in RCW 74.70.050 , along with any interest or other investment income earned on those funds; and (b) Federal reimbursement and any other related federal funds. (3) The proceeds of the quality assurance fee set forth in RCW 74.70.050 , the matching amount provided by the federal government, and any interest earned on those proceeds shall be used to supplement, and not to supplant, existing funding for emergency ambulance transports provided by ambulance transport providers. (4) Notwithstanding any provision of this chapter, the authority may seek federal approval to implement any add-on increase to the fee-for-service payment schedule pursuant to this section for any state fiscal year or years, as applicable, on a time-limited basis for a fixed program period, as determined by the authority.
RCW 74.20.010 — Washington Code / Title 74 / Chapter 20 / Section 010
RCW 74.20.010: Purpose—Legislative intent—Chapter to be liberally construed.
Status: in_force

It is the responsibility of the state of Washington through the state department of social and health services to conserve the expenditure of public assistance funds, whenever possible, in order that such funds shall not be expended if there are private funds available or which can be made available by judicial process or otherwise to partially or completely meet the financial needs of the children of this state. The failure of parents to provide adequate financial support and care for their children is a major cause of financial dependency and a contributing cause of social delinquency. The purpose of this chapter is to provide the state of Washington, through the department of social and health services, a more effective and efficient way to effect the support of dependent children by the person or persons who, under the law, are primarily responsible for such support and to lighten the heavy burden of the taxpayer, who in many instances is paying toward the support of dependent children while those persons primarily responsible are avoiding their obligations. It is the intention of the legislature that the powers delegated to the said department in this chapter be liberally construed to the end that persons legally responsible for the care and support of children within the state be required to assume their legal obligations in order to reduce the financial cost to the state of Washington in providing public assistance funds for the care of children. It is the intention of the legislature that the department provide sufficient staff to carry out the purposes of this chapter, chapter 74.20A RCW, the abandonment and nonsupport statutes, and any applicable federal support enforcement statute administered by the department. It is also the intent of the legislature that the staff responsible for support enforcement be encouraged to conduct their support enforcement duties with fairness, courtesy, and the highest professional standards.
RCW 74.12.350 — Washington Code / Title 74 / Chapter 12 / Section 350
RCW 74.12.350: Child's income set aside for future needs—Irrevocable trusts—Educational accounts.
Status: in_force

The department of social and health services is hereby authorized to promulgate rules and regulations in conformity with the provisions of Public Law 87-543 to allow all or any portion of a dependent child's earned or other income to be set aside for the identifiable future needs of the dependent child which will make possible the realization of the child's maximum potential as an independent and useful citizen. The transfer into, or accumulation of, a child's income or resources in an irrevocable trust account is hereby allowed. The amount allowable is four thousand dollars. The department will provide income assistance recipients with clear and simple information on how to set up educational accounts, including how to assure that the accounts comply with federal law by being adequately earmarked for future educational use, and are irrevocable.
RCW 74.13.330 — Washington Code / Title 74 / Chapter 13 / Section 330
RCW 74.13.330: Responsibilities of foster parents.
Status: in_force

Foster parents are responsible for the protection, care, supervision, and nurturing of the child in placement. As an integral part of the foster care team, foster parents shall, if appropriate and they desire to: Participate in the development of the service plan for the child and the child's family; assist in family visitation, including monitoring; model effective parenting behavior for the natural family; and be available to help with the child's transition back to the natural family.
RCW 74.09.530 — Washington Code / Title 74 / Chapter 09 / Section 530
RCW 74.09.530: Medical assistance—Powers and duties of authority.
Status: in_force

(1)(a) The authority is designated as the single state agency for purposes of Title XIX of the federal social security act. (b) The amount and nature of medical assistance and the determination of eligibility of recipients for medical assistance shall be the responsibility of the authority. (c) The authority shall establish reasonable standards of assistance and resource and income exemptions which shall be consistent with the provisions of the social security act and federal regulations for determining eligibility of individuals for medical assistance and the extent of such assistance to the extent that funds are available from the state and federal government. The authority shall not consider resources in determining continuing eligibility for recipients eligible under section 1931 of the social security act. (d) The authority is authorized to collaborate with other state or local agencies and nonprofit organizations in carrying out its duties under this chapter or other applicable law and, to the extent appropriate, may enter into agreements with such other entities. (2) Individuals eligible for medical assistance under RCW 74.09.510 (3) shall be transitioned into coverage under that subsection immediately upon their termination from coverage under RCW 74.09.510 (2)(a). The authority shall use income eligibility standards and eligibility determinations applicable to children placed in foster care. The authority shall provide information regarding basic health plan enrollment and shall offer assistance with the application and enrollment process to individuals covered under RCW 74.09.510 (3) who are approaching their twenty-first birthday.
RCW 74.39A.170 — Washington Code / Title 74 / Chapter 39A / Section 170
RCW 74.39A.170: Recovery of payments—Transfer of assets rules for eligibility—Disclosure of estate recovery costs, terms, and conditions.
Status: in_force

(1) All payments made in state-funded long-term care shall be recoverable as if they were medical assistance payments subject to recovery under 42 U.S.C. Sec. 1396p and chapter 43.20B RCW, but without regard to the recipient's age. (2) In determining eligibility for state-funded long-term care services programs, the department shall impose the same rules with respect to the transfer of assets for less than fair market value as are imposed under 42 U.S.C. 1396p with respect to nursing home and home and community services. (3) It is the responsibility of the department to fully disclose in advance verbally and in writing, in easy to understand language, the terms and conditions of estate recovery to all persons offered long-term care services subject to recovery of payments. (4) In disclosing estate recovery costs to potential clients, and to family members at the consent of the client, the department shall provide a written description of the community service options. (5) The department of social and health services shall develop an implementation plan for notifying the client or his or her legal representative at least quarterly of the types of services used and the cost of those services (debt) that will be charged against the estate. The estate planning implementation plan shall be submitted by December 12, 1999, to the appropriate standing committees of the house of representatives and the senate, and to the joint legislative and executive task force on long-term care.
RCW 74.20A.120 — Washington Code / Title 74 / Chapter 20A / Section 120
RCW 74.20A.120: Banks, savings and loan associations, credit unions—Service on main office or branch, effect—Collection actions against community bank account, right to adjudicative proceeding.
Status: in_force

A lien, order to withhold and deliver, or any other notice or document authorized by this chapter or chapter 26.23 RCW may be served on the main office of a bank, savings and loan association, or credit union or on a branch office of such financial institution. Service on the main office shall be effective to attach the deposits of a responsible parent in the financial institution and compensation payable for personal services due the responsible parent from the financial institution. Service on a branch office shall be effective to attach the deposits, accounts, credits, or other personal property of the responsible parent, excluding compensation payable for personal services, in the possession or control of the particular branch served. If the department initiates collection action under this chapter against a community bank account, the debtor or the debtor's spouse, upon service on the department of a timely application, has a right to an adjudicative proceeding governed by chapter 34.05 RCW, the Administrative Procedure Act, to establish that the funds in the account, or a portion of those funds, were the earnings of the nonobligated spouse, and are exempt from the satisfaction of the child support obligation of the debtor pursuant to RCW 26.16.200 .
RCW 74.13.285 — Washington Code / Title 74 / Chapter 13 / Section 285
RCW 74.13.285: Passports—Information to be provided to foster parents.
Status: in_force

(1) Within available resources, the department shall prepare a passport containing all known and available information concerning the mental, physical, health, and educational status of the child for any child who has been in a foster home for ninety consecutive days or more. The passport shall contain education records obtained pursuant to RCW 28A.150.510 . The passport shall be provided to a foster parent at any placement of a child covered by this section. The department shall update the passport during the regularly scheduled court reviews required under chapter 13.34 RCW. New placements shall have first priority in the preparation of passports. (2) In addition to the requirements of subsection (1) of this section, the department shall, within available resources, notify a foster parent before placement of a child of any known health conditions that pose a serious threat to the child and any known behavioral history that presents a serious risk of harm to the child or others. (3) The department shall hold harmless the provider for any unauthorized disclosures caused by the department. (4) Any foster parent who receives information about a child or a child's family pursuant to this section shall keep the information confidential and shall not further disclose or disseminate the information, except as authorized by law. Such individuals shall agree in writing to keep the information that they receive confidential and shall affirm that the information will not be further disclosed or disseminated, except as authorized by law.
RCW 74.04.265 — Washington Code / Title 74 / Chapter 04 / Section 265
RCW 74.04.265: Earnings—Deductions from grants.
Status: in_force

The secretary may issue rules consistent with federal laws and with memorials of the legislature, as will recognize the income of any persons without the deduction in full thereof from the amount of their grants.
RCW 74.13.903 — Washington Code / Title 74 / Chapter 13 / Section 903
RCW 74.13.903: Construction—Prevention services.
Status: in_force

Nothing in this chapter may be construed to limit the department's authority to offer or provide prevention services or primary prevention services as defined in chapter 13.34 RCW and this chapter, respectively.
RCW 74.08A.310 — Washington Code / Title 74 / Chapter 08A / Section 310
RCW 74.08A.310: Self-employment assistance—Training and placement programs.
Status: in_force

The department shall: (1) Notify recipients of temporary assistance for needy families that self-employment is one method of leaving state assistance. The department shall provide its regional offices, recipients of temporary assistance for needy families, and any contractors providing job search, training, or placement services notification of programs available in the state for entrepreneurial training, technical assistance, and loans available for start-up businesses; (2) Provide recipients of temporary assistance for needy families and service providers assisting such recipients through training and placement programs with information it receives about the skills and training required by firms locating in the state; (3) Encourage recipients of temporary assistance for needy families that are in need of basic skills to seek out programs that integrate basic skills training with occupational training and workplace experience.
RCW 74.18.230 — Washington Code / Title 74 / Chapter 18 / Section 230
RCW 74.18.230: Business enterprises revolving account.
Status: in_force

(1) There is established in the state treasury an account known as the business enterprises revolving account. (2) The net proceeds from any vending machine operation in a public building, other than an operation managed by a licensee, shall be made payable to the business enterprises program, which will pay only the blind vendors' portion, at the subscriber's rate, for the purpose of funding a plan of health insurance for blind vendors, as provided in RCW 41.05.225 . Net proceeds, for purposes of this section, means gross sales less state sales tax and a fair minimum return to the vending machine owner or service provider, which return shall be a reasonable amount to be determined by the department. (3) All federal moneys in the business enterprises revolving account shall be expended only for development and expansion of locations, equipment, management services, and payments to licensees in the business enterprises program. (4) The business enterprises program shall be supported by the business enterprises revolving account and by income which may accrue to the department pursuant to the federal Randolph-Sheppard Act.
RCW 74.15.010 — Washington Code / Title 74 / Chapter 15 / Section 010
RCW 74.15.010: Declaration of purpose.
Status: in_force

The purpose of chapter 74.15 RCW and RCW 74.13.031 is: (1) To safeguard the health, safety, and well-being of children, expectant mothers and developmentally disabled persons receiving care away from their own homes, which is paramount over the right of any person to provide care; (2) To strengthen and encourage family unity and to sustain parental rights and responsibilities to the end that foster care is provided only when a child's family, through the use of all available resources, is unable to provide necessary care; (3) To promote the development of a sufficient number and variety of adequate foster family homes and maternity-care facilities, both public and private, through the cooperative efforts of public agencies and related groups; (4) To provide consultation to agencies caring for children, expectant mothers or developmentally disabled persons in order to help them to improve their methods of and facilities for care; (5) To license agencies as defined in RCW 74.15.020 and to assure the users of such agencies, their parents, the community at large and the agencies themselves that adequate minimum standards are maintained by all agencies caring for children, expectant mothers and developmentally disabled persons.
RCW 74.15.130 — Washington Code / Title 74 / Chapter 15 / Section 130
RCW 74.15.130: Licenses—Denial, suspension, revocation, modification—Procedures—Adjudicative proceedings—Penalties.
Status: in_force

(1) An agency may be denied a license, or any license issued pursuant to chapter 74.15 RCW and RCW 74.13.031 may be suspended, revoked, modified, or not renewed by the secretary upon proof (a) that the agency has failed or refused to comply with the provisions of chapter 74.15 RCW and RCW 74.13.031 or the requirements promulgated pursuant to the provisions of chapter 74.15 RCW and RCW 74.13.031 ; or (b) that the conditions required for the issuance of a license under chapter 74.15 RCW and RCW 74.13.031 have ceased to exist with respect to such licenses. RCW 43.20A.205 governs notice of a license denial, revocation, suspension, or modification and provides the right to an adjudicative proceeding. (2) In any adjudicative proceeding regarding the denial, modification, suspension, or revocation of a foster family home license, the department's decision shall be upheld if there is reasonable cause to believe that: (a) The applicant or licensee lacks the character, suitability, or competence to care for children placed in out-of-home care, however, no unfounded, inconclusive, or screened-out report of child abuse or neglect may be used to deny employment or a license; (b) The applicant or licensee has failed or refused to comply with any provision of chapter 74.15 RCW, RCW 74.13.031 , or the requirements adopted pursuant to such provisions; or (c) The conditions required for issuance of a license under chapter 74.15 RCW and RCW 74.13.031 have ceased to exist with respect to such licenses. (3) In any adjudicative proceeding regarding the denial, modification, suspension, or revocation of any license under this chapter, other than a foster family home license, the department's decision shall be upheld if it is supported by a preponderance of the evidence. (4) The department may assess civil monetary penalties upon proof that an agency has failed or refused to comply with the rules adopted under the provisions of this chapter and RCW 74.13.031 or that an agency subject to licensing under this chapter and RCW 74.13.031 is operating without a license except that civil monetary penalties shall not be levied against a licensed foster home. Monetary penalties levied against unlicensed agencies that submit an application for licensure within thirty days of notification and subsequently become licensed will be forgiven. These penalties may be assessed in addition to or in lieu of other disciplinary actions. Civil monetary penalties, if imposed, may be assessed and collected, with interest, for each day an agency is or was out of compliance. Civil monetary penalties shall not exceed two hundred fifty dollars per violation for group homes and child-placing agencies. Each day upon which the same or substantially similar action occurs is a separate violation subject to the assessment of a separate penalty. The department shall provide a notification period before a monetary penalty is effective and may forgive the penalty levied if the agency comes into compliance during this period. The department may suspend, revoke, or not renew a license for failure to pay a civil monetary penalty it has assessed pursuant to this chapter within ten days after such assessment becomes final. Chapter 43.20A RCW governs notice of a civil monetary penalty and provides the right of an adjudicative proceeding. The preponderance of evidence standard shall apply in adjudicative proceedings related to assessment of civil monetary penalties.
RCW 37.12.030 — Washington Code / Title 74 / Chapter 12 / Section 030
RCW 37.12.030: Effective date for assumption of jurisdiction—Criminal causes.
Status: in_force

Upon March 13, 1963 the state of Washington shall assume jurisdiction over offenses as set forth in RCW 37.12.010 committed by or against Indians in the lands prescribed in RCW 37.12.010 to the same extent that this state has jurisdiction over offenses committed elsewhere within this state, and such criminal laws of this state shall have the same force and effect within such lands as they have elsewhere within this state.In addition to meeting the eligibility requirements of RCW 74.08.025 , as now or hereafter amended, an applicant for temporary assistance for needy families must be a needy child who is a resident of the state of Washington.
RCW 74.18.100 — Washington Code / Title 74 / Chapter 18 / Section 100
RCW 74.18.100: Rehabilitation council for the blind—Director to consult.
Status: in_force

It shall be the duty of the director to consult in a timely manner with the rehabilitation council for the blind on the matters enumerated in RCW 74.18.090 . The director shall provide appropriate departmental resources for the use of the rehabilitation council in conducting its official business.
RCW 74.08A.050 — Washington Code / Title 74 / Chapter 08A / Section 050
RCW 74.08A.050: Indian tribes—Tribal program—Fiscal year.
Status: in_force

An eligible Indian tribe exercising its authority under P.L. 104-193 to operate a tribal temporary assistance for needy families program shall operate the program on a state fiscal year basis. If a tribe decides to cancel a tribal temporary assistance for needy families program, it shall notify the department no later than ninety days prior to the start of the state fiscal year.
RCW 74.67.010 — Washington Code / Title 74 / Chapter 67 / Section 010
RCW 74.67.010: Medicaid fraud control unit—Establishment—Authority and criminal jurisdiction—Duties.
Status: in_force

(1) The attorney general shall establish and maintain within his or her office the medicaid fraud control unit. (2) The attorney general shall employ and train personnel to achieve the purposes of this chapter, including attorneys, investigators, auditors, clerical support personnel, and other personnel as the attorney general determines necessary. (3) The medicaid fraud control unit has the authority and criminal jurisdiction to investigate and prosecute medicaid provider fraud, abuse and neglect matters as enumerated in 42 U.S.C. Sec. 1396b(q)(4) where authority is granted by the federal government, and other federal health care program fraud as set forth in 42 U.S.C. Sec. 1396b(q). (4) The medicaid fraud control unit shall cooperate with federal and local investigators and prosecutors in coordinating local, state, and federal investigations and prosecutions involving fraud in the provision or administration of medical assistance, goods or services pursuant to medicaid, medicaid managed care, abuse and neglect matters as enumerated in 42 U.S.C. Sec. 1396b(q)(4), or medicare where such authority is obtained from the federal government, and provide those federal officers with any information in its possession regarding such an investigation or prosecution. (5) The medicaid fraud control unit shall protect the privacy of patients and establish procedures to ensure confidentiality for all records, in accordance with state and federal laws, including but not limited to chapter 70.02 RCW and the federal health insurance portability and accountability act. (6) The attorney general may appoint medicaid fraud control investigators to detect, investigate, and apprehend when it appears that a violation of criminal law relating to medicaid fraud, medicaid managed care fraud, medicare fraud, or abuse and neglect matters as enumerated in 42 U.S.C. Sec. 1396b(q)(4) has been or is about to be committed and specify the extent and limitations of the investigators' duties and authority in carrying out the limited scope and purposes of this chapter. (7) The department of social and health services or law enforcement agencies that receive mandatory reports under RCW 74.34.035 may share such reports in a timely manner with the medicaid fraud control unit within the office of the attorney general.
RCW 74.36.110 — Washington Code / Title 74 / Chapter 36 / Section 110
RCW 74.36.110: Community programs and projects for the aging—Allotments for—Purpose.
Status: in_force

The secretary of the department of social and health services or his or her designee is authorized to allot for such purposes all or a portion of whatever state funds the legislature appropriates or are otherwise made available for the purpose of matching local funds dedicated to community programs and projects for the aging. The purpose of RCW 74.36.110 through 74.36.130 is to stimulate and assist local communities to obtain federal funds made available under the federal older Americans act of 1965 as amended.
RCW 74.13.550 — Washington Code / Title 74 / Chapter 13 / Section 550
RCW 74.13.550: Child placement—Policy of educational continuity.
Status: in_force

(1) It is the policy of the state of Washington that, whenever practical and in the best interest of the child, children who are the subject of a dependency proceeding shall remain enrolled in their schools of origin. (2) For the purposes of this section, "children who are the subject of a dependency proceeding" means a child or youth who is located in Washington state and the subject of a shelter care or dependency order pursuant to chapter 13.34 RCW, and "school of origin" means the school in which a child is enrolled at the time of placement in foster care. If a child's foster care placement changes, the school of origin must be considered the school in which the child is enrolled at the time of the placement change.
RCW 74.39A.326 — Washington Code / Title 74 / Chapter 39A / Section 326
RCW 74.39A.326: In-home personal care or respite services to family members—Department not authorized to pay—Exceptions—Enforcement—Rules.
Status: in_force

(1)(a) Except as provided under (b) of this subsection, the department shall not pay a home care agency licensed under chapter 70.127 RCW for in-home personal care or respite services provided under this chapter, Title 71A RCW, or chapter 74.39 RCW if the care is provided to a client by a family member of the client. To the extent permitted under federal law, the provisions of this subsection shall not apply if the family member providing care is older than the client. (b) The department may, on a case-by-case basis based on the client's health and safety, make exceptions to (a) of this subsection to authorize payment or to provide for payment during a transition period of up to three months. Within available funds, the restrictions under (a) of this subsection do not apply when the care is provided to: (i) A client who is an enrolled member of a federally recognized Indian tribe; or (ii) a client who resides in the household of an enrolled member of a federally recognized Indian tribe. (2) The department shall take appropriate enforcement action against a home care agency found to have charged the state for hours of service for which the department is not authorized to pay under this section, including requiring recoupment of any payment made for those hours and, under criteria adopted by the department by rule, terminating the contract of an agency that violates a recoupment requirement. (3) For purposes of this section: (a) "Client" means a person who has been deemed eligible by the department to receive in-home personal care or respite services. (b) "Family member" shall be liberally construed to include, but not be limited to, a parent, child, sibling, aunt, uncle, cousin, grandparent, grandchild, grandniece, or grandnephew, or such relatives when related by marriage. (4) The department shall adopt rules to implement this section. The rules shall not result in affecting the amount, duration, or scope of the personal care or respite services benefit to which a client may be entitled pursuant to RCW 74.09.520 or Title XIX of the federal social security act.
RCW 74.04.500 — Washington Code / Title 74 / Chapter 04 / Section 500
RCW 74.04.500: Food stamp program—Authorized.
Status: in_force

The department is authorized to establish a food stamp or benefit program under the federal food stamp act of 1977, as amended.
RCW 74.09.470 — Washington Code / Title 74 / Chapter 09 / Section 470
RCW 74.09.470: Children's affordable health coverage—Authority duties.
Status: in_force

(1) Consistent with the goals established in RCW 74.09.402 , through the apple health for kids program authorized in this section, the authority shall provide affordable health care coverage to children under the age of nineteen who reside in Washington state and whose family income at the time of enrollment is not greater than 260 percent of the federal poverty level as adjusted for family size and determined annually by the federal department of health and human services, and effective January 1, 2009, and only to the extent that funds are specifically appropriated therefor, to children whose family income is not greater than 312 percent of the federal poverty level. In administering the program, the authority shall take such actions as may be necessary to ensure the receipt of federal financial participation under the medical assistance program, as codified at Title XIX of the federal social security act, the state children's health insurance program, as codified at Title XXI of the federal social security act, and any other federal funding sources that are now available or may become available in the future. The authority and the caseload forecast council shall estimate the anticipated caseload and costs of the program established in this section. (2) The authority shall accept applications for enrollment for children's health care coverage; establish appropriate minimum-enrollment periods, as may be necessary; and determine eligibility based on current family income. The authority shall make eligibility determinations within the time frames for establishing eligibility for children on medical assistance, as defined by RCW 74.09.510 . The application and annual renewal processes shall be designed to minimize administrative barriers for applicants and enrolled clients, and to minimize gaps in eligibility for families who are eligible for coverage. If a change in family income results in a change in the source of funding for coverage, the authority shall transfer the family members to the appropriate source of funding and notify the family with respect to any change in premium obligation, without a break in eligibility. The authority shall use the same eligibility redetermination and appeals procedures as those provided for children on medical assistance programs. The authority shall modify its eligibility renewal procedures to lower the percentage of children failing to annually renew. The authority shall manage its outreach, application, and renewal procedures with the goals of: (a) Achieving year by year improvements in enrollment, enrollment rates, renewals, and renewal rates; (b) maximizing the use of existing program databases to obtain information related to earned and unearned income for purposes of eligibility determination and renewals, including, but not limited to, the basic food program, the child care subsidy program, federal social security administration programs, and the employment security department wage database; (c) streamlining renewal processes to rely primarily upon data matches, online submissions, and telephone interviews; and (d) implementing any other eligibility determination and renewal processes to allow the state to receive an enhanced federal matching rate and additional federal outreach funding available through the federal children's health insurance program reauthorization act of 2009 by January 2010. The department shall advise the governor and the legislature regarding the status of these efforts by September 30, 2009. The information provided should include the status of the department's efforts, the anticipated impact of those efforts on enrollment, and the costs associated with that enrollment. (3) To ensure continuity of care and ease of understanding for families and health care providers, and to maximize the efficiency of the program, the amount, scope, and duration of health care services provided to children under this section shall be the same as that provided to children under medical assistance, as defined in RCW 74.09.520 . (4) The primary mechanism for purchasing health care coverage under this section shall be through contracts with managed health care systems as defined in RCW 74.09.522 , subject to conditions, limitations, and appropriations provided in the biennial appropriations act. However, the authority shall make every effort within available resources to purchase health care coverage for uninsured children whose families have access to dependent coverage through an employer-sponsored health plan or another source when it is cost-effective for the state to do so, and the purchase is consistent with requirements of Title XIX and Title XXI of the federal social security act. To the extent allowable under federal law, the authority shall require families to enroll in available employer-sponsored coverage, as a condition of participating in the program established under this section, when it is cost-effective for the state to do so. Families who enroll in available employer- sponsored coverage under this section shall be accounted for separately in the annual report required by RCW 74.09.053 . (5)(a) To reflect appropriate parental responsibility, the authority shall develop and implement a schedule of premiums for children's health care coverage due to the authority from families with income greater than 210 percent of the federal poverty level. For families with income greater than 260 percent of the federal poverty level, the premiums shall be established in consultation with the senate majority and minority leaders and the speaker and minority leader of the house of representatives. For children eligible for coverage under the federally funded children's health insurance program, Title XXI of the federal social security act, premiums shall be set at a reasonable level that does not pose a barrier to enrollment. The amount of the premium shall be based upon family income and shall not exceed the premium limitations in Title XXI of the federal social security act. For children who are not eligible for coverage under the federally funded children's health insurance program, premiums shall be set every two years in an amount no greater than the average state-only share of the per capita cost of coverage in the state-funded children's health program. (b) Premiums shall not be imposed on children in households at or below 210 percent of the federal poverty level as articulated in RCW 74.09.055 . (c) The authority shall offer families whose income is greater than 312 percent of the federal poverty level the opportunity to purchase health care coverage for their children through the programs administered under this section without an explicit premium subsidy from the state. The design of the health benefit package offered to these children should provide a benefit package substantially similar to that offered in the apple health for kids program, and may differ with respect to cost-sharing, and other appropriate elements from that provided to children under subsection (3) of this section including, but not limited to, application of preexisting conditions, waiting periods, and other design changes needed to offer affordable coverage. The amount paid by the family shall be in an amount equal to the rate paid by the state to the managed health care system for coverage of the child, including any associated and administrative costs to the state of providing coverage for the child. Any pooling of the program enrollees that results in state fiscal impact must be identified and brought to the legislature for consideration. (6) The authority shall undertake and continue a proactive, targeted outreach and education effort with the goal of enrolling children in health coverage and improving the health literacy of youth and parents. The authority shall collaborate with the department of social and health services, department of health, local public health jurisdictions, the office of the superintendent of public instruction, the department of children, youth, and families, health educators, health care providers, health carriers, community-based organizations, and parents in the design and development of this effort. The outreach and education effort shall include the following components: (a) Broad dissemination of information about the availability of coverage, including media campaigns; (b) Assistance with completing applications, and community-based outreach efforts to help people apply for coverage. Community-based outreach efforts should be targeted to the populations least likely to be covered; (c) Use of existing systems, such as enrollment information from the free and reduced-price lunch program, the department of children, youth, and families child care subsidy program, the department of health's women, infants, and children program, and the early childhood education and assistance program, to identify children who may be eligible but not enrolled in coverage; (d) Contracting with community-based organizations and government entities to support community-based outreach efforts to help families apply for coverage. These efforts should be targeted to the populations least likely to be covered. The authority shall provide informational materials for use by government entities and community-based organizations in their outreach activities, and should identify any available federal matching funds to support these efforts; (e) Development and dissemination of materials to engage and inform parents and families statewide on issues such as: The benefits of health insurance coverage; the appropriate use of health services, including primary care provided by health care practitioners licensed under chapters 18.71 , 18.57, 18.36A, and 18.79 RCW, and emergency services; the value of a medical home, well-child services and immunization, and other preventive health services with linkages to department of health child profile efforts; identifying and managing chronic conditions such as asthma and diabetes; and the value of good nutrition and physical activity; (f) An evaluation of the outreach and education efforts, based upon clear, cost-effective outcome measures that are included in contracts with entities that undertake components of the outreach and education effort; (g) An implementation plan to develop online application capability that is integrated with the automated client eligibility system, and to develop data linkages with the office of the superintendent of public instruction for free and reduced-price lunch enrollment information and the department of children, youth, and families for child care subsidy program enrollment information. (7) The authority shall take action to increase the number of primary care physicians providing dental disease preventive services including oral health screenings, risk assessment, family education, the application of fluoride varnish, and referral to a dentist as needed. (8) The department shall monitor the rates of substitution between private-sector health care coverage and the coverage provided under this section.
RCW 74.39A.080 — Washington Code / Title 74 / Chapter 39A / Section 080
RCW 74.39A.080: Department authority to take actions in response to noncompliance or violations.
Status: in_force

(1) The department is authorized to take one or more of the actions listed in subsection (2) of this section in any case in which the department finds that a provider of assisted living services, adult residential care services, or enhanced adult residential care services has: (a) Failed or refused to comply with the requirements of this chapter or the rules adopted under this chapter; (b) Operated without a license or under a revoked license; (c) Knowingly, or with reason to know, made a false statement of material fact on his or her application for license or any data attached thereto, or in any matter under investigation by the department; or (d) Willfully prevented or interfered with any inspection or investigation by the department. (2) When authorized by subsection (1) of this section, the department may take one or more of the following actions: (a) Refuse to issue a contract; (b) Impose reasonable conditions on a contract, such as correction within a specified time, training, and limits on the type of clients the provider may admit or serve; (c) Impose civil penalties of not more than one hundred dollars per day per violation; (d) Suspend, revoke, or refuse to renew a contract; or (e) Suspend admissions to the facility by imposing stop placement on contracted services. (3) When the department orders stop placement, the facility shall not admit any person admitted by contract until the stop placement order is terminated. The department may approve readmission of a resident to the facility from a hospital or nursing home during the stop placement. The department shall terminate the stop placement when: (a) The violations necessitating the stop placement have been corrected; and (b) the provider exhibits the capacity to maintain correction of the violations previously found deficient. However, if upon the revisit the department finds new violations that the department reasonably believes will result in a new stop placement, the previous stop placement shall remain in effect until the new stop placement is imposed. After a department finding of a violation for which a stop placement has been imposed, the department shall make an on-site revisit of the provider within fifteen working days from the request for revisit, to ensure correction of the violation. For violations that are serious or recurring or uncorrected following a previous citation, and create actual or threatened harm to one or more residents' well-being, including violations of residents' rights, the department shall make an on-site revisit as soon as appropriate to ensure correction of the violation. Verification of correction of all other violations may be made by either a department on-site revisit or by written or photographic documentation found by the department to be credible. This subsection does not prevent the department from enforcing license suspensions or revocations. Nothing in this subsection shall interfere with or diminish the department's authority and duty to ensure that the provider adequately cares for residents, including to make departmental on-site revisits as needed to ensure that the provider protects residents, and to enforce compliance with this chapter. (4) Chapter 34.05 RCW applies to department actions under this section, except that orders of the department imposing contracts suspension, stop placement, or conditions for continuation of a contract are effective immediately upon notice and shall continue pending any hearing.
RCW 74.04.290 — Washington Code / Title 74 / Chapter 04 / Section 290
RCW 74.04.290: Subpoena of witnesses, books, records, etc.
Status: in_force

In carrying out any of the provisions of this title, the secretary, the director, county administrators, hearing examiners, or other duly authorized officers of the department or authority shall have power to subpoena witnesses, administer oaths, take testimony and compel the production of such papers, books, records and documents as they may deem relevant to the performance of their duties. Subpoenas issued under this power shall be under RCW 43.20A.605 .
RCW 74.18.080 — Washington Code / Title 74 / Chapter 18 / Section 080
RCW 74.18.080: Rehabilitation council for the blind—Meetings—Travel expenses.
Status: in_force

(1) The rehabilitation council for the blind shall meet officially with the director of the department quarterly to perform the duties enumerated in RCW 74.18.090 . Additional meetings of the rehabilitation council may be convened at the call of the chairperson or of a majority of the members. The rehabilitation council shall elect a chairperson from among its members for a term of one year or until a successor has been elected. (2) Rehabilitation councilmembers shall receive reimbursement for travel expenses incurred in the performance of their official duties in accordance with RCW 43.03.050 and 43.03.060 .
RCW 74.15.140 — Washington Code / Title 74 / Chapter 15 / Section 140
RCW 74.15.140: Action against licensed or unlicensed agencies authorized.
Status: in_force

Notwithstanding the existence or pursuit of any other remedy, the secretary may, in the manner provided by law, upon the advice of the attorney general, who shall represent the department in the proceeding, maintain an action in the name of the state for injunction or such other relief as he or she may deem advisable against any agency subject to licensing under the provisions of chapter 74.15 RCW and RCW 74.13.031 or against any such agency not having a license as heretofore provided in chapter 74.15 RCW and RCW 74.13.031 .
RCW 74.60.100 — Washington Code / Title 74 / Chapter 60 / Section 100
RCW 74.60.100: Grants to financially distressed hospitals.
Status: in_force

(1) In each calendar year commencing upon satisfaction of the conditions in RCW 74.60.150 (1), the authority may make grants to financially distressed hospitals. (2) To qualify for a grant, a hospital must: (a) Be located in Washington, and not be part of a system of three or more hospitals; (b) Serve individuals enrolled in state and federal medical assistance programs; (c) Continue to provide services to a medicaid population; (d) Demonstrate a plan for long-term financial sustainability; (e) Meet one or more of the following criteria at the time of application: (i) Have 60 or fewer days cash on hand; (ii) Have negative net income during the prior or current hospital fiscal year; or (iii) Be at risk of bankruptcy; and (f) Not have received funds under this section for a period of more than five consecutive years. (3) The authority shall create an application process that identifies the amount of the request, how the moneys will be used, and includes a brief written response to the items listed in subsection (2)(a) through (d) of this section and documentation evidencing one or more of the criteria in subsection (2)(e) of this section. (4) The authority shall allocate the funds so as to give proportionately more money to eligible hospitals with more severe financial distress as measured by days cash on hand and that serve a higher proportion of medicaid patients. (5) If the total of qualified applications from financially distressed hospitals for these funds in a biennium is less than $10,000,000, the balance will be retained in the fund to be used in subsequent years for these purposes.The legislature finds a compelling need to address the problem of missing children, whether those children have been abducted by a stranger, are missing due to custodial interference, or are classified as runaways. Washington state ranks twelfth in the nation for active cases of missing juveniles and, at any given time, more than one thousand eight hundred Washington children are reported as missing. The potential for physical and psychological trauma to these children is extreme. Therefore, the legislature finds that it is paramount for the safety of these children that there be a concerted effort to resolve cases of missing and exploited children. Due to the complexity of many child abduction cases, most law enforcement personnel are unprepared and lack adequate resources to successfully and efficiently investigate these crimes. Therefore, it is the intent of the legislature that a multiagency task force be established within the Washington state patrol, to be available to assist local jurisdictions in missing child cases through referrals, on-site assistance, case management, and training. The legislature intends that the task force will increase the effectiveness of a specific case investigation by drawing from the combined resources, knowledge, and technical expertise of the members of the task force.
RCW 74.20.225 — Washington Code / Title 74 / Chapter 20 / Section 225
RCW 74.20.225: Subpoena authority—Enforcement.
Status: in_force

In carrying out the provisions of this chapter or chapters 26.18 , 26.23, 26.26A, 26.26B, and 74.20A RCW, the secretary and other duly authorized officers of the department may subpoena witnesses, take testimony, and compel the production of such papers, books, records, and documents as they may deem relevant to the performance of their duties. The division of child support may enforce subpoenas issued under this power according to RCW 74.20A.350 .
RCW 74.15.902 — Washington Code / Title 74 / Chapter 15 / Section 902
RCW 74.15.902: Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
Status: in_force

For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships. Nothing in chapter 521, Laws of 2009 shall be construed as creating or requiring the creation of any medical assistance program, as that term is defined in RCW 74.09.010 , for state registered domestic partners that is analogous to federal medical assistance programs extended to married persons.
RCW 74.98.030 — Washington Code / Title 74 / Chapter 98 / Section 030
RCW 74.98.030: Invalidity of part of title not to affect remainder.
Status: in_force

If any provision of this title, or its application to any person or circumstance is held invalid, the remainder of the title, the application of the provision to other persons or circumstances is not affected.
RCW 74.62.010 — Washington Code / Title 74 / Chapter 62 / Section 010
RCW 74.62.010: Definitions.
Status: in_force

For the purposes of this chapter, unless the context indicates otherwise, the following definitions shall apply: (1) "Aged, blind, and [or] disabled assistance program" means the program established under RCW 74.62.030 . (2) "Department" means the department of social and health services. (3) "Director" or "secretary" means the secretary of social and health services. (4) "Essential needs and housing support program" means the program established under RCW 43.185C.220 . (5) "Essential needs support" means personal health and hygiene items, cleaning supplies, other necessary items and transportation passes or tokens provided through an essential needs support entity established under RCW 43.185C.220 . (6) "Housing support" means assistance provided by a designated housing support entity established under RCW 43.185C.220 to maintain existing housing when the client is at substantial risk of becoming homeless, to obtain housing, or to obtain heat, electricity, natural gas, sewer, garbage, and water services when the client is at substantial risk of losing these services. (7) "Pregnant women assistance program" means the program established under RCW 74.62.030 . (8) In the construction of words and phrases used in this chapter, the singular number shall include the plural, the masculine gender shall include both the feminine and neuter genders, and the present tense shall include the past and future tenses, unless the context thereof shall clearly indicate to the contrary.
RCW 74.36.100 — Washington Code / Title 74 / Chapter 36 / Section 100
RCW 74.36.100: Department to participate in and administer Federal Older Americans Act of 1965.
Status: in_force

The department of social and health services is authorized to take advantage of and participate in the Federal Older Americans Act of 1965 (Public Law 89-73, 89th Congress, 79 Stat. 220) and to accept, administer and disburse any federal funds that may be available under said act.
RCW 74.46.909 — Washington Code / Title 74 / Chapter 46 / Section 909
RCW 74.46.909: Retrospective application—Clarification of chapter 8, Laws of 2001 1st sp. sess.—2008 c 263.
Status: in_force

The legislature clarifies the enactment of *chapter 8, Laws of 2001 1st sp. sess. and intends this act be curative, remedial, and retrospectively applicable to July 1, 1998.
RCW 74.08.283 — Washington Code / Title 74 / Chapter 08 / Section 283
RCW 74.08.283: Services provided to attain self-care.
Status: in_force

The department is authorized to provide such social and related services as are reasonably necessary to the end that applicants for or recipients of public assistance are helped to attain self-care.
RCW 74.04.760 — Washington Code / Title 74 / Chapter 04 / Section 760
RCW 74.04.760: Minimum amount of monthly assistance payments.
Status: in_force

Payment of assistance shall not be made for any month if the payment prior to any adjustments would be less than ten dollars. However, if payment is denied solely by reason of this section, the individual with respect to whom such payment is denied is determined to be a recipient of assistance for purposes of eligibility for other programs of assistance except for a community work experience program.
RCW 74.08A.260 — Washington Code / Title 74 / Chapter 08A / Section 260
RCW 74.08A.260: Work activity—Referral—Individual responsibility plan—Refusal to work.
Status: in_force

(1) Each recipient shall be assessed after determination of program eligibility and before referral to job search. Assessments shall be based upon factors that are critical to obtaining employment, including but not limited to education, availability of child care, history of family violence, history of substance abuse, and other factors that affect the ability to obtain employment. Assessments may be performed by the department or by a contracted entity. The assessment shall be based on a uniform, consistent, transferable format that will be accepted by all agencies and organizations serving the recipient. (2) Based on the assessment, an individual responsibility plan shall be prepared that: (a) Sets forth an employment goal and a plan for maximizing the recipient's success at meeting the employment goal; (b) considers WorkFirst educational and training programs from which the recipient could benefit; (c) contains the obligation of the recipient to participate in the program by complying with the plan; (d) moves the recipient into full-time WorkFirst activities as quickly as possible; and (e) describes the services available to the recipient either during or after WorkFirst to enable the recipient to obtain and keep employment and to advance in the workplace and increase the recipient's wage earning potential over time. (3) Recipients who are not engaged in work and work activities, and do not qualify for a good cause exemption under RCW 74.08A.270 , shall engage in self-directed service as provided in RCW 74.08A.330 . (4) If a recipient refuses to engage in work and work activities required by the department, after two months of continuous noncompliance, the family's grant shall be reduced by the recipient's share or by forty percent, whichever is greater, and must be terminated after twelve months of continuous noncompliance. (5) The department shall waive the penalties required under subsection (4) of this section, subject to a finding that the recipient refused to engage in work for good cause provided in RCW 74.08A.270 . (6) In consultation with the recipient, the department or contractor shall place the recipient into a work activity that is available in the local area where the recipient resides. (7) Assessments conducted under this section shall include a consideration of the potential benefit to the recipient of engaging in financial literacy activities. The department shall consider the options for financial literacy activities available in the community, including information and resources available through the financial education public-private partnership created under RCW 28A.300.450 . The department may authorize up to ten hours of financial literacy activities as a core activity or an optional activity under WorkFirst. (8) Subsections (2) through (6) of this section are suspended for a recipient who is a parent or other relative personally providing care for a child under the age of two years. This suspension applies to both one and two parent families. However, both parents in a two-parent family cannot use the suspension during the same month. Nothing in this subsection shall prevent a recipient from participating in the WorkFirst program on a voluntary basis.
RCW 74.39.007 — Washington Code / Title 74 / Chapter 39 / Section 007
RCW 74.39.007: Definitions.
Status: in_force

The definitions in this section apply throughout RCW 74.39.007 , 74.39.050 , 74.39.070 , 43.190.060 , and section 1, chapter 336, Laws of 1999 unless the context clearly requires otherwise. (1) "Self-directed care" means the process in which an adult person, who is prevented by a functional disability from performing a manual function related to health care that an individual would otherwise perform for himself or herself, chooses to direct and supervise a paid personal aide to perform those tasks. (2) "Personal aide" means an individual, working privately or as an individual provider as defined in RCW 74.39A.240 , who acts at the direction of an adult person with a functional disability living in his or her own home to assist with the physical performance of a health care task, as described in RCW 74.39.050 , that persons without a functional disability can perform themselves.
RCW 74.13.288 — Washington Code / Title 74 / Chapter 13 / Section 288
RCW 74.13.288: Blood-borne pathogens—Testing.
Status: in_force

The department of health shall develop recommendations concerning evidence-based practices for testing for blood-borne pathogens of children under one year of age who have been placed in out-of-home care and shall identify the specific pathogens for which testing is recommended.
RCW 74.13.315 — Washington Code / Title 74 / Chapter 13 / Section 315
RCW 74.13.315: Child care for foster parents attending meetings or training.
Status: in_force

The department may provide child care for all foster parents who are required to attend department-sponsored meetings or training sessions. If the department does not provide such child care, the department, where feasible, shall conduct the activities covered by this section in the foster parent's home or other location acceptable to the foster parent.
RCW 74.46.531 — Washington Code / Title 74 / Chapter 46 / Section 531
RCW 74.46.531: Department may adjust component rates—Contractor may request—Errors or omissions.
Status: in_force

(1) The department may adjust component rates for errors or omissions made in establishing component rates and determine amounts either overpaid to the contractor or underpaid by the department. (2) A contractor may request the department to adjust its component rates because of: (a) An error or omission the contractor made in completing a cost report; or (b) An alleged error or omission made by the department in determining one or more of the contractor's component rates. (3) A request for a rate adjustment made on incorrect cost reporting must be accompanied by the amended cost report pages prepared in accordance with the department's written instructions and by a written explanation of the error or omission and the necessity for the amended cost report pages and the rate adjustment. (4) The department shall review a contractor's request for a rate adjustment because of an alleged error or omission, even if the time period has expired in which the contractor must appeal the rate when initially issued, pursuant to rules adopted by the department under *RCW 74.46.780 . If the request is received after this time period, the department has the authority to correct the rate if it agrees an error or omission was committed. However, if the request is denied, the contractor shall not be entitled to any appeals or exception review procedure that the department may adopt under *RCW 74.46.780 . (5) The department shall notify the contractor of the amount of the overpayment to be recovered or additional payment to be made to the contractor reflecting a rate adjustment to correct an error or omission. The recovery from the contractor of the overpayment or the additional payment to the contractor shall be governed by the reconciliation, settlement, security, and recovery processes set forth in this chapter and by rules adopted by the department in accordance with this chapter. (6) Component rate adjustments approved in accordance with this section are subject to the provisions of RCW 74.46.421 .
RCW 74.48.030 — Washington Code / Title 74 / Chapter 48 / Section 030
RCW 74.48.030: Assessments.
Status: in_force

(1) In accordance with the redistribution method set forth in 42 C.F.R. Sec. 433.68(e)(1) and (2), the department shall seek a waiver of the broad-based and uniform provider assessment requirements of federal law to exclude certain nursing facilities from the skilled nursing facility safety net assessment and to permit certain high volume medicaid nursing facilities or facilities with a high number of total annual resident days to pay the skilled nursing facility safety net assessment at a lesser amount per nonmedicare patient day. (2) The skilled nursing facility safety net assessment shall, at no time, be greater than the maximum percentage of the nursing facility industry reported net patient service revenues allowed under federal law or regulation. (3) All skilled nursing facility safety net assessments collected pursuant to this section by the department shall be transmitted to the state treasurer who shall credit all such amounts to the skilled nursing facility safety net trust fund.
RCW 74.46.421 — Washington Code / Title 74 / Chapter 46 / Section 421
RCW 74.46.421: Purpose of part E—Nursing facility medicaid payment rates.
Status: in_force

(1) The purpose of *part E of this chapter is to determine nursing facility medicaid payment rates that, in the aggregate for all participating nursing facilities, are in accordance with the biennial appropriations act. (2)(a) The department shall use the nursing facility medicaid payment rate methodologies described in this chapter to determine initial component rate allocations for each medicaid nursing facility. (b) The initial component rate allocations shall be subject to adjustment as provided in this section in order to assure that the statewide average payment rate to nursing facilities is less than or equal to the statewide average payment rate specified in the biennial appropriations act. (3) Nothing in this chapter shall be construed as creating a legal right or entitlement to any payment that (a) has not been adjusted under this section or (b) would cause the statewide average payment rate to exceed the statewide average payment rate specified in the biennial appropriations act. (4)(a) The statewide average payment rate for any state fiscal year under the nursing facility payment system, weighted by patient days, shall not exceed the annual statewide weighted average nursing facility payment rate identified for that fiscal year in the biennial appropriations act. (b) If the department determines that the weighted average nursing facility payment rate calculated in accordance with this chapter is likely to exceed the weighted average nursing facility payment rate identified in the biennial appropriations act, then the department shall adjust all nursing facility payment rates proportional to the amount by which the weighted average rate allocations would otherwise exceed the budgeted rate amount. Any such adjustments for the current fiscal year shall only be made prospectively, not retrospectively, and shall be applied proportionately to each component rate allocation for each facility. (c) If any final order or final judgment, including a final order or final judgment resulting from an adjudicative proceeding or judicial review permitted by chapter 34.05 RCW, would result in an increase to a nursing facility's payment rate for a prior fiscal year or years, the department shall consider whether the increased rate for that facility would result in the statewide weighted average payment rate for all facilities for such fiscal year or years to be exceeded. If the increased rate would result in the statewide average payment rate for such year or years being exceeded, the department shall increase that nursing facility's payment rate to meet the final order or judgment only to the extent that it does not result in an increase to the statewide weighted average payment rate for all facilities.
RCW 74.13.287 — Washington Code / Title 74 / Chapter 13 / Section 287
RCW 74.13.287: Intent—Infant, foster family health.
Status: in_force

The legislature intends to establish a policy with the goal of ensuring that the health and well-being of both infants in foster care and the families providing for their care are protected.
RCW 74.48.090 — Washington Code / Title 74 / Chapter 48 / Section 090
RCW 74.48.090: Quality incentive payments.
Status: in_force

(1) The department and the department of health, in consultation with the Washington state health care association, and aging services of Washington, shall design a system of skilled nursing facility quality incentive payments. The design of the system shall be submitted to the relevant policy and fiscal committees of the legislature by January 1, 2013. For the 2011-2013 fiscal biennial budget period, the department shall not implement a system of skilled nursing facility quality incentive payments designed pursuant to this section. The system shall be based upon the following principles: (a) Evidence-based treatment and processes shall be used to improve health care outcomes for skilled nursing facility residents; (b) Effective purchasing strategies to improve the quality of health care services should involve the use of common quality improvement measures, while recognizing that some measures may not be appropriate for application to facilities with high bariatric, behaviorally challenged, or rehabilitation populations; (c) Quality measures chosen for the system should be consistent with the standards that have been developed by national quality improvement organizations, such as the national quality forum, the federal centers for medicare and medicaid services, or the federal agency for healthcare research and quality. New reporting burdens to skilled nursing facilities should be minimized by giving priority to measures skilled nursing facilities that are currently required to report to governmental agencies, such as the nursing home compare measures collected by the federal centers for medicare and medicaid services; (d) Benchmarks for each quality improvement measure should be set at levels that are feasible for skilled nursing facilities to achieve, yet represent real improvements in quality and performance for a majority of skilled nursing facilities in Washington state; and (e) Skilled nursing facilities performance and incentive payments should be designed in a manner such that all facilities in Washington are able to receive the incentive payments if performance is at or above the benchmark score set in the system established under this section. (2) Pursuant to an appropriation by the legislature, for state fiscal year 2014 and each fiscal year thereafter, assessments may be increased to support an additional one percent increase in skilled nursing facility reimbursement rates for facilities that meet the quality incentive benchmarks established under this section.
RCW 74.13.560 — Washington Code / Title 74 / Chapter 13 / Section 560
RCW 74.13.560: Educational continuity—Protocol development.
Status: in_force

(1) The administrative regions of the department shall, in collaboration with school districts within their region as required by RCW 28A.225.360 , develop protocols specifying specific strategies for communication, coordination, and collaboration regarding the status and progress of children in out-of-home care placed in the region, and children in the region who are the subject of a dependency proceeding. The purpose of the protocols is to maximize the educational continuity and achievement for the children. The protocols must include methods to assure effective sharing of information, consistent with RCW 28A.225.330 . (2) The protocols required by this section must also include protocols for making best interest determinations for students in out-of-home care, and children who are the subject of a dependency proceeding that comply with RCW 28A.225.350 . The protocols for making best interest determinations must be implemented before changing the school placement of a student. (3) For the purposes of this section, "children who are the subject of a dependency proceeding" means a child or youth who is located in Washington state and the subject of a shelter care or dependency order pursuant to chapter 13.34 RCW, and "out-of-home care" has the same meaning as in RCW 13.34.030 .
RCW 74.09.523 — Washington Code / Title 74 / Chapter 09 / Section 523
RCW 74.09.523: PACE program—Definitions—Requirements.
Status: in_force

(1) The definitions in this subsection apply throughout this section unless the context clearly requires otherwise. (a) "PACE" means the program of all-inclusive care for the elderly, a managed care medicare/medicaid program authorized under sections 1894, 1905(a), and 1934 of the social security act and administered by the department. (b) "PACE program agreement" means an agreement between a PACE organization, the health care financing administration, and the department. (2) A PACE program may operate in the state only in accordance with a PACE program agreement with the department. (3) A PACE program shall at the time of entering into the initial PACE program agreement, and at each renewal thereof, demonstrate cash reserves to cover expenses in the event of insolvency. (a) The cash reserves at a minimum shall equal the sum of: (i) One month's total capitation revenue; and (ii) One month's average payment to subcontractors. (b) The program may demonstrate cash reserves to cover expenses of insolvency with one or more of the following: Reasonable and sufficient net worth, insolvency insurance, or parental guarantees. (4) A PACE program must provide full disclosure regarding the terms of enrollment and the option to disenroll at any time to all persons who seek to participate or who are participants in the program. (5) The department must establish rules to authorize long-term care clients enrolled in a PACE program to elect to continue their enrollment in a PACE program regardless of improved status related to functional criteria for nursing facility level of care, consistent with 42 C.F.R. Sec. 460.160(b) (2013). (6) The department must develop and implement a coordinated plan to provide education about PACE program site operations under this section. The plan must include: (a) A strategy to assure that case managers and other staff with responsibilities related to eligibility determinations discuss the option and potential benefits of participating in a PACE program with all eligible long-term care clients; (b) Requirements that all clients eligible for placement in the community options program entry system waiver program that are age fifty-five or over and reside in a PACE service area be referred to the PACE provider for evaluation. The department's plan must assure that referrals are conducted in a manner that is consistent with federal requirements of Title XIX of the federal social security act; and (c) Requirements for additional and ongoing training for case managers and other staff with responsibilities related to eligibility determinations in those counties in which a PACE program is operating. The training must include instruction in recognizing the benefits of continued enrollment in a PACE program for those clients who have experienced improved status related to functional criteria for nursing facility level of care. (7) The department must identify a private entity that operates PACE program sites in Washington to provide the training required under subsection (6) of this section at no cost to the state.
RCW 74.34.205 — Washington Code / Title 74 / Chapter 34 / Section 205
RCW 74.34.205: Abandonment, abuse, or neglect—Exceptions.
Status: in_force

(1) Any vulnerable adult who relies upon and is being provided spiritual treatment in lieu of medical treatment in accordance with the tenets and practices of a well-recognized religious denomination may not for that reason alone be considered abandoned, abused, or neglected. (2) Any vulnerable adult may not be considered abandoned, abused, or neglected under this chapter by any health care provider, facility, facility employee, agency, agency employee, or individual provider who participates in good faith in the withholding or withdrawing of life-sustaining treatment from a vulnerable adult under chapter 70.122 RCW, or who acts in accordance with chapter 7.70 RCW or other state laws to withhold or withdraw treatment, goods, or services.
RCW 74.18.190 — Washington Code / Title 74 / Chapter 18 / Section 190
RCW 74.18.190: Services to blind children and their families.
Status: in_force

(1) The department may offer services to assist blind children and their families to learn skills and locate resources which increase the child's ability for personal development and participation in society. (2) Services provided under this section may include: (a) Direct consultation with blind children and their families to provide needs assessment, counseling, developmental training, adaptive skills, and information regarding other available resources; (b) Consultation and technical assistance in all sectors of society, at the request of a blind child, his or her family, or a service provider working with the child or family, to assure the blind child's rights to participate fully in educational, vocational, and social opportunities. The department is encouraged to establish working agreements and arrangements with community organizations and other state agencies which provide services to blind children. (3) To facilitate the coordination of services to blind children and their families, the office of superintendent of public instruction and the department of services for the blind shall negotiate an interagency agreement providing for coordinated service delivery and the sharing of information between the two agencies, including an annual register of blind students in the state of Washington.
RCW 74.08A.341 — Washington Code / Title 74 / Chapter 08A / Section 341
RCW 74.08A.341: Program constraints—Expenditures.
Status: in_force

The department of social and health services shall operate the Washington WorkFirst program authorized under RCW 74.08A.210 through 74.08A.330 , 43.330.145 , 43.216.710 , and 74.25.040 , and chapter 74.12 RCW within the following constraints: (1) The program shall be operated within amounts appropriated by the legislature and consistent with policy established by the legislature to achieve self-sufficiency through work and the following additional outcomes: (a) Recipients' economic status is improving through wage progression, job retention, and educational advancement; (b) Recipients' status regarding housing stability, medical and behavioral health, and job readiness is improving; (c) The well-being of children whose caretaker is receiving benefits on their behalf is improving with respect to child welfare and educational achievement. (2)(a) The department shall create a budget structure that allows for more transparent tracking of program spending. The budget structure shall outline spending for the following: Temporary assistance for needy family grants, WorkFirst activities, and administration of the program. (b) Each biennium, the department shall establish a biennial spending plan, using the budget structure created in (a) of this subsection, for this program and submit the plan to the legislative fiscal committees and the legislative-executive WorkFirst poverty reduction oversight task force no later than July 1st of every odd-numbered year, beginning on July 1, 2013. The department shall update the legislative fiscal committees and the task force on the spending plan if modifications are made to the plan previously submitted to the legislature and the task force for that biennium. (c) The department also shall provide expenditure reports to the fiscal committees of the legislature and the legislative-executive WorkFirst poverty reduction oversight task force beginning September 1, 2012, and on a quarterly basis thereafter. If the department determines, based upon quarterly expenditure reports, that expenditures will exceed funding at the end of the fiscal year, the department shall take those actions necessary to ensure that services provided under this chapter are available only to the extent of and consistent with appropriations in the operating budget and policy established by the legislature following notification provided in (b) of this subsection. (3) No more than fifteen percent of the temporary assistance for needy families block grant, the federal child care funds, and qualifying state expenditures may be spent for administrative purposes. For purposes of this subsection, "administrative purposes" does not include expenditures for information technology and computerization needed for tracking and monitoring required by P.L. 104-193. (4) The department shall expend funds appropriated for work activities, as defined in RCW 74.08A.250 , or for other services provided to WorkFirst recipients, as authorized under RCW 74.08A.290 .
RCW 74.39A.007 — Washington Code / Title 74 / Chapter 39A / Section 007
RCW 74.39A.007: Purpose and intent.
Status: in_force

It is the legislature's intent that: (1) Long-term care services administered by the department of social and health services include a balanced array of health, social, and supportive services that promote individual choice, dignity, and the highest practicable level of independence; (2) Home and community-based services be developed, expanded, or maintained in order to meet the needs of consumers and to maximize effective use of limited resources; (3) Long-term care services be responsive and appropriate to individual need and also cost-effective for the state; (4) Nursing home care is provided in such a manner and in such an environment as will promote maintenance or enhancement of the quality of life of each resident and timely discharge to a less restrictive care setting when appropriate; and (5) State health planning for nursing home bed supply take into account increased availability of other home and community-based service options.
RCW 74.39A.525 — Washington Code / Title 74 / Chapter 39A / Section 525
RCW 74.39A.525: Overtime criteria—Department-contracted individual providers—Individual providers employed by a consumer directed employer—Rule making—Expenditure reports—Joint legislative-executive overtime oversight task force.
Status: in_force

(1) Except as authorized by subsection (3) or (4) of this section or otherwise required by law, the department may not permit a client to use a single department-contracted individual provider for more than forty hours in one workweek. (2) A consumer directed employer that employs individual providers: (a) Must permit a client to use a single individual provider more than forty hours in a workweek if required by rules adopted under subsection (3) of this section; (b) May permit an individual provider to work additional hours in accordance with subsection (4) of this section; and (c) May permit an individual provider to work more than forty hours per workweek. (3) The department shall adopt rules describing criteria under which a consumer may be permitted to use a single individual provider for more than forty hours per week. At a minimum, the criteria shall limit the state's exposure to exceeding the expenditure limits established in this section, require consumers to use good faith efforts to locate additional providers, address travel time from worksite to worksite, and address the following needs of consumers: (a) Emergencies that could pose a health and safety risk for consumers; and (b) Circumstances that could increase the risk of institutionalization without the use of overtime. (4) An individual provider may be authorized to work more than forty hours in a workweek: (a) If the department established a permanent workweek limit between forty and one-quarter hours and sixty-five hours for an individual provider, based upon work performed by the individual provider in January 2016, as modified by an appeal, if any; or (b) For required training under RCW 74.39A.074 , 74.39A.076 , and 74.39A.341 , and for required travel time between clients. (5) The cost of overtime incurred under subsections (2)(a) and (b) and (4) of this section shall be included in a consumer directed employer labor rate determined in accordance with RCW 74.39A.530 . The following overtime costs shall not be included in the labor rate under RCW 74.39A.530 : (a) Costs incurred under subsection (2)(c) of this section; (b) Costs incurred by an employee of a consumer directed employer for services provided to an individual who is not a consumer; (c) Costs for services not authorized under this chapter; and (d) Overtime costs incurred because an employee of a consumer directed employer performed work: (i) For both a consumer and an individual who is not a consumer; or (ii) Worked as both an individual provider and as an employee of the licensed home care agency affiliated with the consumer directed employer. (6) Expenditures for hours in excess of forty hours each workweek under subsections (1) and (2) of this section shall not exceed eight and one-fourth percent of the total actual authorized personal care hours for the fiscal year as projected by the caseload forecast council. (7) The caseload forecast council may adopt a temporary adjustment to the eight and one-fourth percent of the total average in-home personal care hours projection for that fiscal year, up to a maximum of ten percent, if it finds a higher percentage of overtime hours is necessitated by a shortage of individual providers to provide adequate client care, taking into consideration factors including the criteria in subsection (1) of this section and rules adopted by the department. If the council elects to temporarily increase the limit, it may do so only upon a majority vote of the council. (8) The department shall prepare expenditure reports beginning September 1, 2018, and on September 1st every year thereafter. The report shall include the results of the department's monitoring of authorizations and costs of hours in excess of forty hours each workweek. If the department determines that the annual expenditures will exceed the limitation established in subsection (3) of this section, the department shall take those actions necessary to ensure compliance with the limitation. (9) The expenditure reports must be submitted to the legislative fiscal committees and the joint legislative-executive overtime oversight task force. The joint legislative-executive overtime oversight task force members are as follows: (a) Two members from each of the two largest caucuses of the senate, appointed by the respective caucus leaders. (b) Two members from each of the two largest caucuses of the house of representatives, appointed by the speaker of the house of representatives. (c) The governor shall appoint members representing the department of social and health services and the office of financial management. (d) The governor shall appoint two members representing individual providers and two members representing consumers receiving personal care or respite care services from an individual provider. (10) The task force shall meet when the department determines that it is projected to or is exceeding the expenditure limits established in subsection (6) of this section but may meet more frequently as desired by the task force. The task force shall choose cochairs, one from among the legislative members and one from among the executive branch members. (11) The department may take appropriate corrective action, up to and including termination of an individual provider's contract, when the individual provider works more than his or her workweek limit in any given workweek.
RCW 74.09.4701 — Washington Code / Title 74 / Chapter 09 / Section 4701
RCW 74.09.4701: Apple health for kids—Unemployment compensation.
Status: in_force

For apple health for kids, the department shall not count the twenty-five dollar increase paid as part of an individual's weekly benefit amount when determining family income, eligibility, and payment levels.
RCW 74.38.900 — Washington Code / Title 74 / Chapter 38 / Section 900
RCW 74.38.900: Short title.
Status: in_force

Sections 1 through 6 of this act shall be known and may be cited as the "Senior Citizens Services Act".
RCW 74.09.650 — Washington Code / Title 74 / Chapter 09 / Section 650
RCW 74.09.650: Prescription drug assistance program.
Status: in_force

(1) To the extent funds are appropriated specifically for this purpose, and subject to any conditions placed on appropriations made for this purpose, the authority shall design a medicaid prescription drug assistance program. Neither the benefits of, nor eligibility for, the program is considered to be an entitlement. (2) The authority shall request any federal waiver necessary to implement this program. Consistent with federal waiver conditions, the department may charge enrollment fees, premiums, or point-of-service cost-sharing to program enrollees. (3) Eligibility for this program is limited to persons: (a) Who are eligible for medicare or age sixty-five and older; (b) Whose family income does not exceed two hundred percent of the federal poverty level as adjusted for family size and determined annually by the federal department of health and human services; (c) Who lack insurance that provides prescription drug coverage; and (d) Who are not otherwise eligible under Title XIX of the federal social security act. (4) The authority shall use a cost-effective prescription drug benefit design. Consistent with federal waiver conditions, this benefit design may be different than the benefit design offered under the medical assistance program. The benefit design may include a deductible benefit that provides coverage when enrollees incur higher prescription drug costs as defined by the department. The authority also may offer more than one benefit design. (5) The authority shall limit enrollment of persons who qualify for the program so as to prevent an overexpenditure of appropriations for this program or to assure necessary compliance with federal waiver budget neutrality requirements. The authority may not reduce existing medical assistance program eligibility or benefits to assure compliance with federal waiver budget neutrality requirements. (6) Premiums paid by medicaid enrollees not in the medicaid prescription drug assistance program may not be used to finance the medicaid prescription drug assistance program. (7) This program will be terminated within twelve months after implementation of a prescription drug benefit under Title XVIII of the federal social security act.
RCW 74.66.080 — Washington Code / Title 74 / Chapter 66 / Section 080
RCW 74.66.080: Qui tam action—Restrictions—Dismissal.
Status: in_force

(1) In no event may a person bring a qui tam action which is based upon allegations or transactions which are the subject of a civil suit or an administrative civil money penalty proceeding in which the state is already a party. (2)(a) The court must dismiss an action or claim under this section, unless opposed by the attorney general, if substantially the same allegations or transactions as alleged in the action or claim were publicly disclosed: (i) In a state criminal, civil, or administrative hearing in which the attorney general or other governmental [government] entity is a party; (ii) In a legislative report, or other state report, hearing, audit, or investigation; or (iii) By the news media; unless the action is brought by the attorney general or the relator is an original source of the information. (b) For purposes of this section, "original source" means an individual who either (i) prior to a public disclosure under (a) of this subsection, has voluntarily disclosed to the attorney general the information on which allegations or transactions in a claim are based, or (ii) has knowledge that is independent of, and materially adds to, the publicly disclosed allegations or transactions, and who has voluntarily provided the information to the attorney general before filing an action under this section.
RCW 74.74.070 — Washington Code / Title 74 / Chapter 74 / Section 070
RCW 74.74.070: Rules.
Status: in_force

The department may adopt rules in order to achieve the purposes of this chapter.
RCW 74.04.635 — Washington Code / Title 74 / Chapter 04 / Section 635
RCW 74.04.635: State supplement to national program of supplemental security income—World War II Philippine veterans.
Status: in_force

(1) Notwithstanding any other provision of law, any person receiving benefits under RCW 74.04.620 on December 14, 1999, and who meets the requirements of subsection (2) of this section is eligible to receive benefits under this section although he or she does not retain a residence in the state and returns to the Republic of the Philippines, if he or she maintains a permanent residence in the Republic of the Philippines without any lapse of his or her presence in the Republic of the Philippines. (2) A person subject to subsection (1) of this section is eligible to receive benefits pursuant to this section if he or she was receiving benefits pursuant to RCW 74.04.620 on December 14, 1999, and meets both the following requirements: (a) He or she is a veteran of World War II; and (b)(i) He or she was a member of the government of the Commonwealth of the Philippines military forces who was in the service of the United States on July 26, 1941, or thereafter; or (ii) He or she was a Regular Philippine Scout who enlisted in Filipino-manned units of the United States army prior to October 6, 1945; or (iii) He or she was a member of the Special Philippine Scouts who enlisted in the United States Armed Forces between October 6, 1945, and June 30, 1947. (3) Within funds appropriated for this purpose, the department is authorized to make a one-time lump sum payment of one thousand five hundred dollars to each person eligible for benefits under this section. (a) Benefits paid under this section are in lieu of benefits paid under RCW 74.04.620 for the period for which the benefits are paid. (b) Benefits are to be paid under this section for any period during which the recipient is receiving benefits under Title 8 of the federal social security act as a result of the application of federal Public Law 106-169, subject to any limitations imposed by this section. (4) This section applies only to an individual who returns to the Republic of the Philippines for the period during which the individual establishes and maintains a residence in the Republic of the Philippines.
RCW 74.15.080 — Washington Code / Title 74 / Chapter 15 / Section 080
RCW 74.15.080: Access to agencies, records.
Status: in_force

All agencies subject to chapter 74.15 RCW and RCW 74.13.031 shall accord the department, the secretary of health, the chief of the Washington state patrol, and the director of fire protection, or their designees, the right of entrance and the privilege of access to and inspection of records for the purpose of determining whether or not there is compliance with the provisions of chapter 74.15 RCW and RCW 74.13.031 and the requirements adopted thereunder.
RCW 74.09.5228 — Washington Code / Title 74 / Chapter 09 / Section 5228
RCW 74.09.5228: Primary care health homes—Children with medically complex conditions.
Status: in_force

By January 1, 2025, the authority shall submit a state plan amendment to the federal centers for medicare and medicaid services to allow medicaid-eligible children with medically complex conditions to voluntarily enroll in a health home as provided in section 3 of the medicaid services investment and accountability act of 2019 (P.L. 116-16).
RCW 74.76.060 — Washington Code / Title 74 / Chapter 76 / Section 060
RCW 74.76.060: Medicaid access program—Rules.
Status: in_force

The authority may adopt rules and undertake actions necessary to carry out RCW 74.76.020 , 74.76.030 , and 74.76.050 including, but not limited to, rules prescribing the medicaid access program plan of operations, measures to enforce reporting of covered lives, audits of covered lives reporting, and payment of applicable assessments.
RCW 74.42.010 — Washington Code / Title 74 / Chapter 42 / Section 010
RCW 74.42.010: Definitions.
Status: in_force

Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter. (1) "Department" means the department of social and health services and the department's employees. (2) "Direct care staff" means the staffing domain identified and defined in the center[s] for medicare and medicaid services' five-star quality rating system and as reported through the center[s] for medicare and medicaid services' payroll-based journal. For purposes of calculating hours per resident day minimum staffing standards for facilities with sixty-one or more licensed beds, the director of nursing services classification (job title code five), as identified in the centers for medicare and medicaid services' payroll-based journal, shall not be used. For facilities with sixty or fewer beds the director of nursing services classification (job title code five) shall be included in calculating hours per resident day minimum staffing standards. (3) "Facility" refers to a nursing home as defined in RCW 18.51.010 . (4) "Geriatric behavioral health worker" means a person with a bachelor's or master's degree in social work, behavioral health, or other related areas, or a person who has received specialized training devoted to mental illness and treatment of older adults. (5) "Licensed practical nurse" means a person licensed to practice practical nursing under chapter 18.79 RCW. (6) "Medicaid" means Title XIX of the Social Security Act enacted by the social security amendments of 1965 (42 U.S.C. Sec. 1396; 79 Stat. 343), as amended. (7) "Nurse practitioner" means a person licensed to practice *advanced registered nursing under chapter 18.79 RCW. (8) "Nursing care" means that care provided by a registered nurse, an **advanced registered nurse practitioner, a licensed practical nurse, or a nursing assistant in the regular performance of their duties. (9) "Physician" means a person practicing pursuant to chapter 18.57 or 18.71 RCW, including, but not limited to, a physician employed by the facility as provided in chapter 18.51 RCW. (10) "Physician assistant" means a person practicing pursuant to chapter 18.71A RCW. (11) "Qualified therapist" means: (a) An activities specialist who has specialized education, training, or experience specified by the department. (b) An audiologist who is eligible for a certificate of clinical competence in audiology or who has the equivalent education and clinical experience. (c) A mental health professional as defined in chapter 71.05 RCW. (d) An intellectual disabilities professional who is a qualified therapist or a therapist approved by the department and has specialized training or one year experience in treating or working with persons with intellectual or developmental disabilities. (e) An occupational therapist who is a graduate of a program in occupational therapy or who has equivalent education or training. (f) A physical therapist as defined in chapter 18.74 RCW. (g) A social worker as defined in RCW 18.320.010 (2). (h) A speech pathologist who is eligible for a certificate of clinical competence in speech pathology or who has equivalent education and clinical experience. (12) "Registered nurse" means a person licensed to practice registered nursing under chapter 18.79 RCW. (13) "Resident" means an individual residing in a nursing home, as defined in RCW 18.51.010 .
RCW 74.14B.050 — Washington Code / Title 74 / Chapter 14B / Section 050
RCW 74.14B.050: Child abuse and neglect—Counseling referrals.
Status: in_force

The department shall inform victims of child abuse and neglect and their families of the availability of state-supported counseling through the crime victims' compensation program, community mental health centers, domestic violence and sexual assault programs, and other related programs. The department shall assist victims with referrals to these services.
RCW 74.09.748 — Washington Code / Title 74 / Chapter 09 / Section 748
RCW 74.09.748: Regional service areas—Certain reimbursements required or allowed upon adoption of fully integrated managed health care system.
Status: in_force

Upon adoption of a fully integrated managed health care system pursuant to chapter 71.24 RCW, regional service areas: (1) Must allow reimbursement for time spent supervising persons working toward satisfying supervision requirements established for the relevant practice areas pursuant to RCW 18.225.090 ; and (2) May allow reimbursement for services delivered through a partial hospitalization or intensive outpatient program as described in RCW 71.24.385 .
RCW 74.09.653 — Washington Code / Title 74 / Chapter 09 / Section 653
RCW 74.09.653: Drug reimbursement policy recommendations.
Status: in_force

A committee or council required by federal law, within the health care authority, that makes policy recommendations regarding reimbursement for drugs under the requirements of federal law or regulations is subject to chapter 42.30 RCW.
RCW 74.42.250 — Washington Code / Title 74 / Chapter 42 / Section 250
RCW 74.42.250: Medication stop orders—Procedure for persons with developmental disabilities.
Status: in_force

(1) When the physician's order for medication does not include a specific time limit or a specific number of dosages, the facility shall notify the physician that the medication will be stopped at a date certain unless the medication is ordered continued by the physician. The facility shall so notify the physician every thirty days. (2) A facility for the developmentally disabled shall have an automatic stop order on all drugs, unless such stoppage will place the patient in jeopardy.
RCW 74.34.095 — Washington Code / Title 74 / Chapter 34 / Section 095
RCW 74.34.095: Confidential information—Disclosure.
Status: in_force

(1) The following information is confidential and not subject to disclosure, except as provided in this section: (a) A report of abandonment, abuse, financial exploitation, or neglect made under this chapter; (b) The identity of the person making the report; and (c) All files, reports, records, communications, and working papers used or developed in the investigation or provision of protective services. (2) Information considered confidential may be disclosed only for a purpose consistent with this chapter or as authorized by chapter 18.20 , 18.51, or 74.39A RCW, the long-term care ombuds programs under federal law or state law, chapter 43.190 RCW, or the office of the developmental disabilities ombuds program under chapter 43.382 RCW. (3) A court or presiding officer in an administrative proceeding may order disclosure of confidential information only if the court, or presiding officer in an administrative proceeding, determines that disclosure is essential to the administration of justice and will not endanger the life or safety of the vulnerable adult or individual who made the report. The court or presiding officer in an administrative hearing may place restrictions on such disclosure as the court or presiding officer deems proper. (4)(a) Except as provided in (b) of this subsection, upon a request for information regarding a specifically named vulnerable adult, the department may disclose only the following information: (i) Whether or not a report was received; (ii) The status of the report; and (iii) The outcome of an investigation. (b) The department may not disclose any information regarding a specifically named vulnerable adult if any of the following circumstances apply: (i) The information concerns a vulnerable adult residing in or receiving services from a department licensed or certified facility or provider where an unannounced investigation in response to the report has not been initiated; (ii) The requester is the alleged perpetrator; (iii) The department has a reasonable belief that disclosure may compromise any investigation by a law enforcement agency, disciplinary authority, the department, or the department of children, youth, and families; or (iv) The department has a reasonable belief that the information may endanger any person.
RCW 74.20A.920 — Washington Code / Title 74 / Chapter 20A / Section 920
RCW 74.20A.920: Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
Status: in_force

For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.
RCW 74.41.080 — Washington Code / Title 74 / Chapter 41 / Section 080
RCW 74.41.080: Health care practitioners and facilities not impaired.
Status: in_force

Nothing in this chapter shall impair the practice of any licensed health care practitioner or licensed health care facility.
RCW 74.39A.130 — Washington Code / Title 74 / Chapter 39A / Section 130
RCW 74.39A.130: Chore services—Department to develop program.
Status: in_force

(1) The department is authorized to develop a program to provide for chore services under this chapter. (2) The department may provide assistance in the recruiting of providers of the services enumerated in RCW 74.39A.120 and seek to assure the timely provision of services in emergency situations. (3) The department shall assure that all providers of the chore services under this chapter are compensated for the delivery of the services on a prompt and regular basis.
RCW 74.15.110 — Washington Code / Title 74 / Chapter 15 / Section 110
RCW 74.15.110: Renewal of licenses.
Status: in_force

If a licensee desires to apply for a renewal of its license, a request for a renewal shall be filed ninety days prior to the expiration date of the license except that a request for renewal of a foster family home license shall be filed prior to the expiration of the license. If the department has failed to act at the time of the expiration date of the license, the license shall continue in effect until such time as the department shall act.
RCW 74.42.100 — Washington Code / Title 74 / Chapter 42 / Section 100
RCW 74.42.100: Personal mail.
Status: in_force

The facility shall not open the personal mail that residents send or receive.
RCW 74.14A.060 — Washington Code / Title 74 / Chapter 14A / Section 060
RCW 74.14A.060: Blended funding projects.
Status: in_force

Within available funds, the secretary of the department of children, youth, and families shall support blended funding projects for youth. To be eligible for blended funding a child must be eligible for services designed to address a behavioral, mental, emotional, or substance abuse issue from the department of social and health services or the department of children, youth, and families and require services from more than one categorical service delivery system. Before any blended funding project is established by the secretary of the department of children, youth, and families, any entity or person proposing the project shall seek input from the public health and safety network or networks established in the catchment area of the project. The network or networks shall submit recommendations on the blended funding project to the private-public initiative described in RCW 70.305.020 . The private-public initiative shall advise the secretary whether to approve the proposed blended funding project. The network shall review the proposed blended funding project pursuant to its authority to examine the decategorization of program funds under *RCW 70.190.110 , within the current appropriation level. The department shall document the number of children who participate in blended funding projects, the total blended funding amounts per child, the amount charged to each appropriation by program, and services provided to each child through each blended funding project.
RCW 74.98.050 — Washington Code / Title 74 / Chapter 98 / Section 050
RCW 74.98.050: Repeals and saving.
Status: in_force

See 1959 c 26 s 74.98.050 .
RCW 74.39.050 — Washington Code / Title 74 / Chapter 39 / Section 050
RCW 74.39.050: Individuals with functional disabilities—Self-directed care.
Status: in_force

(1) An adult person with a functional disability living in his or her own home may direct and supervise a paid personal aide in the performance of a health care task. (2) The following requirements shall guide the provision of self-directed care under chapter 336, Laws of 1999: (a) Health care tasks are those medical, nursing, or home health services that enable the person to maintain independence, personal hygiene, and safety in his or her own home, and that are services that a person without a functional disability would customarily and personally perform without the assistance of a licensed health care provider. (b) The individual who chooses to self-direct a health care task is responsible for initiating self-direction by informing the health care professional who has ordered the treatment which involves that task of the individual's intent to perform that task through self-direction. (c) When state funds are used to pay for self-directed tasks, a description of those tasks will be included in the client's comprehensive assessment, and subject to review with each annual reassessment. (d) When a licensed health care provider orders treatment involving a health care task to be performed through self-directed care, the responsibility to ascertain that the patient understands the treatment and will be able to follow through on the self-directed care task is the same as it would be for a patient who performs the health care task for himself or herself, and the licensed health care provider incurs no additional liability when ordering a health care task which is to be performed through self-directed care. (e) The role of the personal aide in self-directed care is limited to performing the physical aspect of health care tasks under the direction of the person for whom the tasks are being done. This shall not affect the ability of a person who acts as a personal aide by performing self-directed health care tasks to also provide other home care services, such as personal care or homemaker services, which enable the client to remain at home. (f) The responsibility to initiate self-directed health care tasks, to possess the necessary knowledge and training for those tasks, and to exercise judgment regarding the manner of their performance rests and remains with the person who has chosen to self-direct those tasks, including the decision to employ and dismiss a personal aide.See RCW 74.04.340 through 74.04.360 .
RCW 74.13.802 — Washington Code / Title 74 / Chapter 13 / Section 802
RCW 74.13.802: Child welfare housing assistance program.
Status: in_force

(1) Within funds appropriated for this specific purpose, the department shall administer a child welfare housing assistance program, which provides housing vouchers, rental assistance, navigation, and other support services to eligible families. (a) The department shall operate or contract for the operation of the child welfare housing assistance program under subsection (3) of this section in one or more counties west of the crest of the Cascade mountain range and one or more counties east of the crest of the Cascade mountain range. (b) The child welfare housing assistance program is intended to reduce the need for foster care placement and to shorten the time that children remain in out-of-home care when placement is necessary. (c) The department or entities contracted with the department under this section may continue to provide housing assistance through the child welfare housing assistance program after the department is no longer providing child welfare or child protective services to the family. (d) The department shall adopt rules to establish formal procedures for implementation of the child welfare housing assistance program. (2) The following families are eligible for assistance from the child welfare housing assistance program: (a) A parent with a child who is dependent pursuant to chapter 13.34 RCW and a lack of appropriate housing is a remaining barrier to reunification; and (b) A parent of a child who is a candidate for foster care as defined in RCW 26.44.020 and whose housing instability is a barrier to the child remaining in the home. (3) The department shall contract with an outside entity or entities, who must have a demonstrated understanding of the importance of stable housing for children and families involved or at risk of being involved with the child welfare system, to operate the child welfare housing assistance program. If no outside entity or entities are available to operate the program or specific parts of the program, the department may operate the program or the specific parts that are not operated by an outside entity. (4) Families may be referred to the child welfare housing assistance program by a department caseworker, an attorney, a guardian ad litem as defined in chapter 13.34 RCW, a parent ally as defined in RCW 2.70.060 , an office of public defense social worker, or the court. (5) The department shall consult with a stakeholder group that must include, but is not limited to, the following: (a) Parent allies; (b) Parent attorneys and social workers managed by the office of public defense parent representation program; (c) The department of commerce; (d) Housing experts; (e) Community-based organizations; (f) Advocates; and (g) Behavioral health providers. (6) The stakeholder group established in subsection (5) of this section shall begin meeting after July 28, 2019, and assist the department in design of the child welfare housing assistance program in areas including, but not limited to: (a) Equitable racial, geographic, ethnic, and gender distribution of program support; (b) Eligibility criteria; (c) Creating a definition of homeless for purposes of eligibility for the program; and (d) Options for program design that include outside entities operating the entire program or specific parts of the program. (7) Beginning November 1, 2024, the department shall annually report data and outcomes for the child welfare housing assistance program to the legislature. At a minimum, when available, the report must include the following information: (a) Distribution of the child welfare housing assistance program by race, geography, ethnicity, and gender including a discussion of whether this distribution was equitable; (b) Any recommendations for legislative changes to the child welfare housing assistance program; (c) The number of unhoused parents on the waiting list for vouchers supported by the child welfare housing assistance program and the average time spent on the waiting list; (d) The percentage of funding spent on housing assistance for families to prevent out-of-home placement, support reunification, provide for program administration, or other purposes; and (e) The percentage of funding spent on program administration, rental assistance to families, and supportive services necessary to receive federal housing voucher support. (8) The child welfare housing assistance program established in this section is subject to the availability of funds appropriated for this purpose. (9) Subject to the availability of amounts appropriated for this specific purpose, the department shall serve families eligible for the child welfare housing assistance program who are placed on a waiting list of any kind in an attempt to serve all families eligible for the child welfare housing assistance program and eliminate any waiting lists.
RCW 74.13.055 — Washington Code / Title 74 / Chapter 13 / Section 055
RCW 74.13.055: Foster care—Length of stay.
Status: in_force

The department shall adopt rules pursuant to chapter 34.05 RCW which establish goals as to the maximum number of children who will remain in foster care for a period of longer than twenty-four months.
RCW 74.64.900 — Washington Code / Title 74 / Chapter 64 / Section 900
RCW 74.64.900: Effective date—2012 c 234.
Status: in_force

This act takes effect July 1, 2012.
RCW 74.08.340 — Washington Code / Title 74 / Chapter 08 / Section 340
RCW 74.08.340: No vested rights conferred.
Status: in_force

All assistance granted under this title shall be deemed to be granted and to be held subject to the provisions of any amending or repealing act that may hereafter be enacted, and no recipient shall have any claim for compensation, or otherwise, by reason of his or her assistance being affected in any way by such amending or repealing act. There is no legal entitlement to public assistance.
RCW 74.08.290 — Washington Code / Title 74 / Chapter 08 / Section 290
RCW 74.08.290: Suspension of payments—Need lapse—Imprisonment—Conviction under RCW 74.08.331.
Status: in_force

The department is hereby authorized to suspend temporarily the public assistance granted to any person for any period during which such person is not in need thereof. If a recipient is convicted of any crime or offense, and punished by imprisonment, no payment shall be made during the period of imprisonment. If a recipient is convicted of unlawful practices under RCW 74.08.331 , no payment shall be made for a period to be determined by the court, but in no event less than six months upon the first conviction and no less than twelve months for a second or subsequent violation. This suspension of public assistance shall apply regardless of whether the recipient is subject to complete or partial confinement upon conviction, or incurs some lesser penalty.
RCW 74.41.070 — Washington Code / Title 74 / Chapter 41 / Section 070
RCW 74.41.070: Family caregiver long-term care information and support services—Data.
Status: in_force

The area agencies on aging administering family caregiver long-term care information and support services shall maintain data which indicates demand for family caregiver long-term care information and support services.
RCW 74.42.050 — Washington Code / Title 74 / Chapter 42 / Section 050
RCW 74.42.050: Residents to be treated with consideration, respect—Complaints.
Status: in_force

(1) Residents shall be treated with consideration, respect, and full recognition of their dignity and individuality. Residents shall be encouraged and assisted in the exercise of their rights as residents of the facility and as citizens. (2) A resident or guardian, if any, may submit complaints or recommendations concerning the policies of the facility to the staff and to outside representatives of the resident's choice. No facility may restrain, interfere, coerce, discriminate, or retaliate in any manner against a resident who submits a complaint or recommendation.
RCW 74.13.289 — Washington Code / Title 74 / Chapter 13 / Section 289
RCW 74.13.289: Blood-borne pathogens—Client information—Training.
Status: in_force

(1) Upon any placement, the department shall inform each out-of-home care provider if the child to be placed in that provider's care is infected with a blood-borne pathogen, and shall identify the specific blood-borne pathogen for which the child was tested if known by the department. (2) All out-of-home care providers licensed by the department shall receive training related to blood-borne pathogens, including prevention, transmission, infection control, treatment, testing, and confidentiality. (3) Any disclosure of information related to HIV must be in accordance with RCW 70.02.220 . (4) The department of health shall identify by rule the term "blood-borne pathogen" as used in this section.
RCW 74.25A.060 — Washington Code / Title 74 / Chapter 25A / Section 060
RCW 74.25A.060: Program participants—Benefits and salary not to be diminished.
Status: in_force

An applicant or recipient of aid under this chapter who participates in the employment partnership program shall be guaranteed that the value of the benefits available to him or her before entry into the program shall not be diminished. In addition, a participant employed under this chapter shall be treated in the same manner as are regular employees, and the participant's salary shall be the amount that he or she would have received if employed in that position and not participating under this chapter.