reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-507 - Medical assistance programs for noncitizens › Section 182-507-0125 - State-funded long-term care services

Current through Register Vol. 24-14, July 15, 2024
(1)
Caseload
				limits.
(a) The state-funded long-term
				care services program is subject to caseload limits determined by legislative
				funding.
(b) The aging and
				long-term support administration (ALTSA) must preauthorize state-funded
				long-term care service before payments begin.
(c) ALTSA cannot authorize a service, under
				chapter 388-106 WAC, if doing so would exceed statutory caseload
				limits.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-507 - Medical assistance programs for noncitizens › Section 182-507-0130 - Refugee medical assistance (RMA)

Current through Register Vol. 24-14, July 15, 2024
(1)
				You are eligible for refugee medical assistance (RMA) if all the following
				conditions are met. You:
(a) Meet immigration
				status requirements of WAC
				182-507-0135;
(b) Have countable resources below $1,000 on
				the date of application;
(c) Have
				countable income equal to or below 200 percent of the federal poverty level
				(FPL) on the date of application. The following income is not considered when
				determining eligibility for RMA:
(i)
				Resettlement cash payments made by the voluntary agency (VOLAG);
(ii) Income of a sponsor is not counted
				unless the sponsor is also part of your assistance unit; and
(iii) Income received after the date of
				application.
(d) Provide
				the name of the VOLAG which helped bring you to the United States so that the
				department of social and health services (DSHS) can promptly notify the VOLAG
				(or sponsor) about the medical application.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-507 - Medical assistance programs for noncitizens › Section 182-507-0135 - Immigration status requirement for refugee medical assistance (RMA)

Current through Register Vol. 24-14, July 15, 2024
(1) An individual
				is eligible for refugee medical assistance (RMA) if the individual provides
				documentation issued by the United States Citizenship and Immigration Services
				(USCIS) to show that the individual is:
(a)
				Admitted as a refugee under section 207 of the Immigration and Nationalities
				Act (INA);
(b) Paroled into the
				United States as a refugee or asylee under section 212 (d)(5) of the
				INA;
(c) Granted conditional entry
				under section 203 (a)(7) of the INA;
(d) Granted asylum under section 208 of the
				INA;
(e) Admitted as an Amerasian
				immigrant from Vietnam through the orderly departure program, under section 584
				of the Foreign Operations Appropriations Act, incorporated in the FY88
				continuing resolution P.L.
				100-212;
(f) A Cuban-Haitian entrant who was admitted
				as a public interest parolee under section 212 (d)(5) of the INA;
(g) Certified as a victim of human
				trafficking by the federal Office of Refugee Resettlement (ORR);
(h) An eligible family member of a victim of
				human trafficking certified by ORR who has a T-2, T-3, T-4, or T-5 visa;
(i) Admitted as special immigrant
				from Iraq or Afghanistan under one of the following:
(i) Special immigrant status under section
				101 (a)(27) of the INA;
(ii)
				Special immigrant conditional permanent resident; or
(iii) Parole under section 602 (b)(1) of the
				Afghan Allies Protection Act of 2009 or section 1059(a) of the National Defense
				Authorization Act of 2006;
(j) An Afghan granted humanitarian parole
				between July 31, 2021, and September 30, 2023, their spouse or child, or a
				parent or guardian of an unaccompanied minor who is granted parole after
				September 30, 2022, under section 2502 of the Extending Government Funding and
				Delivering Emergency Assistance Act of 2021; or
(k) A citizen or national of Ukraine (or a
				person who last habitually resided in Ukraine) who, under section 401 of the
				Additional Ukraine Supplemental Appropriations Act, 2022 (AUSAA), is evaluated
				as a qualified alien when:
(i) Granted parole
				into the United States between February 24, 2022, and September 30, 2023; or
(ii) Granted parole into the
				United States after September 30, 2023, and is:
(A) The spouse or child of a person described
				in (k)(i) of this subsection; or
(B) The parent, legal guardian, or primary
				caregiver of a person described in (k)(i) of this subsection who is determined
				to be an unaccompanied child under section 462 (g)(2) of the Homeland Security
				Act of 2002 or section 412 (d)(2)(B) of the Immigration and Nationality
				Act.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0001 - Washington apple health-Coverage options for adults not eligible under MAGI methodologies

Current through Register Vol. 24-14, July 15, 2024
(1) This
				chapter provides information on eligibility determinations for adults who:
(a) Need a determination of eligibility on
				the basis of being aged, blind, or disabled;
(b) Need a determination of eligibility based
				on the need for long-term institutional care or home and community-based
				services;
(c) Are excluded from
				coverage under a modified adjusted gross income (MAGI)-based program as
				referenced in WAC
				182-503-0510 on the basis of
				medicare entitlement;
(d) Are not
				eligible for health care coverage under chapter 182-505 WAC due to citizenship
				or immigration requirements; or
(e)
				Are not eligible for health care coverage under chapter 182-505 WAC due to
				income which exceeds the applicable standard for coverage.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0005 - Washington apple health medical care services-Eligibility and scope of coverage

Current through Register Vol. 24-14, July 15, 2024
(1) A person is
				eligible for state-funded Washington apple health medical care services (MCS)
				coverage to the extent of available funds if the person is:
(a) Determined by the department of social
				and health services to be eligible for benefits under:
(i) The aged, blind, or disabled program as
				described in WAC
				388-400-0060;
(ii) The housing and essential needs referral
				program as described in WAC
				388-400-0070; or
(iii) The survivors of certain crimes (SCC)
				program, as described in WAC
				388-424-0035, which includes
				victims of human trafficking as described in
				RCW
				74.04.005;
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0010

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0010, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0015

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0015, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0020

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0020, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0030

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0030, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0035

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0035, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0040

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0040, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0050

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0050, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0060

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0060, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0070

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0070, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0080

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0080, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0090

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0090, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0100

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0100, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0110

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0110, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0120

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0120, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0130

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0130, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0150 - Enrollment cap for medical care services (MCS)

Current through Register Vol. 24-14, July 15, 2024
(1) Enrollment in medical care services (MCS) coverage
				is subject to available funds.
(2) The
				medicaid agency may limit enrollment into MCS coverage by implementing an
				enrollment cap and wait list.
(3)
				If a person is denied MCS coverage due to an enrollment cap:
(a) The person is added to the MCS wait list
				based on the date the person applied.
(b) Applicants with the oldest application
				date will be the first to receive an opportunity for enrollment when MCS
				coverage is available as long as the person remains on the MCS wait
				list.
(4) A person is
				exempted from the enrollment cap and wait list rules when:
(a) MCS was terminated due to agency
				error;
(b) The person is in the
				30-day reconsideration period for incapacity reviews under WAC
				388-447-0110(4);
(c) The person is being terminated from a
				categorically needy (CN) medical program and was receiving and eligible for CN
				coverage prior to the date a wait list was implemented and at the time their CN
				coverage ended, the person met eligibility criteria to receive benefits under
				either the aged, blind, or disabled program as described in WAC
				388-400-0060
				or the housing and essential needs referral program as described in WAC
				388-400-0070;
				or
(d) The person applied for a
				determination by the department of social and health services (DSHS) to be
				eligible for benefits under one of the following programs, but the
				determination was not completed before the enrollment cap effective date:
(i) The aged, blind, or disabled program as
				described in WAC
				388-400-0060;
(ii) The housing and essential needs referral
				program as described in WAC
				388-400-0070;
				or
(iii) The survivors of certain
				crimes (SCC) program, as described in WAC 388-424-0035, which includes victims
				of human trafficking as described in
				RCW
				74.04.005.
(5) The person is removed from the MCS wait
				list if the person:
(a) Is not a Washington
				resident;
(b) Is
				deceased;
(c) Requests removal from
				the wait list;
(d) Is found
				eligible for categorically or medically needy coverage; or
(e) Is no longer determined by DSHS to be
				eligible for benefits under:
(i) The aged,
				blind, or disabled program as described in WAC
				388-400-0060;
(ii) The housing and essential needs referral
				program as described in WAC
				388-400-0070;
				or
(iii) The SCC program as
				described in WAC 388-424-0035.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0160

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0160, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0200 - Civil transition program (CTP)-Overview

Current through Register Vol. 24-14, July 15, 2024
(1) The
				civil transition program (CTP) is a state-funded, fee-for-service program that
				requires the department of social and health services (department) to provide
				wraparound services and supports in community-based settings, which may include
				residential supports, to persons who have been found not competent to stand
				trial due to an intellectual or developmental disability, dementia, or
				traumatic brain injury. This apple health program is for persons who are not
				eligible for any other federal or state-funded medical coverage.
(2)
Definitions.
The following
				definitions and those found in chapter 388-106 WAC apply to this section unless
				otherwise stated.
"Participation"
has the same meaning given in
				  WAC 182-513-1100.
"Room and board"
has the same meaning given in
				  WAC 182-513-1100.
"Wraparound services"
means coordination of
				  services between the individual and service providers.
(3)
General eligibility.
Effective December 1, 2023, a person is eligible for the CTP when the person:
(a) Has been referred to the home and
				community services (HCS) division or the developmental disabilities
				administration (DDA) by the behavioral health administration and found not
				competent to stand trial due to dementia, traumatic brain injury, or an
				intellectual or developmental disability as described in WAC
				388-106-2005;
(b) Applies for apple
				health coverage as described in WAC
				182-503-0005; and
(c) Is not eligible for other federal or
				state-funded medical coverage.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0220

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0220, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0230

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0230, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0300

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0300, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0005, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0305

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0305, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0310

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0310, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0315

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0315, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0325

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0325, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0050, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0330

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0330, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.50.080 and 2002 c 64. 03-02-079, §
					 388-800-0055, filed 12/30/02, effective 1/30/03. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0055, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0335

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0335, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0057, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0340

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0340, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.50.080 and 2002 c 64. 03-02-079, §
					 388-800-0060, filed 12/30/02, effective 1/30/03. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0060, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0345

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0345, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.50.080 and 2002 c 64. 03-02-079, §
					 388-800-0065, filed 12/30/02, effective 1/30/03. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0065, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0350

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0350, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.50.080 and 2002 c 64. 03-02-079, §
					 388-800-0070, filed 12/30/02, effective 1/30/03. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0070, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0355

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0355, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.50.080 and 2002 c 64. 03-02-079, §
					 388-800-0075, filed 12/30/02, effective 1/30/03. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0075, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0360

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0360, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0085, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0365

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0365, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.50.080 and 2002 c 64. 03-02-079, §
					 388-800-0090, filed 12/30/02, effective 1/30/03. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0090, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0370

Current through Register Vol. 24-14, July 15, 2024
11-22-051, recodified as WAC
					 182-508-0370, filed 10/31/11,
					 effective 10/31/11. Statutory Authority:
					 RCW
					 74.50.080 and 2002 c 64. 03-02-079, §
					 388-800-0100, filed 12/30/02, effective 1/30/03. Statutory Authority:
					 RCW
					 74.08.090, 74.50.80 [74.50.080]. 00-16-077,
					 § 388-800-0100, filed 7/28/00, effective
					 9/1/00.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-508 - Classic and state-funded Washington apple health eligibility for adults › Section 182-508-0375

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-508-0375, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0001 - Countable income for Washington apple health programs

Current through Register Vol. 24-14, July 15, 2024
(1) For purposes of Washington apple health
				(WAH) program eligibility, a person's countable income is income which remains
				when:
(a) The income cannot be specifically
				excluded; and
(b) All appropriate
				deductions and disregards allowed by a specific program have been
				applied.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0005

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0005, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0015

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0015, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0025

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0025, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0030

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0030, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0035

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0035, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0045

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0045, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0055

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0055, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0065

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0065, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0080

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0080, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0085

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0085, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0095

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0095, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0100

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0100, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0110

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0110, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0135

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0135, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0155

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0155, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0165

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0165, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0175

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0175, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0200

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0200, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0205

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0205, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0210

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 41.05.021,
					 74.09.035, and
					 2011 1st sp.s. c
					 36 . 12-19-051, §
											182-509-0210, filed 9/13/12,
					 effective 10/14/12.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0220 - Washington apple health-How resources are considered

Current through Register Vol. 24-14, July 15, 2024
(1) A resource is any cash, other personal
				property, or real property that a person:
(a)
				Owns;
(b) Has the right, authority,
				or power to convert to cash (if not already cash); and
(c) Has the legal right to use for his or her
				support and maintenance.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0225

Current through Register Vol. 24-14, July 15, 2024
12-13-056, recodified as WAC
					 182-509-0225, filed 6/15/12,
					 effective 7/1/12. Statutory Authority:
					 RCW
					 74.08.090,
					 74.08A.100,
					 74.09.080, and 74.09.415.
					 02-17-030, § 388-470-0026, filed 8/12/02, effective 9/12/02. Statutory
					 Authority:
					 RCW
					 74.04.050,
					 74.04.057,
					 74.08.090,
					 74.09.530 and 2000 2nd sp.s. c 1
					 § 210(12). 01-18-006, § 388-470-0026, filed 8/22/01, effective
					 9/22/01.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0300 - Modified adjusted gross income (MAGI)

Current through Register Vol. 24-14, July 15, 2024
(1) The agency uses the modified adjusted
				gross income (MAGI) methodology to determine eligibility for MAGI-based
				Washington apple health programs described in WAC
				182-509-0305.
(2) MAGI methodology is described in WAC
				182-509-0300 through
				182-509-0375. Generally, MAGI
				includes adjusted gross income (as determined by the Internal Revenue Code
				(IRC)) increased by:
(a) Any amount of foreign
				income excluded from gross income under Section 911 of the IRC;
(b) Any amount of interest received or
				accrued by the taxpayer during the taxable year which is exempt from tax;
				and
(c) Any amount of Title II
				Social Security income or Tier 1 Railroad Retirement income which is excluded
				from gross income under Section 86 of the IRC.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0305 - MAGI income-Persons subject to the modified adjusted gross income (MAGI) methodology

Current through Register Vol. 24-14, July 15, 2024
(1) Eligibility
				for Washington apple health for the following people is determined using the
				modified adjusted gross income (MAGI) methodology described in WAC
				182-509-0300:
(a) Parents or caretaker relatives with an
				eligible dependent child (described in WAC
				182-503-0565) whose net countable
				income is below 54 percent of the federal poverty level (FPL) as described in
				WAC 182-505-0240.
(b) Parents or caretaker relatives with an
				eligible dependent child whose net countable income exceeds the standard
				described in (a) of this subsection but is at or below 133 percent FPL as
				described in WAC
				182-505-0250 and
				182-507-0110.
(c) Adults with no eligible dependent child
				with net countable income at or below 133 percent FPL as described in WAC
				182-505-0250 and
				182-507-0110.
(d) Pregnant people whose net countable
				income, based on a household size that includes any unborn children, is below
				193 percent FPL at the time of application, as described in WAC
				182-505-0115.
(e) People within the 12-month postpartum
				period beginning the month after the pregnancy ends whose net countable income
				is below 193 percent FPL at the time of application, as described in WAC
				182-505-0115.
(f) Children age 18 or younger in households
				with net countable income which is below 210 percent FPL, as described in WAC
				182-505-0210
				(3)(a).
(g) Children age 18 or younger in households
				with net countable income that is between 210 percent and 312 percent FPL, as
				described in WAC
				182-505-0215. Children who are
				eligible under this section are subject to premiums as described in WAC
				182-505-0225.
(h) People age 18 and older who have income
				over 150 percent FPL who are financially and functionally eligible to receive
				the community behavioral health support services (CBHS) benefit, as described
				in chapter 182-561 WAC.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0310 - MAGI income-Timing of income

Current through Register Vol. 24-14, July 15, 2024
For purposes of determining eligibility for modified
				  adjusted gross income (MAGI)-based Washington apple health (WAH) (see WAC
				  182-509-0300 ):
(1) The agency uses a point-in-time estimate
				to determine a person's countable income.
(2) Point-in-time means that the income is
				received, or is likely to be received, in the month in which the person submits
				an application or renewal for WAH, or the month in which the agency completes a
				redetermination of coverage, with the following provisions:
(a) When a person is paid less frequently
				than on a monthly basis, (for example, they are self-employed), the agency uses
				an average to calculate the monthly amount. The average is calculated by:
(i) Adding the total income for
				representative period of time;
(ii)
				Dividing by the number of months in the time frame; and
(iii) Using the result as a monthly
				average.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0315 - MAGI income-Ownership of income

Current through Register Vol. 24-14, July 15, 2024
(1) For purposes of determining eligibility
				for modified adjusted gross income (MAGI)-based Washington apple health (WAH)
				(see WAC 182-509-0300 ) income is
				considered available to a person if:
(a) An
				individual in the person's medical assistance unit receives or can reasonably
				predict that he or she will receive the income.
(b) The income must be counted based on rules
				under chapter 182-509 WAC.
(c) The
				person has control over the income, which means the income is available to
				them. If the person has a representative payee, protective payee, or other
				individual who manages the income on the person's behalf, it is considered as
				if the person has control over this income.
(d) The person can use the income to meet
				current needs.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0325 - MAGI income-Unearned income

Current through Register Vol. 24-14, July 15, 2024
For purposes of determining eligibility for modified
				  adjusted gross income (MAGI)-based Washington apple health (WAH) (see WAC
				  182-509-0300 ):
(1) Unearned income is income received from a
				source other than employment or self-employment. Examples of unearned income
				include, but are not limited to:
(a) Tier 1
				Railroad Retirement;
(b)
				Unemployment compensation, except as described in WAC
				182-509-0320;
(c) Title II Social Security benefits
				(including retirement benefits, disability benefits, and benefits for
				survivors);
(d) Rental
				income;
(e) Pensions, IRAs,
				military retirement and annuity payments, except as described in WAC
				182-509-0320;
(f) Dividend payments from stocks or shares
				held in companies; and
(g) Per
				capita distributions from gaming made by a tribe (see WAC
				182-509-0340 ).
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0330 - MAGI income-Earned income

Current through Register Vol. 24-14, July 15, 2024
For purposes of determining eligibility for modified adjusted
				  gross income (MAGI)-based Washington apple health (WAH) (see WAC
				  182-509-0300 ):
(1) Earned income is income received from
				working. This includes, but is not limited to:
(a) Wages;
(b) Salaries;
(c) Tips;
(d) Commissions;
(e) Profits from self-employment activities
				as described in WAC
				182-509-0365; and
(f) One-time payments for work done over a
				period of time, if the income is received in the month of
				application.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0335 - MAGI income-Educational benefits

Current through Register Vol. 24-14, July 15, 2024
For purposes of determining eligibility for modified adjusted
				  gross income (MAGI)-based Washington apple health (see WAC
				  182-509-0300
				  ), the agency or its designee does not count educational benefits as income
				  when they are used for education expenses, unless the educational benefits are
				  used for living expenses. Examples include, but are not limited to:
(1) Educational assistance in the form of
				grants or loans issued under Title IV of the Higher Education Amendments (Title
				IV - HEA) or through a program administered by the Department of Education
				(DOE), such as:
(a) Pell grants (Title
				IV);
(b) Stafford loans (Title
				IV);
(c) Perkins loan program
				(Title IV);
(d) State need grant
				program (Title IV);
(e) Training
				programs administered by the Department of Education (DOE).
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0340 - MAGI income-American Indian/Alaska Native excluded income

Current through Register Vol. 24-14, July 15, 2024
For the purposes of determining eligibility of American
				  Indians/Alaska Natives for modified adjusted gross income (MAGI)-based
				  Washington apple health (WAH) (see WAC
				  182-509-0300 ), the agency
				  excludes from MAGI the following:
(1)
				Distributions from Alaska Native corporations and settlement trusts;
(2) Distributions from any property held in
				trust, subject to federal restrictions, located within the most recent
				boundaries of a prior federal reservation, or otherwise under the supervision
				of the Secretary of the Interior;
(3) Distributions and payments from rents,
				leases, rights of way, royalties, usage rights, or natural resource extraction
				and harvest from:
(a) Rights of ownership or
				possession in any lands described in (b) of this subsection; or
(b) Federally protected rights regarding
				off-reservation hunting, fishing, gathering, or usage of natural
				resources.
Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-509 - Income and resources › Section 182-509-0360 - MAGI income-How the income of a child age eighteen or younger or a tax dependent is counted

Current through Register Vol. 24-14, July 15, 2024
The medic-aid agency determines what income is counted when
				  determining eligibility for modified adjusted gross income (MAGI)-based
				  Washington apple health under WAC
				  182-509-0300.
(1) When determining countable income for
				persons described in subsections (2) through (4) of this section, the countable
				income of a child age eighteen or younger or of a tax dependent is included
				only when it meets the threshold required for tax filing under 26 U.S.C. Sec.
				6012 (a)(1). For purposes of this section, countable income of a child or tax
				dependent does not include Social Security dependent benefits.
(2) Determining countable income of a tax
				filer. The countable income of a tax filer includes the countable income of
				each member in the tax filer's medical assistance unit (MAU) under WAC
				182-506-0012(1).
(3) Determining countable income of a tax
				dependent. The countable income of a tax dependent includes the countable
				income of each member in the tax dependent's MAU under WAC
				182-506-0012(2).
(4) Determining countable income of a
				nonfiler. The countable income of a nonfiler, including a person considered a
				nonfiler under WAC
				182-506-0012(2)(b)(ii),
				includes the countable income of each member in the nonfiler's MAU under WAC
				182-506-0012(3).