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WAC 182-505-0100  Washington apple health -- Monthly income standards based on the federal poverty level (FPL).

Effective October 1, 2013.

(1) Each year, the federal government publishes new federal poverty level (FPL) income standards in the Federal Register found at http://aspe.hhs.gov/poverty/index.shtml.  The income standards for the following Washington apple health (WAH) programs change on the first day of April every year based on the new FPL:

                (a) WAH for parents and caretaker relatives up to fifty-four percent of FPL (see WAC 182-505-0240).  Parents and caretaker relatives whose earned income exceeds this limit are the only persons who may be eligible for the WAH transitional medical program as described in WAC 182-523-0100;

                (b) Modified adjusted gross income (MAGI)-based WAH for adults up to one hundred thirty-three percent of FPL;

                (c) WAH for pregnant women up to one hundred ninety-three percent of FPL;

                (d) WAH for children up to two hundred ten percent of FPL; and

                (e) Premium-based coverage under WAH for children over two hundred ten percent of FPL, but not over three hundred twelve percent of FPL.

(2) The agency uses the FPL income standards to determine the premium amount, if any, for a child.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.