Apple Health (Medicaid) rulemaking

This page includes all of the current rule making activity for Washington Apple Health (Medicaid)

Irrevocable trusts containing both assets of the beneficiary and third-party assets
Affected WAC: 182-516-0145
Description: The agency is revising this rule to correct a WAC citation in WAC 182-516-0145(1)(a)(ii). The citation should read, “see WAC 182-516-0125.”
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Expedited Adoption (CR105) - WSR 18-21-131
Filed: 10/19/18
Permanent Adoption (CR103P) - WSR 19-02-047
Effective: 1/27/19
SSI related medical-income eligibility; all other excluded resources
Affected WAC: 182-512-0550, 182-512-0700
Description: The agency plans to replace references to Retirement, Survivors, Disability Insurance (RSDI) and Social Security Disability Insurance (SSDI) with Old Age, Survivors, and Disability Insurance (OASDI). This change is to provide consistent references to the OASDI benefits provided under Title II of the Social Security Act in the agency’s SSI-related income and resource rules for Medicaid. Both of these WACs refer to the same three types of benefits that the Social Security Administration (SSA) pays to eligible beneficiaries. A person who receives one or more of these cash payments is automatically related by category to one or more Medicaid eligibility groups. A common term for these SSA benefits is the OASDI program.
Agency contact:
Amy Emerson, rule writer
360-725-1348
Preproposal (CR101) - WSR 18-15-036
Filed: 7/12/18
Proposal (CR102) - WSR 19-10-079
Hearing date: 6/4/19
*Comments due by 6/4/19
Permanent Adoption (CR103P) - WSR 19-13-010
Effective: 7/7/19
Personal Needs Allowance
Affected WAC: 182-513-1105
Description: HB 2651 amends RCW 74.09.340 to increase the personal needs allowance for people in residential and institutional care settings. The agency is amending WAC 182-513-1105 to reflect the changes in HB 2651.
Agency contact:
Vance Taylor, rule writer
360-725-1344
Preproposal (CR101) - WSR 18-12-097
Filed: 6/5/18
Proposal (CR102) - WSR 18-17-046
Hearing date: 9/25/18
*Comments due by COB
Permanent Adoption (CR103P) - WSR 18-20-047
Effective: 1/1/19
COFA Premium Payment Assistance
Affected WAC: 182-524-0100, 182-524-0200, 182-524-0250, 182-524-0300, 182-524-0400, 182-524-0500, 182-524-0600
Description: As directed by the Legislature, the agency is creating rules to implement a premium assistance program for Pacific Islanders residing in Washington under a compact of free association (COFA).
Agency contact:
Wendy Barcus, rule writer
360-725-1306
Preproposal (CR101) - WSR 18-12-029
Filed: 5/29/18
Emergency Adoption (CR103E) - WSR 18-22-050
Effective: 11/1/18-2/25/19
Proposal (CR102) - WSR 19-04-006
Hearing date: 3/12/19
Comments due: 3/12/19
Emergency Adoption (CR103E) - WSR 19-06-017
Effective: 2/26/19-6/16/19
Permanent Adoption (CR103P) - WSR 19-11-082
Effective: 6/17/19
SSI related medical - Effect of a sponsors income
Affected WAC: 182-512-0785
Description: Correct a typographical error
Agency contact:
Katie Pounds, rule writer
360-725-1346
Expedited Adoption (CR105) - WSR 18-10-112
Filed: 5/2/18
Permanent Adoption (CR103P) - WSR 18-15-005
Effective: 8/6/18
Determining available income
Affected WAC: 182-513-1330
Description: The agency is modifying WAC 182-513-1330 to add WAC references for sponsored immigrants and how to determine if sponsors’ income counts in determining benefits.
Agency contact:
Vance Taylor, rule writer
360-725-1344
Preproposal (CR101) - WSR 18-08-045
Filed: 4/3/18
Proposal (CR102) - WSR 18-13-021
Hearing date: 7/25/18
*Comments due by COB
Permanent Adoption (CR103P) - WSR 18-16-058
Effective: 8/26/18
Able Accounts
Affected WAC: 182-560-100
Description: The agency is amending WAC 182-560-100, Achieving a Better Life Experience (ABLE) Act to comply with amendments to federal rules under 26 USC Sec.529A, Qualified ABLE programs and to clarify how contributions to ABLE accounts count towards countable income in determining eligibility for Apple Health programs.
Agency contact:
Katie Pounds, rule writer
360-725-1346
Preproposal (CR101) - WSR 18-08-071
Filed: 4/3/18
Proposal (CR102) - WSR 18-14-070
Hearing date: 8/7/18
*Comments due by COB
Permanent Adoption (CR103P) - WSR 18-17-049
Effective: 9/8/18
Federal Medicare Savings Program
Affected WAC: 182-517-0100
Description: The agency is amending these rules to create a second eligibility methodology based on household size for the Qualified Medicare Beneficiary program.
Agency contact:
Melinda Froud, rule writer
360-725-1408
Preproposal (CR101) - WSR 18-01-077
Filed: 12/15/17
Proposal (CR102) - WSR 19-04-072
Hearing date: 3/12/19
Comments due: 3/12/19
Permanent Adoption (CR103P) - WSR 19-12-085
Effective: 7/15/19
SSI-related medical - Property and contracts excluded as resource
Affected WAC: 182-512-0350
Description: This rule is being amended to clarify what an “ownership interest” is in the home exclusion rule. Clarification is also needed to explain that property essential to self-support (PESS) does not include intangible personal property other than cash or cash equivalents used in a trade or business.
Agency contact:
Amy Emerson, rule writer
360-725-1348
Preproposal (CR101) - WSR 17-15-094
Filed: 7/18/17
Proposal (CR102) - WSR 19-08-088
Hearing date: 5/7/19
*Comments due 5/7/19
Definitions related to Long-term Support Services (LTSS)
Affected WAC: 182-513-1100
Description: The agency is revising the definition of alternate living facility (ALF) to include staffed residential facility, group care facility for medically complex children, and children’s state-operated living alternative
Agency contact:
Jason Crabbe, rule writer
360-725-9563
Preproposal (CR101) - WSR 19-09-059
Filed: 4/15/19

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