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.”
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.
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.
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).
Preproposal (CR101) - WSR 18-12-029
Emergency Adoption (CR103E) - WSR 18-22-050
Proposal (CR102) - WSR 19-04-006
Hearing date: 3/12/19
Comments due: 3/12/19
Emergency Adoption (CR103E) - WSR 19-06-017
Permanent Adoption (CR103P) - WSR 19-11-082
SSI related medical - Effect of a sponsors income
Affected WAC: 182-512-0785
Description: Correct a typographical error
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.
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.
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.
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.
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