Apple Health public health emergency (PHE)

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400 Series reason codes

Revised date
Purpose statement

400 Series Reason Code Protocols

Go to the Reason Code Link chart to link directly to a specific reason code or scroll through the list below.

For ACES Procedures go to ACES Letters in the ACES User Manual.

Reason Code Reason Code Description WAC References - Classic Medicaid Free Form Text - Classic Medicaid WAC References - MAGI-Based Medicaid Free Form Text - MAGI-Based Medicaid
401 Over Resources
You have too many resources to get assistance right now. See WAC rule (Washington Administrative Code):		 388-513-1350
388-470-0005
388-400-0070		 Your resources cannot be more than $ __ (specify resource limit for household size). See the attachment for more information on how we figured out your resources.    
410
  • You don't qualify for Long Term Care (LTC) services because the equity in your home is over the $500,000 limit.
  • You may receive LTC services if we approve an undue hardship waiver. We approve hardship waivers when you can show that without LTC services:
    • You will be deprived of housing, food, clothing or medical care.
    • Your life or health will be endangered.
  • Your request must:
    • Tell us in writing the reason you need an undue hardship waiver.
    • Be signed and returned within 30 days of the date of denial or termination of LTC services.
    • Include the name, address and telephone number of the person writing the request.
    • You may authorize your representative, guardian, or facility where you live to file an undue hardship waiver request for you.
 182-513-1350
182-513-1367		 Explain the equity value we are counting and how we arrived at that number.    
416 You have a penalty period because you gave something away or sold it for less than fair market value. You can only get benefits now if you prove you cannot pay for your housing, food, clothing, or health needs. 388-488-0005
388-400-0070		 Explain the equity value we are counting and how we arrived at that number    
417 You transferred, gave away, or sold resources for less than fair market value. This is called uncompensated value. 182-513-1363
182-513-1364
182-513-1365		 None required    
460 Payment standards are changing. You do not have administrative hearing rights based on a change in payment standards. 388-478-0020
388-418-0020		 None required    

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