Number Title Categories
182-300-0100 WAC 182-300-0100 Single bed certification Administration of Medical Programs - General
182-500-0005 WAC 182-500-0005 Definitions. Medical Definitions
182-500-0010 WAC 182-500-0010 Medical assistance definitions -- A. Medical Definitions
182-500-0015 WAC 182-500-0015 Medical assistance definitions -- B. Medical Definitions
182-500-0020 WAC 182-500-0020 Definitions -- C. Medical Definitions
182-500-0025 WAC 182-500-0025 Definitions -- D. Medical Definitions
182-500-0030 WAC 182-500-0030 Definitions -- E. Medical Definitions
182-500-0035 WAC 182-500-0035 Medical assistance definitions -- F Medical Definitions
182-500-0040 WAC 182-500-0040 Medical assistance definitions -- G. Medical Definitions
182-500-0045 WAC 182-500-0045 Medical assistance definitions -- H. Medical Definitions
182-500-0050 WAC 182-500-0050 Washington apple health definitions -- I. Medical Definitions
182-500-0065 WAC 182-500-0065 Definitions -- L. Medical Definitions
182-500-0070 WAC 182-500-0070 Definitions -- M. Managed care organization (MCO) Medical Definitions
182-500-0075 WAC 182-500-0075 Medical assistance definitions -- N Medical Definitions
182-500-0080 WAC 182-500-0080 Medical assistance definitions -- O. Medical Definitions
182-500-0085 WAC 182-500-0085 Medical assistance definitions -- P. Medical Definitions
182-500-0090 WAC 182-500-0090 Medical assistance definitions -- Q. Medical Definitions
182-500-0095 WAC 182-500-0095 Medical assistance definitions -- R. Medical Definitions
182-500-0100 WAC 182-500-0100 Medical assistance definitions -- S. Medical Definitions
182-500-0105 WAC 182-500-0105 Medical assistance definitions -- T. Medical Definitions
182-500-0110 WAC 182-500-0110 Medical assistance definitions -- U. Medical Definitions
182-500-0120 WAC 182-500-0120 Medical assistance definitions -- W. Medical Definitions
182-501-0050 WAC 182-501-0050 Health care general coverage. Administration of Medical Programs - General
182-501-0055 WAC 182-501-0055 Health care coverage - How the agency determines coverage of services for its health care programs using health technology assessments Administration of Medical Programs - General
182-501-0060 WAC 182-501-0060 Health care coverage--Program benefit packages--Scope of service categories. Administration of Medical Programs - General
182-501-0065 WAC 182-501-0065 Health care coverage -- Description of service categories. Administration of Medical Programs - General
182-501-0070 WAC 182-501-0070 Health care coverage--Noncovered services. Administration of Medical Programs - General
182-501-0135 WAC 182-501-0135 Patient review and coordination (PRC). Administration of Medical Programs - General
182-501-0165 WAC 182-501-0165 Medical and dental coverage - Fee-for-service (FFS) prior authorization - Determination process for payment Administration of Medical Programs - General
182-501-0175 WAC 182-501-0175 Medical care provided in bordering cities. Administration of Medical Programs - General
182-501-0200 WAC 182-501-0200 Third-party resources. Billing Guidelines for Providers
182-501-0215 WAC 182-501-0215 Wraparound with intensive services (WISe) Administration of Medical Programs - General
182-502-0160 WAC 182-502-0160 Billing a client. Billing Guidelines for Providers
182-503-0001 WAC 182-503-0001 Insurance affordability programs -- Overview. General Eligibility & Application Requirements
182-503-0005 WAC 182-503-0005 Washington apple health -- How to apply. General Eligibility & Application Requirements
182-503-0010 WAC 182-503-0010 Washington apple health -- Who may apply. General Eligibility & Application Requirements
182-503-0040 WAC 182-503-0040 Washington apple health -- Interview requirements General Eligibility & Application Requirements
182-503-0050 WAC 182-503-0050 Verification of eligibility factors. General Eligibility & Application Requirements
182-503-0055 WAC 182-503-0055 Asset verification system Administration of Medical Programs - General
182-503-0060 WAC 182-503-0060 Washington apple health (WAH)-- Application processing times. General Eligibility & Application Requirements
182-503-0070 WAC 182-503-0070 Washington apple health (WAH)-- When coverage begins. General Eligibility & Application Requirements
182-503-0080 WAC 182-503-0080 Washington apple health -- Application denials and withdrawals. General Eligibility & Application Requirements
182-503-0090 WAC 182-503-0090 Washington apple health -- Exceptions to rule General Eligibility & Application Requirements
182-503-0100 WAC 182-503-0100 Washington apple health -- Rights and responsibilities. General Eligibility & Application Requirements
182-503-0110 WAC 182-503-0110 Washington apple health -- Limited-English proficient (LEP) services General Eligibility & Application Requirements
182-503-0120 WAC 182-503-0120 Washington apple health -- Equal access services. General Eligibility & Application Requirements
182-503-0130 WAC 182-503-0130 Authorized representative. General Eligibility & Application Requirements
182-503-0505 WAC 182-503-0505 Washington apple health -- General eligibility requirements. General Eligibility & Application Requirements
182-503-0510 WAC 182-503-0510 Washington apple health -- Program summary General Eligibility & Application Requirements
182-503-0515 WAC 182-503-0515 Washington apple health -- Social Security number requirements. General Eligibility & Application Requirements
182-503-0520 WAC 182-503-0520 Washington apple health -- Residency requirements -- Persons who are not residing in an institution. General Eligibility & Application Requirements
182-503-0525 WAC 182-503-0525 Washington apple health -- Residency requirements for an institutionalized person. General Eligibility & Application Requirements
182-503-0535 WAC 182-503-0535 Washington apple health -- Citizenship and immigration status. General Eligibility & Application Requirements
182-503-0540 WAC 182-503-0540 Assignment of rights and cooperation. General Eligibility & Application Requirements
182-503-0565 WAC 182-503-0565 Washington apple health -- Age requirements for medical programs based on modified adjusted gross income (MAGI). General Eligibility & Application Requirements
182-504-0005 WAC 182-504-0005 Washington apple health -- Retroactive certification period. Certification Periods and Changes
182-504-0015 WAC 182-504-0015 Washington apple health -- Certification periods for categorically needy programs. Certification Periods and Changes
182-504-0020 WAC 182-504-0020 Certification periods for the noninstitutional medically needy program. Certification Periods and Changes
182-504-0025 WAC 182-504-0025 Medicare savings program certification periods. Certification Periods and Changes
182-504-0035 WAC 182-504-0035 Washington apple health -- Renewals. Certification Periods and Changes
182-504-0105 WAC 182-504-0105 Washington apple health -- Changes that must be reported. Certification Periods and Changes
182-504-0110 WAC 182-504-0110 Washington apple health -- When to report changes. Certification Periods and Changes
182-504-0120 WAC 182-504-0120 Washington apple health -- Effective dates of changes. Certification Periods and Changes
182-504-0125 WAC 182-504-0125 Washington apple health -- Effect of reported changes. Certification Periods and Changes
182-504-0130 WAC 182-504-0130 Washington apple health -- Continued coverage pending an appeal. Certification Periods and Changes
182-505-0100 WAC 182-505-0100 Monthly income standards for MAGI-based programs. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0115 WAC 182-505-0115 Washington apple health -- Eligibility for pregnancy and after-pregnancy coverage. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0117 WAC 182-505-0117 Washington apple health -- Eligibility for pregnant minors. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0120 WAC 182-505-0120 Washington apple health breast and cervical cancer treatment program for women--Client eligibility. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0210 WAC 182-505-0210 Eligibility for children. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0211 WAC 182-505-0211 Washington apple health -- Foster Care. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0215 WAC 182-505-0215 Children's Washington apple health with premiums. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0225 WAC 182-505-0225 Children's Washington apple health with premiums - Calculation and determination of premium amount. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0240 WAC 182-505-0240 Parents and caretaker relatives. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0250 WAC 182-505-0250 Washington apple health -- MAGI-based adult medical. MAGI Based, BCCTP, HPE, and Foster Care
182-505-0300 WAC 182-505-0300 Hospital Presumptive Eligibility MAGI Based, BCCTP, HPE, and Foster Care
182-506-0010 WAC 182-506-0010 Medical assistance units for MAGI-based programs. Medical Assistance Units (MAU)
182-506-0012 WAC 182-506-0012 Determining a person's medical assistance unit. Medical Assistance Units (MAU)
182-506-0015 WAC 182-506-0015 Medical assistance units for non-MAGI-based Washington apple health programs. Medical Assistance Units (MAU)
182-507-0110 WAC 182-507-0110 Washington apple health -- Alien medical programs. Programs for Noncitizens
182-507-0115 WAC 182-507-0115 Alien emergency medical program (AEM). Programs for Noncitizens
182-507-0120 WAC 182-507-0120 Alien medical for dialysis and cancer treatment, and treatment of life-threatening benign tumors. Programs for Noncitizens
182-507-0125 WAC 182-507-0125 State-funded long-term care services. Programs for Noncitizens
182-507-0130 WAC 182-507-0130 Refugee medical assistance (RMA). Programs for Noncitizens
182-507-0135 WAC 182-507-0135 Immigration status requirement for refugee medical assistance (RMA). Programs for Noncitizens
182-508-0001 WAC 182-508-0001 Washington apple health – Coverage options for adults not eligible under MAGI methodologies. Medical Care Services
182-508-0005 WAC 182-508-0005 Washington apple health medical care services - eligibility and scope of coverage. Medical Care Services
182-508-0150 WAC 182-508-0150 Enrollment cap for medical care services (MCS). Medical Care Services
182-509-0001 WAC 182-509-0001 Countable income for Washington apple health programs. MAGI Income and Deductions
182-509-0220 WAC 182-509-0220 Washington apple health -- How resources are considered. MAGI Income and Deductions
182-509-0300 WAC 182-509-0300 Modified adjusted gross income (MAGI). MAGI Income and Deductions
182-509-0305 WAC 182-509-0305 MAGI income -- Persons subject to the modified adjusted gross income (MAGI) methodology. MAGI Income and Deductions
182-509-0310 WAC 182-509-0310 MAGI income -- Timing of income. MAGI Income and Deductions
182-509-0315 WAC 182-509-0315 MAGI income -- Ownership of income. MAGI Income and Deductions
182-509-0320 WAC 182-509-0320 MAGI income -- Noncountable income. MAGI Income and Deductions
182-509-0325 WAC 182-509-0325 MAGI income -- Unearned income. MAGI Income and Deductions
182-509-0330 WAC 182-509-0330 MAGI income -- Earned income. MAGI Income and Deductions
182-509-0335 WAC 182-509-0335 MAGI income -- Educational benefits. MAGI Income and Deductions
182-509-0340 WAC 182-509-0340 MAGI income -- American Indian/Alaska Native excluded income. MAGI Income and Deductions
182-509-0360 WAC 182-509-0360 MAGI income -- How the income of a child age eighteen or younger or a tax dependent is counted. MAGI Income and Deductions
182-509-0365 WAC 182-509-0365 MAGI income -- Self-employment income. MAGI Income and Deductions
182-509-0370 WAC 182-509-0370 MAGI income -- How self-employment income is counted. MAGI Income and Deductions
182-509-0375 WAC 182-509-0375 MAGI income -- Lump sums MAGI Income and Deductions
182-510-0001 WAC 182-510-0001 Supplemental security income and associated categorically needy coverage. Supplemental Security Income (SSI)
182-510-0005 WAC 182-510-0005 Supplemental security income, essential person, and ineligible spouse. Supplemental Security Income (SSI)
182-510-0010 WAC 182-510-0010 Eligibility after supplemental security income ends. Supplemental Security Income (SSI)
182-511-1000 WAC 182-511-1000 Health care for workers with disabilities (HWD) -- Program description. Healthcare for Workers with Disabilities (HWD)
182-511-1050 WAC 182-511-1050 Health care for workers with disabilities (HWD) -- Program requirements. Healthcare for Workers with Disabilities (HWD)
182-511-1100 WAC 182-511-1100 Health care for workers with disabilities (HWD) -- Retroactive coverage. Healthcare for Workers with Disabilities (HWD)
182-511-1150 WAC 182-511-1150 Apple health for workers with disabilities (HWD) -- Disability requirements. Healthcare for Workers with Disabilities (HWD)
182-511-1200 WAC 182-511-1200 Health care for workers with disabilities (HWD) -- Employment requirements. Healthcare for Workers with Disabilities (HWD)
182-511-1250 WAC 182-511-1250 Health care for workers with disabilities (HWD) -- Premium payments. Healthcare for Workers with Disabilities (HWD)
182-512-0010 WAC 182-512-0010 Supplemental security income (SSI) standards, SSI-related categorically needy income level (CNIL), and countable resource standards. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0050 WAC 182-512-0050 SSI-related medical -- General information. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0100 WAC 182-512-0100 SSI-related medical -- Categorically needy (CN) medical eligibility. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0150 WAC 182-512-0150 SSI-related medical -- Medically needy (MN) medical eligibility. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0200 WAC 182-512-0200 SSI-related medical -- Definition of resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0250 WAC 182-512-0250 SSI-related medical -- Ownership and availability of resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0260 WAC 182-512-0260 SSI-related medical -- How to count a sponsor's resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0300 WAC 182-512-0300 SSI-related medical -- Resources eligibility. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0350 WAC 182-512-0350 SSI-related medical -- Property and contracts excluded as resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0400 WAC 182-512-0400 SSI-related medical -- Vehicles excluded as resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0450 WAC 182-512-0450 SSI-related medical -- Life insurance excluded as a resource. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0500 WAC 182-512-0500 SSI-related medical -- Burial funds, contracts and spaces excluded as resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0550 WAC 182-512-0550 SSI-related medical -- All other excluded resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0600 WAC 182-512-0600 SSI-related medical -- Definition of income. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0650 WAC 182-512-0650 SSI-related medical -- Available income. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0700 WAC 182-512-0700 SSI-related medical -- Income eligibility. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0750 WAC 182-512-0750 SSI-related medical -- Countable unearned income. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0760 WAC 182-512-0760 SSI-related medical -- Education assistance. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0770 WAC 182-512-0770 SSI-related medical -- American Indian or Alaska Native excluded income and resources. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0780 WAC 182-512-0780 SSI-related medical -- Employment and training programs. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0785 WAC 182-512-0785 SSI-related medical -- Effect of a sponsor's income. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0790 WAC 182-512-0790 SSI-related medical -- Exemption from sponsor deeming. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0795 WAC 182-512-0795 SSI-related medical -- Budgeting a sponsor's income. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0800 WAC 182-512-0800 SSI-related medical -- General income exclusions. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0820 WAC 182-512-0820 SSI-related medical -- Child-related income exclusions and allocations. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0840 WAC 182-512-0840 SSI-related medical -- Work and agency-related income exclusions. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0860 WAC 182-512-0860 SSI-related medical -- Income exclusions under federal statute or other state laws. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0880 WAC 182-512-0880 SSI-related medical -- Special income disregards. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0900 WAC 182-512-0900 SSI-related medical -- Deeming and allocation of income. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0920 WAC 182-512-0920 SSI-related medical -- Deeming/allocation of income from nonapplying spouse. Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0940 WAC 182-512-0940 SSI-related medical -- Deeming income from an ineligible parent(s) to a child applying for SSI-related medical Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-512-0960 WAC 182-512-0960 SSI-related medical -- Allocating income -- Determining eligibility for a spouse when the other spouse receives long-term services and supports (LTSS). Coverage for Aged, Blind or Disabled (SSI Related Medical)
182-513-1100 WAC 182-513-1100 Definitions related to long-term services and supports (LTSS) Long Term Services and Supports (LTSS)
182-513-1105 WAC 182-513-1105 Personal needs allowance (PNA) and room and board standards in a medical institution and alternate living facility (ALF) Administration of Medical Programs - General
182-513-1200 WAC 182-513-1200 Long-term services and supports authorized under Washington Apple Health programs Long Term Services and Supports (LTSS)
182-513-1205 WAC 182-513-1205 Determining eligibility for noninstitutional coverage in an alternate living facility Long Term Services and Supports (LTSS)
182-513-1210 WAC 182-513-1210 Community First Choice (CFC) – Overview Long Term Services and Supports (LTSS)
182-513-1215 WAC 182-513-1215 Community First Choice (CFC) – Eligibility Long Term Services and Supports (LTSS)
182-513-1220 WAC 182-513-1220 Community First Choice (CFC) - Spousal impoverishment protections for noninstitutional Washington Apple Health clients Long Term Services and Supports (LTSS)
182-513-1225 WAC 182-513-1225 Medicaid Personal Care (MPC) Long Term Services and Supports (LTSS)
182-513-1230 WAC 182-513-1230 Program of all-inclusive care for the elderly (PACE) Long Term Services and Supports (LTSS)
182-513-1235 WAC 182-513-1235 Roads to Community Living (RCL) Long Term Services and Supports (LTSS)
182-513-1240 WAC 182-513-1240 The hospice program Long Term Services and Supports (LTSS)
182-513-1245 WAC 182-513-1245 Medically needy hospice in a medical institution. Long Term Services and Supports (LTSS)
182-513-1315 WAC 182-513-1315 General eligibility requirements for long-term care (LTC) programs. Long Term Services and Supports (LTSS)
182-513-1316 WAC 182-513-1316 General eligibility requirements for long-term care (LTC) programs. Long Term Services and Supports (LTSS)
182-513-1317 WAC 182-513-1317 Income and resource criteria for an institutionalized person. Long Term Services and Supports (LTSS)
182-513-1318 WAC 182-513-1318 Income and resource criteria for home and community based (HCB) waiver programs and hospice. Long Term Services and Supports (LTSS)
182-513-1319 WAC 182-513-1319 State-funded programs for noncitizens who are not eligible for a federally funded program. Long Term Services and Supports (LTSS)
182-513-1320 WAC 182-513-1320 Determining institutional status for long-term care (LTC) services. Long Term Services and Supports (LTSS)
182-513-1325 WAC 182-513-1325 Determining available income for an SSI-related single client for long-term care (LTC) services. Long Term Services and Supports (LTSS)
182-513-1330 WAC 182-513-1330 Determining available income for legally married couples for long-term care (LTC) services. Long Term Services and Supports (LTSS)
182-513-1340 WAC 182-513-1340 Determining excluded income for long-term care (LTC) services. Long Term Services and Supports (LTSS)
182-513-1345 WAC 182-513-1345 Determining disregarded income for institutional or hospice services under the medically needy (MN) program. Long Term Services and Supports (LTSS)
182-513-1350 WAC 182-513-1350 Defining the resource standard and determining resource eligibility for SSI-related long-term care (LTC) services. Long Term Services and Supports (LTSS)
182-513-1355 WAC 182-513-1355 Allocated resources to a community spouse when determining resource eligibility for SSI-related long-term care services. Long Term Services and Supports (LTSS)
182-513-1363 WAC 182-513-1363 Evaluating an asset transfer for clients applying for or receiving long-term care (LTC) services. Long Term Services and Supports (LTSS)
182-513-1367 WAC 182-513-1367 Hardship waivers. Long Term Services and Supports (LTSS)
182-513-1380 WAC 182-513-1380 Determining a client's financial participation in the cost of care for long-term care in a medical institution. Long Term Services and Supports (LTSS)
182-513-1385 WAC 182-513-1385 Determining the community spouse monthly maintenance needs allowance and dependent allowance in post-eligibility treatment of income for long-term care (LTC) programs. Long Term Services and Supports (LTSS)
182-513-1395 WAC 182-513-1395 Determining eligibility for institutional services for people living in a medical institution under the SSI-related medically needy program Long Term Services and Supports (LTSS)
182-513-1396 WAC 182-513-1396 People living in a fraternal, religious, or benevolent nursing facility. Long Term Services and Supports (LTSS)
182-513-1397 WAC 182-513-1397 Treatment of entrance fees for people residing in a continuing care retirement community or a life care community. Long Term Services and Supports (LTSS)
182-513-1400 WAC 182-513-1400 Long-term care (LTC) partnership program (index). Long Term Services and Supports (LTSS)
182-513-1405 WAC 182-513-1405 Definitions. Long Term Services and Supports (LTSS)
182-513-1410 WAC 182-513-1410 LTC partnership policy qualifications. Long Term Services and Supports (LTSS)
182-513-1415 WAC 182-513-1415 Assets that can't be protected under the LTC partnership provisions. Long Term Services and Supports (LTSS)
182-513-1420 WAC 182-513-1420 Eligibility for asset protection under a partnership policy. Long Term Services and Supports (LTSS)
182-513-1425 WAC 182-513-1425 When would I not qualify for LTC medicaid if I have a LTC partnership policy in pay status? Long Term Services and Supports (LTSS)
182-513-1430 WAC 182-513-1430 Change of circumstances that must be reported when there is an LTC partnership policy paying a portion of my care. Long Term Services and Supports (LTSS)
182-513-1435 WAC 182-513-1435 When Washington recognizes an LTC partnership policy purchased in another state. Long Term Services and Supports (LTSS)
182-513-1440 WAC 182-513-1440 Determining how many of my assets can be protected. Long Term Services and Supports (LTSS)
182-513-1445 WAC 182-513-1445 Designating a protected asset and required proof. Long Term Services and Supports (LTSS)
182-513-1450 WAC 182-513-1450 How the transfer of assets affects LTC partnership and medicaid eligibility. Long Term Services and Supports (LTSS)
182-513-1455 WAC 182-513-1455 What happens to protected assets under a LTC partnership policy after death. Long Term Services and Supports (LTSS)
182-513-1530 WAC 182-513-1530 Maximum guardianship fee and related cost deductions allowed from a client's participation or room and board on or after June 1, 2018. Long Term Services and Supports (LTSS)
182-513-1600 WAC 182-513-1600 Medicaid Alternative Care (MAC) - Overview Long Term Services and Supports (LTSS)
182-513-1605 WAC 182-513-1605 Medicaid alternative care (MAC) - Eligibility. Long Term Services and Supports (LTSS)
182-513-1610 WAC 182-513-1610 Tailored Supports for Older Adults (TSOA) - Overview Long Term Services and Supports (LTSS)
182-513-1615 WAC 182-513-1615 Tailored Supports for Older Adults (TSOA) - General Eligibility Long Term Services and Supports (LTSS)
182-513-1620 WAC 182-513-1620 Tailored Supports for Older Adults (TSOA) - Presumptive Eligibility Long Term Services and Supports (LTSS)
182-513-1625 WAC 182-513-1625 Tailored Supports for Older Adults (TSOA) - Applications. Long Term Services and Supports (LTSS)
182-513-1630 WAC 182-513-1630 Tailored Supports for Older Adults (TSOA) - Rights and Responsibilities Long Term Services and Supports (LTSS)
182-513-1635 WAC 182-513-1635 Tailored Supports for Older Adults (TSOA) - Income Eligibility Long Term Services and Supports (LTSS)
182-513-1640 WAC 182-513-1640 Tailored Supports for Older Adults (TSOA) - Resource Eligibility Long Term Services and Supports (LTSS)
182-513-1645 WAC 182-513-1645 Tailored Supports for Older Adults (TSOA) - Certification Periods. Long Term Services and Supports (LTSS)
182-513-1650 WAC 182-513-1650 Tailored Supports for Older Adults (TSOA) - Changes of Circumstances Requirements. Long Term Services and Supports (LTSS)
182-513-1655 WAC 182-513-1655 Tailored Supports for Older Adults (TSOA) - Renewals. Long Term Services and Supports (LTSS)
182-513-1660 WAC 182-513-1660 Medicaid Alternative Care (MAC) and Tailored Supports for Older Adults (TSOA) - Spousal Impoverishment Long Term Services and Supports (LTSS)
182-514-0230 WAC 182-514-0230 Purpose MAGI Based Long Term Care (LTC)
182-514-0240 WAC 182-514-0240 General eligibility MAGI Based Long Term Care (LTC)
182-514-0245 WAC 182-514-0245 Resource eligibility MAGI Based Long Term Care (LTC)
182-514-0250 WAC 182-514-0250 Program for adults age nineteen and older. MAGI Based Long Term Care (LTC)
182-514-0260 WAC 182-514-0260 Institutional program for children under age nineteen MAGI Based Long Term Care (LTC)
182-514-0263 WAC 182-514-0263 Non-SSI-related institutional medically needy coverage for pregnant people and people age 20 and younger. Long Term Services and Supports (LTSS)
182-514-0270 WAC 182-514-0270 Involuntary commitment to Eastern or Western State Hospital MAGI Based Long Term Care (LTC)
182-515-1505 WAC 182-515-1505 Home and community based (HCB) waiver services authorized by home and community services (HCS) Home and Community Based (HCB) Waivers
182-515-1506 WAC 182-515-1506 Home and community based (HCB) waiver services authorized by home and community services (HCS) general eligibility. Home and Community Based (HCB) Waivers
182-515-1507 WAC 182-515-1507 Home and community based (HCB) waiver services authorized by home and community services (HCS) — Financial eligibility if a client is eligible for an SSI-related noninstitutional categorically needy (CN) medicaid program. Home and Community Based (HCB) Waivers
182-515-1508 WAC 182-515-1508 Home and community based (HCB) waiver services authorized by home and community services (HCS) — Financial eligibility using SSI-related institutional rules. Home and Community Based (HCB) Waivers
182-515-1509 WAC 182-515-1509 Home and community based (HCB) waiver services authorized by home and community services (HCS) – Client financial responsibility Home and Community Based (HCB) Waivers
182-515-1510 WAC 182-515-1510 Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA). Home and Community Based (HCB) Waivers
182-515-1511 WAC 182-515-1511 Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA) - General eligibility. Home and Community Based (HCB) Waivers
182-515-1512 WAC 182-515-1512 Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA)- Financial eligibility if a client is eligible for a noninstitutional SSI-related categorically needy (CN) program Home and Community Based (HCB) Waivers
182-515-1513 WAC 182-515-1513 Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA)—Financial eligibility using SSI-related institutional rules. Home and Community Based (HCB) Waivers
182-515-1514 WAC 182-515-1514 Home and community based (HCB) services authorized by the developmental disabilities administration (DDA)- Client financial responsibility. Home and Community Based (HCB) Waivers
182-516-0001 WAC 182-516-0001 Definitions Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0100 WAC 182-516-0100 Trust index Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0105 WAC 182-516-0105 General rules that apply to all trusts Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0110 WAC 182-516-0110 Self-settled trusts overview Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0115 WAC 182-516-0115 Revocable self-settled trusts established on or after August 11, 1993 Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0120 WAC 182-516-0120 Irrevocable self-settled trusts for a disabled client under age sixty-five established on or after August 11, 1993. Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0125 WAC 182-516-0125 Irrevocable pooled self-settled trusts for a disabled client established on or after August 11, 1993. Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0130 WAC 182-516-0130 Irrevocable self-settled trusts established on or after August 11, 1993. Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0135 WAC 182-516-0135 Self-settled trusts established before August 11, 1993. Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0140 WAC 182-516-0140 Third-party trusts Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0145 WAC 182-516-0145 Irrevocable trusts containing both assets of the beneficiary and third-party assets. Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0200 WAC 182-516-0200 Annuities established prior to April 1, 2009 Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0201 WAC 182-516-0201 Annuities established on or after April 1, 2009 Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0300 WAC 182-516-0300 Life estates Trusts, Annuities, Life Estates, and Promissory Notes
182-516-0400 WAC 182-516-0400 Promissory notes and loans. Trusts, Annuities, Life Estates, and Promissory Notes
182-517-0100 WAC 182-517-0100 Federal medicare savings programs. Medicare Savings Programs (MSP)
182-517-0300 WAC 182-517-0300 State-funded medicare buy-in programs Medicare Savings Programs (MSP)
182-518-0005 WAC 182-518-0005 Washington apple health -- Notice requirements -- General Notices
182-518-0010 WAC 182-518-0010 Washington apple health -- Notice requirements approval and denial notices. Notices
182-518-0015 WAC 182-518-0015 Washington apple health -- Notice requirements verification requests Notices
182-518-0020 WAC 182-518-0020 Washington apple health -Notice requirements -- Renewals Notices
182-518-0025 WAC 182-518-0025 Washington apple health -- Notice requirements -- Actions to terminate, suspend, or reduce eligibility or authorization for a covered service. Notices
182-518-0030 WAC 182-518-0030 Washington apple health -- Notice requirements -- Electronic notices Notices
182-519-0050 WAC 182-519-0050 Monthly income and countable resource standards for medically needy (MN) Medically Needy (MN) and Spenddown
182-519-0100 WAC 182-519-0100 Eligibility for the medically needy program Medically Needy (MN) and Spenddown
182-519-0110 WAC 182-519-0110 Spenddown of excess income for the medically needy program Medically Needy (MN) and Spenddown
182-520-0005 WAC 182-520-0005 Washington apple health fraud referrals and overpayments Fraud and Overpayments
182-520-0010 WAC 182-520-0010 Washington apple health overpayments resulting from an administrative hearing Fraud and Overpayments
182-520-0015 WAC 182-520-0015 Long-term services and supports client overpayments. Long Term Services and Supports (LTSS)
182-521-0100 WAC 182-521-0100 Disregarded income Administration of Medical Programs - General
182-523-0100 WAC 182-523-0100 Washington apple health--Medical extension Transitional Medical Assistance
182-523-0130 WAC 182-523-0130 Medical extension--Redetermination Transitional Medical Assistance
182-524-0100 WAC 182-524-0100 General Administration of COFA program
182-524-0200 WAC 182-524-0200 Definitions Administration of COFA program
182-524-0250 WAC 182-524-0250 How to apply. Administration of COFA program
182-524-0300 WAC 182-524-0300 Eligibility Administration of COFA program
182-524-0400 WAC 182-524-0400 Residency requirements Administration of COFA program
182-524-0500 WAC 182-524-0500 Notice requirements Administration of COFA program
182-524-0600 WAC 182-524-0600 Payments Administration of COFA program
182-526-0005 WAC 182-526-0005 Purpose and scope Hearing and Appeals
182-526-0010 WAC 182-526-0010 Definitions. Hearing and Appeals
182-526-0015 WAC 182-526-0015 Terms in the Administrative Procedure Act compared to this chapter Hearing and Appeals
182-526-0020 WAC 182-526-0020 Good cause Hearing and Appeals
182-526-0025 WAC 182-526-0025 Use and location of the office of administrative hearings Hearing and Appeals
182-526-0030 WAC 182-526-0030 Contacting the board of appeals Hearing and Appeals
182-526-0035 WAC 182-526-0035 Calculating when a hearing deadline ends Hearing and Appeals
182-526-0040 WAC 182-526-0040 Service of documents on another party Hearing and Appeals
182-526-0070 WAC 182-526-0070 Filing documents Hearing and Appeals
182-526-0080 WAC 182-526-0080 Resolving a dispute with the health care authority Hearing and Appeals
182-526-0085 WAC 182-526-0085 Determining if a hearing right exists. Hearing and Appeals
182-526-0095 WAC 182-526-0095 Requesting a hearing Hearing and Appeals
182-526-0100 WAC 182-526-0100 Expedited administrative hearings for urgent health care needs Hearing and Appeals
182-526-0102 WAC 182-526-0102 Coordinated appeals process with the Washington health benefits exchange Hearing and Appeals
182-526-0110 WAC 182-526-0110 Process after a hearing is requested Hearing and Appeals
182-526-0115 WAC 182-526-0115 Withdrawing a request for hearing. Hearing and Appeals
182-526-0120 WAC 182-526-0120 Interpreter services for hearings Hearing and Appeals
182-526-0130 WAC 182-526-0130 Limited-English-proficient parties--Notice requirements. Hearing and Appeals
182-526-0135 WAC 182-526-0135 Interpreters. Hearing and Appeals
182-526-0140 WAC 182-526-0140 Waiving interpreter services Hearing and Appeals
182-526-0145 WAC 182-526-0145 Interpreter requirements Hearing and Appeals
182-526-0150 WAC 182-526-0150 Hearing decisions involving limited-English-proficient parties Hearing and Appeals
182-526-0155 WAC 182-526-0155 Appellant's representation in the hearing. Hearing and Appeals
182-526-0156 WAC 182-526-0156 Legal assistance in the hearing process Hearing and Appeals
182-526-0175 WAC 182-526-0175 Prehearing meetings. Hearing and Appeals
182-526-0185 WAC 182-526-0185 Settlement agreements Hearing and Appeals
182-526-0195 WAC 182-526-0195 Prehearing conferences. Hearing and Appeals
182-526-0200 WAC 182-526-0200 Enrollee appeals of a managed care organization action. Hearing and Appeals
182-526-0215 WAC 182-526-0215 Authority of the administrative law judge when conducting a hearing. Hearing and Appeals
182-526-0216 WAC 182-526-0216 The authority of the administrative law judge and the review judge is limited Hearing and Appeals
182-526-0218 WAC 182-526-0218 The authority of a review judge when conducting a hearing as a presiding officer. Hearing and Appeals
182-526-0220 WAC 182-526-0220 Rules and laws an administrative law judge and review judge must apply when conducting a hearing or making a decision Hearing and Appeals
182-526-0221 WAC 182-526-0221 HCA index of significant decisions. Hearing and Appeals
182-526-0230 WAC 182-526-0230 Assigning an administrative law judge to a hearing. Hearing and Appeals
182-526-0240 WAC 182-526-0240 Filing a motion of prejudice. Hearing and Appeals
182-526-0245 WAC 182-526-0245 Disqualifying an administrative law judge or review judge. Hearing and Appeals
182-526-0250 WAC 182-526-0250 Time requirements for notices issued by the office of administrative hearings. Hearing and Appeals
182-526-0255 WAC 182-526-0255 Notice of hearing or notice of prehearing conference. Hearing and Appeals
182-526-0260 WAC 182-526-0260 Amending the health care authority or managed care organization notice Hearing and Appeals
182-526-0265 WAC 182-526-0265 Amending hearing requests Hearing and Appeals
182-526-0270 WAC 182-526-0270 Mailing address changes. Hearing and Appeals
182-526-0280 WAC 182-526-0280 Continuing a hearing when an appellant is an applicant or recipient. Hearing and Appeals
182-526-0284 WAC 182-526-0284 Orders of default Hearing and Appeals
182-526-0285 WAC 182-526-0285 Orders of dismissal. Hearing and Appeals
182-526-0290 WAC 182-526-0290 Reinstating a hearing after an order of default or an order of dismissal. Hearing and Appeals
182-526-0300 WAC 182-526-0300 Order of dismissal based on subject matter Hearing and Appeals
182-526-0310 WAC 182-526-0310 Requesting a stay of the health care authority action Hearing and Appeals
182-526-0320 WAC 182-526-0320 Subpoenas. Hearing and Appeals
182-526-0340 WAC 182-526-0340 Hearing location. Hearing and Appeals
182-526-0345 WAC 182-526-0345 Administrative law judge present at the hearing Hearing and Appeals
182-526-0350 WAC 182-526-0350 Recording the hearing Hearing and Appeals
182-526-0355 WAC 182-526-0355 People who may attend the hearing. Hearing and Appeals
182-526-0360 WAC 182-526-0360 Changing how a hearing is held or how a witness appears at a hearing. Hearing and Appeals
182-526-0370 WAC 182-526-0370 Submitting documents for a telephonic hearing Hearing and Appeals
182-526-0375 WAC 182-526-0375 Summary of the hearing process. Hearing and Appeals
182-526-0380 WAC 182-526-0380 Group hearing requests. Hearing and Appeals
182-526-0387 WAC 182-526-0387 Requesting that a hearing be consolidated or severed when multiple agencies are parties to the proceeding. Hearing and Appeals
182-526-0390 WAC 182-526-0390 Evidence. Hearing and Appeals
182-526-0405 WAC 182-526-0405 Stipulations. Hearing and Appeals
182-526-0415 WAC 182-526-0415 Exhibits. Hearing and Appeals
182-526-0440 WAC 182-526-0440 Judicial notice Hearing and Appeals
182-526-0450 WAC 182-526-0450 Witness. Hearing and Appeals
182-526-0480 WAC 182-526-0480 Burden of proof Hearing and Appeals
182-526-0485 WAC 182-526-0485 Standard of proof Hearing and Appeals
182-526-0495 WAC 182-526-0495 Equitable estoppel. Hearing and Appeals
182-526-0500 WAC 182-526-0500 Hearing record. Hearing and Appeals
182-526-0512 WAC 182-526-0512 Contents of the hearing record Hearing and Appeals
182-526-0520 WAC 182-526-0520 Information which must be included in the ALJ's initial order. Hearing and Appeals
182-526-0525 WAC 182-526-0525 When initial orders become final. Hearing and Appeals
182-526-0530 WAC 182-526-0530 How to correct or appeal an initial order Hearing and Appeals
182-526-0540 WAC 182-526-0540 Correction of clerical errors are corrected in an initial order. Hearing and Appeals
182-526-0545 WAC 182-526-0545 How a party requests a corrected initial order. Hearing and Appeals
182-526-0550 WAC 182-526-0550 Deadline for a party to request a corrected initial order. Hearing and Appeals
182-526-0555 WAC 182-526-0555 Process after a party requests a corrected initial order. Hearing and Appeals
182-526-0560 WAC 182-526-0560 Review of an initial order by a review judge. Hearing and Appeals
182-526-0565 WAC 182-526-0565 Evidence a review judge considers in reviewing an initial order Hearing and Appeals
182-526-0570 WAC 182-526-0570 Request for review of an initial order Hearing and Appeals
182-526-0575 WAC 182-526-0575 How to request review of an initial order. Hearing and Appeals
182-526-0580 WAC 182-526-0580 Deadline for requesting review of an initial order by a review judge. Hearing and Appeals
182-526-0590 WAC 182-526-0590 Response to a request for review Hearing and Appeals
182-526-0595 WAC 182-526-0595 Process after review response deadline. Hearing and Appeals
182-526-0600 WAC 182-526-0600 Authority of the review judge. Hearing and Appeals
182-526-0605 WAC 182-526-0605 Reconsideration of a final order entered by a review judge. Hearing and Appeals
182-526-0620 WAC 182-526-0620 Deadline for requesting reconsideration Hearing and Appeals
182-526-0630 WAC 182-526-0630 Responding to a reconsideration request Hearing and Appeals
182-526-0635 WAC 182-526-0635 Process after a party requests reconsideration Hearing and Appeals
182-526-0640 WAC 182-526-0640 Judicial review of a final order. Hearing and Appeals
182-526-0645 WAC 182-526-0645 Deadline for petition for judicial review and filing requirements Hearing and Appeals
182-526-0647 WAC 182-526-0647 Exhaustion of administrative remedies required Hearing and Appeals
182-526-0650 WAC 182-526-0650 Service of petition for judicial review. Hearing and Appeals
182-527-2730 WAC 182-527-2730 Definitions Estate Recovery and Pre-death Lien
182-527-2734 WAC 182-527-2734 Liens during a client's lifetime. Estate Recovery and Pre-death Lien
182-527-2738 WAC 182-527-2738 Estate recovery - General right to recover. Estate Recovery and Pre-death Lien
182-527-2740 WAC 182-527-2740 Estate recovery - Age-related limitations. Estate Recovery and Pre-death Lien
182-527-2742 WAC 182-527-2742 Estate recovery-Service-related limitations. Estate Recovery and Pre-death Lien
182-527-2746 WAC 182-527-2746 Estate recovery-Asset-related limitations. Estate Recovery and Pre-death Lien
182-527-2750 WAC 182-527-2750 Estate recovery - Delay of recovery for undue hardship Estate Recovery and Pre-death Lien
182-527-2753 WAC 182-527-2753 Hearings. Hearing and Appeals
182-530-5000 WAC 182-530-5000 Billing requirements - Pharmacy claim payment Billing Guidelines for Providers
182-531-0425 WAC 182-531-0425 Collaborative Care Administration of Medical Programs - General
182-531-1710 WAC 182-531-1710 Alcohol and substance misuse counseling. Administration of Medical Programs - General
182-531-1850 WAC 182-531-1850 Payment methodology for physician-related services-General and billing modifiers. Administration of Medical Programs - General
182-532-100 WAC 182-532-100 Reproductive health services - Eligibility. Take Charge and Family Planning
182-532-120 WAC 182-532-120 Reproductive health - Covered yearly exams for women Take Charge and Family Planning
182-532-123 WAC 182-532-123 Reproductive health - Other covered services for women Take Charge and Family Planning
182-532-125 WAC 182-532-125 Reproductive health - Covered services for men Take Charge and Family Planning
182-532-500 WAC 182-532-500 Family Planning only program - Purpose Take Charge and Family Planning
182-532-510 WAC 182-532-510 Family Planning only program - Client eligibility Take Charge and Family Planning
182-532-520 WAC 182-532-520 Family planning only programs - Provider requirements. Take Charge and Family Planning
182-532-533 WAC 182-532-533 Family planning only program - Other covered services Take Charge and Family Planning
182-532-540 WAC 182-532-540 Family planning only program - Noncovered services Take Charge and Family Planning
182-532-790 WAC 182-532-790 TAKE CHARGE program - Good cause exemption from billing third party insurance. Administration of Medical Programs - General
182-534-0100 WAC 182-534-0100 EPSDT Early and Periodic Screening, Diagnostic and Treatment
182-535-1270 WAC 182-535-1270 Oral health connections pilot project Administration of Medical Programs - General
182-538-050 WAC 182-538-050 Definitions Managed Care
182-538-060 WAC 182-538-060 Managed care choice and assignment Managed Care
182-540-001 WAC 182-540-001 Purpose Administration of Medical Programs - General
182-540-005 WAC 182-540-005 Kidney disease program (KDP) - Definitions Administration of Medical Programs - General
182-540-015 WAC 182-540-015 Kidney disease program (KDP) - General eligibility criteria Administration of Medical Programs - General
182-540-021 WAC 182-540-021 Kidney disease program (KDP) - Household size Administration of Medical Programs - General
182-540-022 WAC 182-540-022 Kidney disease program (KDP) - Income eligibility Administration of Medical Programs - General
182-540-023 WAC 182-540-023 Kidney disease program (KDP) - Change of circumstance Administration of Medical Programs - General
182-540-025 WAC 182-540-025 Kidney disease program (KDP) - Application and recertification requirements - KDP contractor Administration of Medical Programs - General
182-540-026 WAC 182-540-026 Kidney disease program (KDP) - Application and recertification requirements - client Administration of Medical Programs - General
182-540-030 WAC 182-540-030 Kidney disease programs (KDP) - Resource eligibility Administration of Medical Programs - General
182-540-045 WAC 182-540-045 Kidney disease program (KDP) contractor requirements Administration of Medical Programs - General
182-540-055 WAC 182-540-055 Kidney disease program (KDP) covered services Administration of Medical Programs - General
182-540-060 WAC 182-540-060 Kidney disease program (KDP) client appeal rights Administration of Medical Programs - General
182-540-065 WAC 182-540-065 Kidney disease program (KDP) - Reimbursement Administration of Medical Programs - General
182-543-0500 WAC 182-543-0500 General Administration of Medical Programs - General
182-543-2000 WAC 182-543-2000 Eligible providers and provider requirements. Administration of Medical Programs - General
182-543-5000 WAC 182-543-5000 Covered—Prosthetics/orthotics. Administration of Medical Programs - General
182-546-0150 WAC 182-546-0150 Client eligibility for ambulance transportation Administration of Medical Programs - General
182-546-4600 WAC 182-546-4600 Ambulance transportation - Involuntary substance use disorder treatment - Ricky Garcia Act Administration of Medical Programs - General
182-551-1000 WAC 182-551-1000 Hospice program - General General Eligibility & Application Requirements
182-551-2040 WAC 182-551-2040 Face-to-face encounter requirements Administration of Medical Programs - General
182-554-500 WAC 182-554-500 Covered enteral nutrition products, equipment and related supplies - Orally administered - Clients twenty years of age and younger only. Administration of Medical Programs - General
182-560-100 WAC 182-560-100 Achieving a Better Life Experience (ABLE) Act. Long Term Services and Supports (LTSS)
388-79A-001 WAC 388-79A-001 Definitions. Long Term Services and Supports (LTSS)
388-79A-005 WAC 388-79A-005 Maximum Amount of Guardianship Fees and Related Costs for a Long-term Care Medicaid Eligible Client. Long Term Services and Supports (LTSS)
388-79A-010 WAC 388-79A-010 Maximum guardianship fees and related costs before June 1, 2018. Long Term Services and Supports (LTSS)
388-79A-015 WAC 388-79A-015 Procedure for allowing guardianship fees and related costs from client participation before June 1, 2018. Long Term Services and Supports (LTSS)