Potential government shutdown

In the event of a federal government shutdown, individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage—and those accessing behavioral health services—will not experience a disruption in care. In addition, health care providers will continue to be paid for the services they provide.

If a shutdown occurs, we will share more information at that time.

Apple Health public health emergency (PHE)

Important: Stay covered! Are you enrolled in Apple Health (Medicaid) coverage? It may be time to complete your renewal. Make sure your address and phone number are up to date so you can stay enrolled. Report a change.

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
182-513-1110 WAC 182-513-1110 Presumptive eligibility (PE) - Long-term services and supports (LTSS) in a home setting or in an alternative living facility (ALF) authorized by home and community services (HCS). Long Term Services and Supports (LTSS)
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
182-521-0200 WAC 182-521-0200 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)