WAC 182-507-0130 Refugee medical assistance (RMA).

Effective November 13, 2022

    (1) You are eligible for refugee medical assistance (RMA) if all the following conditions are met. You:
        (a) Meet immigration status requirements of WAC 182-507-0135;
        (b) Have countable resources below $1,000 on the date of application;
        (c) Have countable income equal to or below 200 percent of the federal poverty level (FPL) on the date of application. The following income               is not considered when determining eligibility for RMA:                 
             (i) Resettlement cash payments made by the voluntary agency (VOLAG);
             (ii) Income of a sponsor is not counted unless the sponsor is also part of your assistance unit; and       
            (iii) Income received after the date of application.
        (d) Provide the name of the VOLAG which helped bring you to the United States so that the department of social and health services                           (DSHS) can promptly notify the VOLAG (or sponsor) about the medical application.
    (2) If you receive refugee cash assistance (RCA) you are eligible for RMA as long as you are not otherwise eligible for medicaid or a children's           health care program as described in WAC 182-505-0210. You do not have to apply for or receive RCA in order to qualify for RMA.
    (3) You are not eligible to receive RMA if you are:
        (a) Already eligible for medicaid or a children's health care program as described in WAC 182-505-0210;
        (b) A full-time student in an institution of higher education unless the educational activity is part of a DSHS-approved individual responsibility           plan (IRP); or
        (c) A nonrefugee spouse of a refugee.
    (4) If approved for RMA, the agency or its designee issues an approval letter in both English and your primary language. The agency or its                 designee also sends a notice every time there are any  changes or actions taken which affect your eligibility for RMA.
    (5) You may be eligible for RMA coverage of medical expenses incurred during the three months prior
         to the first day of the month of the application. Eligibility determination will be made according to medicaid rules.
    (6) If you are a victim of human trafficking you must provide the following documentation and meet the eligibility requirements in                                   subsections (1) and (2) of this section to be eligible for RMA:
        (a) Adults, 18 years of age or older, must provide the original certification letter from the United States Department of Health and Human                     Services (DHHS). No other documentation is needed. The eligibility period will be determined based on the entry date on your                              certification letter;
        (b) A child victim under the age of 18 does not need to be certified. DHHS issues a special letter for children. Children also have to meet                     income eligibility requirements;
        (c) A family member of a certified victim of human trafficking must have a T-2, T-3, T-4, or T-5 visa (derivative T-Visas), and the family                           member must meet eligibility requirements in subsections (1)and (2) of this section.
    (7) The entry date for an asylee is the date that asylum status is granted. For example, you entered the United States on December 1, 1999,              as a tourist, then applied for asylum on April 1, 2000, interviewed with the asylum office on July 1, 2000, and were granted asylum on                    September 1, 2000. The date of entry is September 1, 2000, and that is the date used to establish eligibility for RMA.
    (8)(a) RMA ends on either:
            (i) The last day of the eighth month from the month the person entered the United States if they entered the United States on or before                      September 30, 2021. For example, if they entered the United States on September 30, 2021, they are eligible through April 30, 2022; or
            (ii) The last day of the 12th month from the month the person entered the United States if they entered the United States on                                        or after October 1, 2021. For example, if they entered the United States on October 25, 2021, they are eligible through September 30,                    2022.
        (b) You may receive RMA benefits for more months if you are in a category of persons for whom the federal Office of Refugee Resettlement               has extended the eligibility period.
    (9) If you are approved for RMA you are continuously eligible through the end of the initial RMA certification period, regardless of an increase
         in income.
   (10) The agency, or its designee, determines eligibility for medicaid and other medical programs for your spouse when the spouse arrives in the            United States. If the spouse is not eligible for medicaid due to your countable income, the spouse is still eligible for RMA under subsection            (8) of this section. 
    (11) If you disagree with a decision or action taken on the case by the agency, or its designee, you have the right to request a review of the                   case action(s) or request an administrative hearing (see chapter 182-526 WAC). The request must be received by the agency, or its                       designee, within 90 days of the date of the decision or action.

WAC 182-507-0135 Immigration status requirement for refugee medical assistance (RMA).

Effective June 28, 2022

1. An individual is eligible for refugee medical assistance (RMA) if the individual provides documentation issued by the United States Citizenship and Immigration Services (USCIS) to show that the individual is:
   1. Admitted as a refugee under section 207 of the Immigration and Nationalities Act (INA);
   2. Paroled into the United States as a refugee or asylee under section 212 (d)(5) of the INA;
   3. Granted conditional entry under section 203 (a)(7) of the INA;
   4. Granted asylum under section 208 of the INA;
   5. Admitted as an Amerasian immigrant from Vietnam through the orderly departure program, under section 584 of the Foreign Operations Appropriations Act, incorporated in the FY88 continuing resolution P.L. 100-212;
   6. A Cuban-Haitian entrant who was admitted as a public interest parolee under section 212 (d)(5) of the INA;
   7. Certified as a victim of human trafficking by the federal Office of Refugee Resettlement (ORR);
   8. An eligible family member of a victim of human trafficking certified by ORR who has a T-2, T-3, T-4, or T-5 visa; or
   9. Admitted as special immigrant from Iraq or Afghanistan under one of the following:
      1. Special immigrant status under section 101 (a) (27) of the INA;
      2. Special immigrant conditional permanent resident; or 
      3. Parole under section 602 (b) (1) of the Afghan Allies Protection Act of 2009 or section 1059 (a) of the National Defense Authorization Act of 2006.
   10. An Afghan granted humanitarian parole between July 31, 2021, and September 30, 2022, their spouse or child, or a parent or guardian of an unaccompanied minor who is granted parole after September 30, 2022 under section 2502 of the Extending Government Funding and Delivering Emergency Assistance Act of 2021.
   11.  A Ukrainian or a non-Ukrainian person who habitually resided in the Ukraine who, under section 401 of the Additional Ukrainian Supplemental Appropriations Act, 2022 (AUSAA), was granted parole:
       1. Between February 24, 2022, and September 30, 2023; or
       2. After September 30, 2023, and is:
          1. The spouse or child of a person described in (k)(i) of this subsection; or
          2. The parent or guardian of a person described in (k)(i) of this subsection who is an unaccompanied minor. 
2. A permanent resident alien meets the immigration status requirements for RCA and RMA if the individual was previously in one of the statuses described in subsection (1) of this section.