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.

Long-term care

Revised date
Purpose statement

LTC programs are tailored to fit individual needs and situations. Home and Community Based (HCB) Services, such as COPES and DDA waivers, enable people to continue living in their homes with assistance to meet their physical, medical, and social needs. When these needs cannot be met at home, care in a residential or nursing facility is available.

Different income standards are used to determine eligibility for Categorically Needy (CN) or Medically Needy (MN) LTC services coverage. A person must meet both the financial eligibility rules and be found eligible for the LTC services based on a comprehensive assessment to be eligible for most LTC programs. Contact a local Home and Community Services Office for more information.

Long-Term Care services include the following programs:

  • Community Options Program Entry System (COPES) (L21, L22)
  • New Freedom (L21, L22)
  • Developmental Disabilities Administration (DDA) Waivers (L21, L22)
  • Program of all-inclusive care for the elderly (PACE) (L21, L22)
  • Hospice (L31, L32, L95, L99)
  • Family LTC (K01, K95, K99)
  • Nursing Facility LTC (L01, L02, L95, L99)

WAC 182-513-1315 General eligibility requirements for long-term care (LTC) programs.

WAC 182-513-1315 General eligibility requirements for long-term care (LTC) programs.

Effective February 20, 2017

This section lists the sections in this chapter that describe how the agency determines a person's eligibility for long-term care services. These sections are:

  1. WAC 182-513-1316 General eligibility requirements for long-term care (LTC) programs.
  2. WAC 182-513-1317 Income and resource criteria for an institutionalized person.
  3. WAC 182-513-1318 Income and resource criteria for home and community based (HCB) waiver programs and hospice.
  4. WAC 182-513-1319 State-funded programs for noncitizens who are not eligible for a federally funded program.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.