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 due to the federal government shutdown. In addition, health care providers will continue to be paid for the services they provide. We will continue to monitor the situation closely and share updates if anything changes.
This section describes the process that is used to determine participation. This is also called the post-eligibility treatment of income (PETI). PETI only applies to institutional long term care services and Home and Community Based (HCB) Waivers.
Determining a client's financial participation in the cost of care for long-term care (LTC) services
WAC 182-513-1380. This section describes the post-eligibility treatment of income (PETI) process for determining participation for individuals residing in a medical institution such as a nursing home or DDA RHC.
How does the department determine how much of my income I must pay towards the cost of my care if I am only eligible for home and community based (HCB) services under WAC 182-515-1508?
HCS HCB Waiver. WAC 182-515-1509. This section describes the post-eligibility treatment of income (PETI) process for determining participation for individuals receiving a HCB Waiver authorized by HCS.
How does the department determine how much of my income I must pay towards the cost of my DDA waiver services if I am not eligible for Medicaid under a categorically needy program (CN) listed in WAC 182-515-1512
DDA HCB Waiver WAC 182-515-1514.This section describes the post-eligibility treatment of income (PETI) process for determining participation for individuals receiving a HCB Waiver authorized by DDA.
