WAC 182-505-0211 Washington apple health -- Foster Care.
WAC 182-505-0211 Washington apple health -– Foster Care.
Effective January 1, 2023.
1. A client under the age of 18 is eligible for Washington apple health foster care coverage when they:
(a) Are in foster care as determined by the department of children, youth, and families (DCYF) under the legal responsibility of the state, or a federally recognized tribe located within the state; and
(b) Meet Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525.
2. A client age 20 or younger is eligible for coverage when the client meets:
(a) Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525;
(b) Citizenship or immigration status requirements as described in WAC 182-503-0535;
(c) Social Security number requirements as described in WAC 182-503-0515; and
(d) One of the following requirements:
(i.) Is in foster care, or is eligible for continued foster care services as determined by the children's administration, under the legal responsibility of the state, or a federally recognized tribe located within the state; or
(ii.) Receives subsidized adoption services through the children's administration; or
(iii.) Is enrolled in the unaccompanied refugee minor (URM) program as authorized by the office of refugee and immigrant assistance (ORIA); or
(iv.) Is living in a community facility (as defined in WAC 110-700-005) operated or contracted by DCYF's juvenile rehabilitation.
3. A client age 18 or older but under age 26 is eligible for Washington Apple Health coverage when a client:
(a) Was in foster care under the legal responsibility of any state or a federally recognized tribe located within any state.
(a) On the client’s 18th birthday; or
(b) At such higher age as to when the state or tribe extends foster care coverage; and
(b) Meets residency, Social Security number, and citizenship requirements as described in subsection (2) of this section.
4. A client described in subsections (1) through (3) of this section is not eligible for full-scope coverage if the client is confined to a public institution as defined in WAC 182-500-0050, except:
(a) If the client is under age 21;
(b) Resides in an institution for mental disease (IMD); and
(c) Meets the institutional status requirements in WAC 182-513-1320, 182-514-0250, or 182-514-0260.
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.