WAC 182-513-1605 Medicaid alternative care (MAC) - Eligibility.
WAC 182-513-1605 Medicaid alternative care (MAC) — Eligibility.
Effective July 1, 2017
- The person receiving care must meet the financial eligibility criteria for medicaid alternative care (MAC).
- To be eligible for MAC services, the person receiving care must:
- Be age fifty-five or older;
- Be assessed as meeting nursing facility level of care under WAC 388-106-0355, and choose to receive services under the MAC program instead of other long-term services and supports;
- Meet residency requirements under WAC 182-503-0520;
- Live at home and not in a residential or institutional setting;
- Have an eligible unpaid caregiver under WAC 388-106-1905;
- Meet citizenship and immigration status requirements under WAC 182-503-0535 (2)(a) or (b); and
- Be eligible for either:
- An applicant whose eligibility is limited to one or more of the following programs is not eligible for MAC:
- The medically needy program under WAC 182-519-0100;
- The medicare savings programs under WAC 182-517-0300;
- The family planning program under WAC 182-505-0115;
- The TAKE CHARGE program under WAC 182-532-720;
- The medical care services (MCS) program under WAC 182-508-0005;
- The alien emergency medical (AEM) program under WAC 182-507-0110 through 182-507-0120;
- The state funded long-term care for noncitizens program under WAC 182-507-0125;
- The kidney disease program under chapter 182-540 WAC; or
- The tailored supports for older adults (TSOA) program under WAC 182-513-1610.
- The following rules do not apply to services provided under the MAC benefit: