WAC 182-513-1620 Tailored Supports for Older Adults (TSOA) - Presumptive Eligibility (PE).
Effective June 22, 2019
- A person may be determined presumptively eligible for tailored supports for older adults (TSOA) services upon completion of a prescreening interview.
- The prescreening interview may be conducted by either:
- The area agency on aging (AAA); or
- By a home and community services intake case manager or social worker.
- To receive services under presumptive eligibility (PE), the person must meet:
- The presumptive period begins on the date the determination is made and:
- Ends on the last day of the month following the month of the presumptive eligibility (PE) determination if a full TSOA application is not completed and submitted by that date; or
- Continues through the date the final TSOA eligibility determination is made if a full TSOA application is submitted before the last day of the month following the month of the PE determination.
- If the person applies and is not determined financially eligible for TSOA, there is no overpayment or liability on the part of the applicant for services received during the PE period.
- The medicaid agency or the agency's designee sends written notice as described in WAC 182-518-0010 when PE for TSOA is approved or denied.
- A person may receive only one PE period within a consecutive twenty-four-month period.
- If the department of social and health services establishes a waitlist for TSOA services under WAC 388-106-1975, PE does not apply.