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Apple Health (Medicaid) manual WAC index

Category

Number	Title	WAC Category
182‑300‑0100	Single bed certification	Administration of Medical Programs - General
182‑500‑0005	Definitions.	Medical Definitions
182‑500‑0010	Medical assistance definitions -- A.	Medical Definitions
182‑500‑0015	Medical assistance definitions -- B.	Medical Definitions
182‑500‑0020	Definitions -- C.	Medical Definitions
182‑500‑0025	Definitions -- D.	Medical Definitions
182‑500‑0030	Definitions -- E.	Medical Definitions
182‑500‑0035	Medical assistance definitions -- F	Medical Definitions
182‑500‑0040	Medical assistance definitions -- G.	Medical Definitions
182‑500‑0045	Medical assistance definitions -- H.	Medical Definitions
182‑500‑0050	Washington apple health definitions -- I.	Medical Definitions
182‑500‑0065	Definitions -- L.	Medical Definitions
182‑500‑0070	Definitions -- M. Managed care organization (MCO)	Medical Definitions
182‑500‑0075	Medical assistance definitions -- N	Medical Definitions
182‑500‑0080	Medical assistance definitions -- O.	Medical Definitions
182‑500‑0085	Medical assistance definitions -- P.	Medical Definitions
182‑500‑0090	Medical assistance definitions -- Q.	Medical Definitions
182‑500‑0095	Medical assistance definitions -- R.	Medical Definitions
182‑500‑0100	Medical assistance definitions -- S.	Medical Definitions
182‑500‑0105	Medical assistance definitions -- T.	Medical Definitions
182‑500‑0110	Medical assistance definitions -- U.	Medical Definitions
182‑500‑0120	Medical assistance definitions -- W.	Medical Definitions
182‑501‑0050	Health care general coverage.	Administration of Medical Programs - General
182‑501‑0055	Health care coverage - How the agency determines coverage of services for its health care programs using health technology assessments	Administration of Medical Programs - General
182‑501‑0060	Health care coverage--Program benefit packages--Scope of service categories.	Administration of Medical Programs - General
182‑501‑0065	Health care coverage -- Description of service categories.	Administration of Medical Programs - General
182‑501‑0070	Health care coverage--Noncovered services.	Administration of Medical Programs - General
182‑501‑0135	Patient review and coordination (PRC).	Administration of Medical Programs - General
182‑501‑0165	Medical and dental coverage - Fee-for-service (FFS) prior authorization - Determination process for payment	Administration of Medical Programs - General
182‑501‑0175	Medical care provided in bordering cities.	Administration of Medical Programs - General
182‑501‑0200	Third-party resources.	Billing Guidelines for Providers
182‑501‑0215	Wraparound with intensive services (WISe)	Administration of Medical Programs - General
182‑502‑0160	Billing a client.	Billing Guidelines for Providers
182‑503‑0001	Insurance affordability programs -- Overview.	General Eligibility & Application Requirements
182‑503‑0005	Washington apple health -- How to apply.	General Eligibility & Application Requirements
182‑503‑0010	Washington apple health -- Who may apply.	General Eligibility & Application Requirements
182‑503‑0040	Washington apple health -- Interview requirements	General Eligibility & Application Requirements
182‑503‑0050	Verification of eligibility factors.	General Eligibility & Application Requirements
182‑503‑0055	Asset verification system	Administration of Medical Programs - General
182‑503‑0060	Washington apple health (WAH)-- Application processing times.	General Eligibility & Application Requirements
182‑503‑0070	Washington apple health (WAH)-- When coverage begins.	General Eligibility & Application Requirements
182‑503‑0080	Washington apple health -- Application denials and withdrawals.	General Eligibility & Application Requirements
182‑503‑0090	Washington apple health -- Exceptions to rule	General Eligibility & Application Requirements
182‑503‑0100	Washington apple health -- Rights and responsibilities.	General Eligibility & Application Requirements
182‑503‑0110	Washington apple health -- Limited-English proficient (LEP) services	General Eligibility & Application Requirements
182‑503‑0120	Washington apple health -- Equal access services.	General Eligibility & Application Requirements
182‑503‑0130	Authorized representative.	General Eligibility & Application Requirements
182‑503‑0505	Washington apple health -- General eligibility requirements.	General Eligibility & Application Requirements
182‑503‑0510	Washington apple health -- Program summary	General Eligibility & Application Requirements
182‑503‑0515	Washington apple health -- Social Security number requirements.	General Eligibility & Application Requirements
182‑503‑0520	Washington apple health -- Residency requirements -- Persons who are not residing in an institution.	General Eligibility & Application Requirements
182‑503‑0525	Washington apple health -- Residency requirements for an institutionalized person.	General Eligibility & Application Requirements
182‑503‑0535	Washington apple health -- Citizenship and immigration status.	General Eligibility & Application Requirements
182‑503‑0540	Assignment of rights and cooperation.	General Eligibility & Application Requirements
182‑503‑0565	Washington apple health -- Age requirements for medical programs based on modified adjusted gross income (MAGI).	General Eligibility & Application Requirements
182‑504‑0005	Washington apple health -- Retroactive certification period.	Certification Periods and Changes
182‑504‑0015	Washington apple health -- Certification periods for categorically needy programs.	Certification Periods and Changes
182‑504‑0020	Certification periods for the noninstitutional medically needy program.	Certification Periods and Changes
182‑504‑0025	Medicare savings program certification periods.	Certification Periods and Changes
182‑504‑0035	Washington apple health -- Renewals.	Certification Periods and Changes
182‑504‑0105	Washington apple health -- Changes that must be reported.	Certification Periods and Changes
182‑504‑0110	Washington apple health -- When to report changes.	Certification Periods and Changes
182‑504‑0120	Washington apple health -- Effective dates of changes.	Certification Periods and Changes
182‑504‑0125	Washington apple health -- Effect of reported changes.	Certification Periods and Changes
182‑504‑0130	Washington apple health -- Continued coverage pending an appeal.	Certification Periods and Changes
182‑505‑0100	Monthly income standards for MAGI-based programs.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0115	Washington apple health -- Eligibility for pregnancy and after-pregnancy coverage.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0117	Washington apple health -- Eligibility for pregnant minors.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0120	Washington apple health breast and cervical cancer treatment program for women--Client eligibility.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0210	Eligibility for children.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0211	Washington apple health -- Foster Care.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0215	Children's Washington apple health with premiums.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0225	Children's Washington apple health with premiums - Calculation and determination of premium amount.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0240	Parents and caretaker relatives.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0250	Washington apple health -- MAGI-based adult medical.	MAGI Based, BCCTP, HPE, and Foster Care
182‑505‑0300	Hospital Presumptive Eligibility	MAGI Based, BCCTP, HPE, and Foster Care
182‑506‑0010	Medical assistance units for MAGI-based programs.	Medical Assistance Units (MAU)
182‑506‑0012	Determining a person's medical assistance unit.	Medical Assistance Units (MAU)
182‑506‑0015	Medical assistance units for non-MAGI-based Washington apple health programs.	Medical Assistance Units (MAU)
182‑507‑0110	Washington apple health -- Alien medical programs.	Programs for Noncitizens
182‑507‑0115	Alien emergency medical program (AEM).	Programs for Noncitizens
182‑507‑0120	Alien medical for dialysis and cancer treatment, and treatment of life-threatening benign tumors.	Programs for Noncitizens
182‑507‑0125	State-funded long-term care services.	Programs for Noncitizens
182‑507‑0130	Refugee medical assistance (RMA).	Programs for Noncitizens
182‑507‑0135	Immigration status requirement for refugee medical assistance (RMA).	Programs for Noncitizens
182‑508‑0001	Washington apple health – Coverage options for adults not eligible under MAGI methodologies.	Medical Care Services
182‑508‑0005	Washington apple health medical care services - eligibility and scope of coverage.	Medical Care Services
182‑508‑0150	Enrollment cap for medical care services (MCS).	Medical Care Services
182‑509‑0001	Countable income for Washington apple health programs.	MAGI Income and Deductions
182‑509‑0220	Washington apple health -- How resources are considered.	MAGI Income and Deductions
182‑509‑0300	Modified adjusted gross income (MAGI).	MAGI Income and Deductions
182‑509‑0305	MAGI income -- Persons subject to the modified adjusted gross income (MAGI) methodology.	MAGI Income and Deductions
182‑509‑0310	MAGI income -- Timing of income.	MAGI Income and Deductions
182‑509‑0315	MAGI income -- Ownership of income.	MAGI Income and Deductions
182‑509‑0320	MAGI income -- Noncountable income.	MAGI Income and Deductions
182‑509‑0325	MAGI income -- Unearned income.	MAGI Income and Deductions
182‑509‑0330	MAGI income -- Earned income.	MAGI Income and Deductions
182‑509‑0335	MAGI income -- Educational benefits.	MAGI Income and Deductions
182‑509‑0340	MAGI income -- American Indian/Alaska Native excluded income.	MAGI Income and Deductions
182‑509‑0360	MAGI income -- How the income of a child age eighteen or younger or a tax dependent is counted.	MAGI Income and Deductions
182‑509‑0365	MAGI income -- Self-employment income.	MAGI Income and Deductions
182‑509‑0370	MAGI income -- How self-employment income is counted.	MAGI Income and Deductions
182‑509‑0375	MAGI income -- Lump sums	MAGI Income and Deductions
182‑510‑0001	Supplemental security income and associated categorically needy coverage.	Supplemental Security Income (SSI)
182‑510‑0005	Supplemental security income, essential person, and ineligible spouse.	Supplemental Security Income (SSI)
182‑510‑0010	Eligibility after supplemental security income ends.	Supplemental Security Income (SSI)
182‑511‑1000	Health care for workers with disabilities (HWD) -- Program description.	Healthcare for Workers with Disabilities (HWD)
182‑511‑1050	Health care for workers with disabilities (HWD) -- Program requirements.	Healthcare for Workers with Disabilities (HWD)
182‑511‑1100	Health care for workers with disabilities (HWD) -- Retroactive coverage.	Healthcare for Workers with Disabilities (HWD)
182‑511‑1150	Apple health for workers with disabilities (HWD) -- Disability requirements.	Healthcare for Workers with Disabilities (HWD)
182‑511‑1200	Health care for workers with disabilities (HWD) -- Employment requirements.	Healthcare for Workers with Disabilities (HWD)
182‑511‑1250	Health care for workers with disabilities (HWD) -- Premium payments.	Healthcare for Workers with Disabilities (HWD)
182‑512‑0010	Supplemental security income (SSI) standards, SSI-related categorically needy income level (CNIL), and countable resource standards.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0050	SSI-related medical -- General information.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0100	SSI-related medical -- Categorically needy (CN) medical eligibility.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0150	SSI-related medical -- Medically needy (MN) medical eligibility.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0200	SSI-related medical -- Definition of resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0250	SSI-related medical -- Ownership and availability of resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0260	SSI-related medical -- How to count a sponsor's resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0300	SSI-related medical -- Resources eligibility.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0350	SSI-related medical -- Property and contracts excluded as resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0400	SSI-related medical -- Vehicles excluded as resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0450	SSI-related medical -- Life insurance excluded as a resource.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0500	SSI-related medical -- Burial funds, contracts and spaces excluded as resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0550	SSI-related medical -- All other excluded resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0600	SSI-related medical -- Definition of income.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0650	SSI-related medical -- Available income.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0700	SSI-related medical -- Income eligibility.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0750	SSI-related medical -- Countable unearned income.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0760	SSI-related medical -- Education assistance.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0770	SSI-related medical -- American Indian or Alaska Native excluded income and resources.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0780	SSI-related medical -- Employment and training programs.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0785	SSI-related medical -- Effect of a sponsor's income.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0790	SSI-related medical -- Exemption from sponsor deeming.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0795	SSI-related medical -- Budgeting a sponsor's income.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0800	SSI-related medical -- General income exclusions.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0820	SSI-related medical -- Child-related income exclusions and allocations.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0840	SSI-related medical -- Work and agency-related income exclusions.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0860	SSI-related medical -- Income exclusions under federal statute or other state laws.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0880	SSI-related medical -- Special income disregards.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0900	SSI-related medical -- Deeming and allocation of income.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0920	SSI-related medical -- Deeming/allocation of income from nonapplying spouse.	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0940	SSI-related medical -- Deeming income from an ineligible parent(s) to a child applying for SSI-related medical	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑512‑0960	SSI-related medical -- Allocating income -- Determining eligibility for a spouse when the other spouse receives long-term services and supports (LTSS).	Coverage for Aged, Blind or Disabled (SSI Related Medical)
182‑513‑1100	Definitions related to long-term services and supports (LTSS)	Long Term Services and Supports (LTSS)
182‑513‑1105	Personal needs allowance (PNA) and room and board standards in a medical institution and alternate living facility (ALF)	Administration of Medical Programs - General
182‑513‑1200	Long-term services and supports authorized under Washington Apple Health programs	Long Term Services and Supports (LTSS)
182‑513‑1205	Determining eligibility for noninstitutional coverage in an alternate living facility	Long Term Services and Supports (LTSS)
182‑513‑1210	Community First Choice (CFC) – Overview	Long Term Services and Supports (LTSS)
182‑513‑1215	Community First Choice (CFC) – Eligibility	Long Term Services and Supports (LTSS)
182‑513‑1220	Community First Choice (CFC) - Spousal impoverishment protections for noninstitutional Washington Apple Health clients	Long Term Services and Supports (LTSS)
182‑513‑1225	Medicaid Personal Care (MPC)	Long Term Services and Supports (LTSS)
182‑513‑1230	Program of all-inclusive care for the elderly (PACE)	Long Term Services and Supports (LTSS)
182‑513‑1235	Roads to Community Living (RCL)	Long Term Services and Supports (LTSS)
182‑513‑1240	The hospice program	Long Term Services and Supports (LTSS)
182‑513‑1245	Medically needy hospice in a medical institution.	Long Term Services and Supports (LTSS)
182‑513‑1315	General eligibility requirements for long-term care (LTC) programs.	Long Term Services and Supports (LTSS)
182‑513‑1316	General eligibility requirements for long-term care (LTC) programs.	Long Term Services and Supports (LTSS)
182‑513‑1317	Income and resource criteria for an institutionalized person.	Long Term Services and Supports (LTSS)
182‑513‑1318	Income and resource criteria for home and community based (HCB) waiver programs and hospice.	Long Term Services and Supports (LTSS)
182‑513‑1319	State-funded programs for noncitizens who are not eligible for a federally funded program.	Long Term Services and Supports (LTSS)
182‑513‑1320	Determining institutional status for long-term care (LTC) services.	Long Term Services and Supports (LTSS)
182‑513‑1325	Determining available income for an SSI-related single client for long-term care (LTC) services.	Long Term Services and Supports (LTSS)
182‑513‑1330	Determining available income for legally married couples for long-term care (LTC) services.	Long Term Services and Supports (LTSS)
182‑513‑1340	Determining excluded income for long-term care (LTC) services.	Long Term Services and Supports (LTSS)
182‑513‑1345	Determining disregarded income for institutional or hospice services under the medically needy (MN) program.	Long Term Services and Supports (LTSS)
182‑513‑1350	Defining the resource standard and determining resource eligibility for SSI-related long-term care (LTC) services.	Long Term Services and Supports (LTSS)
182‑513‑1355	Allocated resources to a community spouse when determining resource eligibility for SSI-related long-term care services.	Long Term Services and Supports (LTSS)
182‑513‑1363	Evaluating an asset transfer for clients applying for or receiving long-term care (LTC) services.	Long Term Services and Supports (LTSS)
182‑513‑1367	Hardship waivers.	Long Term Services and Supports (LTSS)
182‑513‑1380	Determining a client's financial participation in the cost of care for long-term care in a medical institution.	Long Term Services and Supports (LTSS)
182‑513‑1385	Determining the community spouse monthly maintenance needs allowance and dependent allowance in post-eligibility treatment of income for long-term care (LTC) programs.	Long Term Services and Supports (LTSS)
182‑513‑1395	Determining eligibility for institutional services for people living in a medical institution under the SSI-related medically needy program	Long Term Services and Supports (LTSS)
182‑513‑1396	People living in a fraternal, religious, or benevolent nursing facility.	Long Term Services and Supports (LTSS)
182‑513‑1397	Treatment of entrance fees for people residing in a continuing care retirement community or a life care community.	Long Term Services and Supports (LTSS)
182‑513‑1400	Long-term care (LTC) partnership program (index).	Long Term Services and Supports (LTSS)
182‑513‑1405	Definitions.	Long Term Services and Supports (LTSS)
182‑513‑1410	LTC partnership policy qualifications.	Long Term Services and Supports (LTSS)
182‑513‑1415	Assets that can't be protected under the LTC partnership provisions.	Long Term Services and Supports (LTSS)
182‑513‑1420	Eligibility for asset protection under a partnership policy.	Long Term Services and Supports (LTSS)
182‑513‑1425	When would I not qualify for LTC medicaid if I have a LTC partnership policy in pay status?	Long Term Services and Supports (LTSS)
182‑513‑1430	Change of circumstances that must be reported when there is an LTC partnership policy paying a portion of my care.	Long Term Services and Supports (LTSS)
182‑513‑1435	When Washington recognizes an LTC partnership policy purchased in another state.	Long Term Services and Supports (LTSS)
182‑513‑1440	Determining how many of my assets can be protected.	Long Term Services and Supports (LTSS)
182‑513‑1445	Designating a protected asset and required proof.	Long Term Services and Supports (LTSS)
182‑513‑1450	How the transfer of assets affects LTC partnership and medicaid eligibility.	Long Term Services and Supports (LTSS)
182‑513‑1455	What happens to protected assets under a LTC partnership policy after death.	Long Term Services and Supports (LTSS)
182‑513‑1530	Maximum guardianship fee and related cost deductions allowed from a client's participation or room and board on or after June 1, 2018.	Long Term Services and Supports (LTSS)
182‑513‑1600	Medicaid Alternative Care (MAC) - Overview	Long Term Services and Supports (LTSS)
182‑513‑1605	Medicaid alternative care (MAC) - Eligibility.	Long Term Services and Supports (LTSS)
182‑513‑1610	Tailored Supports for Older Adults (TSOA) - Overview	Long Term Services and Supports (LTSS)
182‑513‑1615	Tailored Supports for Older Adults (TSOA) - General Eligibility	Long Term Services and Supports (LTSS)
182‑513‑1620	Tailored Supports for Older Adults (TSOA) - Presumptive Eligibility	Long Term Services and Supports (LTSS)
182‑513‑1625	Tailored Supports for Older Adults (TSOA) - Applications.	Long Term Services and Supports (LTSS)
182‑513‑1630	Tailored Supports for Older Adults (TSOA) - Rights and Responsibilities	Long Term Services and Supports (LTSS)
182‑513‑1635	Tailored Supports for Older Adults (TSOA) - Income Eligibility	Long Term Services and Supports (LTSS)
182‑513‑1640	Tailored Supports for Older Adults (TSOA) - Resource Eligibility	Long Term Services and Supports (LTSS)
182‑513‑1645	Tailored Supports for Older Adults (TSOA) - Certification Periods.	Long Term Services and Supports (LTSS)
182‑513‑1650	Tailored Supports for Older Adults (TSOA) - Changes of Circumstances Requirements.	Long Term Services and Supports (LTSS)
182‑513‑1655	Tailored Supports for Older Adults (TSOA) - Renewals.	Long Term Services and Supports (LTSS)
182‑513‑1660	Medicaid Alternative Care (MAC) and Tailored Supports for Older Adults (TSOA) - Spousal Impoverishment	Long Term Services and Supports (LTSS)
182‑514‑0230	Purpose	MAGI Based Long Term Care (LTC)
182‑514‑0240	General eligibility	MAGI Based Long Term Care (LTC)
182‑514‑0245	Resource eligibility	MAGI Based Long Term Care (LTC)
182‑514‑0250	Program for adults age nineteen and older.	MAGI Based Long Term Care (LTC)
182‑514‑0260	Institutional program for children under age nineteen	MAGI Based Long Term Care (LTC)
182‑514‑0263	Non-SSI-related institutional medically needy coverage for pregnant people and people age 20 and younger.	Long Term Services and Supports (LTSS)
182‑514‑0270	Involuntary commitment to Eastern or Western State Hospital	MAGI Based Long Term Care (LTC)
182‑515‑1505	Home and community based (HCB) waiver services authorized by home and community services (HCS)	Home and Community Based (HCB) Waivers
182‑515‑1506	Home and community based (HCB) waiver services authorized by home and community services (HCS) general eligibility.	Home and Community Based (HCB) Waivers
182‑515‑1507	Home and community based (HCB) waiver services authorized by home and community services (HCS) — Financial eligibility if a client is eligible for an SSI-related noninstitutional categorically needy (CN) medicaid program.	Home and Community Based (HCB) Waivers
182‑515‑1508	Home and community based (HCB) waiver services authorized by home and community services (HCS) — Financial eligibility using SSI-related institutional rules.	Home and Community Based (HCB) Waivers
182‑515‑1509	Home and community based (HCB) waiver services authorized by home and community services (HCS) – Client financial responsibility	Home and Community Based (HCB) Waivers
182‑515‑1510	Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA).	Home and Community Based (HCB) Waivers
182‑515‑1511	Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA) - General eligibility.	Home and Community Based (HCB) Waivers
182‑515‑1512	Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA)- Financial eligibility if a client is eligible for a noninstitutional SSI-related categorically needy (CN) program	Home and Community Based (HCB) Waivers
182‑515‑1513	Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA)—Financial eligibility using SSI-related institutional rules.	Home and Community Based (HCB) Waivers
182‑515‑1514	Home and community based (HCB) services authorized by the developmental disabilities administration (DDA)- Client financial responsibility.	Home and Community Based (HCB) Waivers
182‑516‑0001	Definitions	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0100	Trust index	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0105	General rules that apply to all trusts	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0110	Self-settled trusts overview	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0115	Revocable self-settled trusts established on or after August 11, 1993	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0120	Irrevocable self-settled trusts for a disabled client under age sixty-five established on or after August 11, 1993.	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0125	Irrevocable pooled self-settled trusts for a disabled client established on or after August 11, 1993.	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0130	Irrevocable self-settled trusts established on or after August 11, 1993.	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0135	Self-settled trusts established before August 11, 1993.	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0140	Third-party trusts	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0145	Irrevocable trusts containing both assets of the beneficiary and third-party assets.	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0200	Annuities established prior to April 1, 2009	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0201	Annuities established on or after April 1, 2009	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0300	Life estates	Trusts, Annuities, Life Estates, and Promissory Notes
182‑516‑0400	Promissory notes and loans.	Trusts, Annuities, Life Estates, and Promissory Notes
182‑517‑0100	Federal medicare savings programs.	Medicare Savings Programs (MSP)
182‑517‑0300	State-funded medicare buy-in programs	Medicare Savings Programs (MSP)
182‑518‑0005	Washington apple health -- Notice requirements -- General	Notices
182‑518‑0010	Washington apple health -- Notice requirements approval and denial notices.	Notices
182‑518‑0015	Washington apple health -- Notice requirements verification requests	Notices
182‑518‑0020	Washington apple health -Notice requirements -- Renewals	Notices
182‑518‑0025	Washington apple health -- Notice requirements -- Actions to terminate, suspend, or reduce eligibility or authorization for a covered service.	Notices
182‑518‑0030	Washington apple health -- Notice requirements -- Electronic notices	Notices
182‑519‑0050	Monthly income and countable resource standards for medically needy (MN)	Medically Needy (MN) and Spenddown
182‑519‑0100	Eligibility for the medically needy program	Medically Needy (MN) and Spenddown
182‑519‑0110	Spenddown of excess income for the medically needy program	Medically Needy (MN) and Spenddown
182‑520‑0005	Washington apple health fraud referrals and overpayments	Fraud and Overpayments
182‑520‑0010	Washington apple health overpayments resulting from an administrative hearing	Fraud and Overpayments
182‑520‑0015	Long-term services and supports client overpayments.	Long Term Services and Supports (LTSS)
182‑521‑0100	Disregarded income	Administration of Medical Programs - General
182‑523‑0100	Washington apple health--Medical extension	Transitional Medical Assistance
182‑523‑0130	Medical extension--Redetermination	Transitional Medical Assistance
182‑524‑0100	General	Administration of COFA program
182‑524‑0200	Definitions	Administration of COFA program
182‑524‑0250	How to apply.	Administration of COFA program
182‑524‑0300	Eligibility	Administration of COFA program
182‑524‑0400	Residency requirements	Administration of COFA program
182‑524‑0500	Notice requirements	Administration of COFA program
182‑524‑0600	Payments	Administration of COFA program
182‑526‑0005	Purpose and scope	Hearing and Appeals
182‑526‑0010	Definitions.	Hearing and Appeals
182‑526‑0015	Terms in the Administrative Procedure Act compared to this chapter	Hearing and Appeals
182‑526‑0020	Good cause	Hearing and Appeals
182‑526‑0025	Use and location of the office of administrative hearings	Hearing and Appeals
182‑526‑0030	Contacting the board of appeals	Hearing and Appeals
182‑526‑0035	Calculating when a hearing deadline ends	Hearing and Appeals
182‑526‑0040	Service of documents on another party	Hearing and Appeals
182‑526‑0070	Filing documents	Hearing and Appeals
182‑526‑0080	Resolving a dispute with the health care authority	Hearing and Appeals
182‑526‑0085	Determining if a hearing right exists.	Hearing and Appeals
182‑526‑0095	Requesting a hearing	Hearing and Appeals
182‑526‑0100	Expedited administrative hearings for urgent health care needs	Hearing and Appeals
182‑526‑0102	Coordinated appeals process with the Washington health benefits exchange	Hearing and Appeals
182‑526‑0110	Process after a hearing is requested	Hearing and Appeals
182‑526‑0115	Withdrawing a request for hearing.	Hearing and Appeals
182‑526‑0120	Interpreter services for hearings	Hearing and Appeals
182‑526‑0130	Limited-English-proficient parties--Notice requirements.	Hearing and Appeals
182‑526‑0135	Interpreters.	Hearing and Appeals
182‑526‑0140	Waiving interpreter services	Hearing and Appeals
182‑526‑0145	Interpreter requirements	Hearing and Appeals
182‑526‑0150	Hearing decisions involving limited-English-proficient parties	Hearing and Appeals
182‑526‑0155	Appellant's representation in the hearing.	Hearing and Appeals
182‑526‑0156	Legal assistance in the hearing process	Hearing and Appeals
182‑526‑0175	Prehearing meetings.	Hearing and Appeals
182‑526‑0185	Settlement agreements	Hearing and Appeals
182‑526‑0195	Prehearing conferences.	Hearing and Appeals
182‑526‑0200	Enrollee appeals of a managed care organization action.	Hearing and Appeals
182‑526‑0215	Authority of the administrative law judge when conducting a hearing.	Hearing and Appeals
182‑526‑0216	The authority of the administrative law judge and the review judge is limited	Hearing and Appeals
182‑526‑0218	The authority of a review judge when conducting a hearing as a presiding officer.	Hearing and Appeals
182‑526‑0220	Rules and laws an administrative law judge and review judge must apply when conducting a hearing or making a decision	Hearing and Appeals
182‑526‑0221	HCA index of significant decisions.	Hearing and Appeals
182‑526‑0230	Assigning an administrative law judge to a hearing.	Hearing and Appeals
182‑526‑0240	Filing a motion of prejudice.	Hearing and Appeals
182‑526‑0245	Disqualifying an administrative law judge or review judge.	Hearing and Appeals
182‑526‑0250	Time requirements for notices issued by the office of administrative hearings.	Hearing and Appeals
182‑526‑0255	Notice of hearing or notice of prehearing conference.	Hearing and Appeals
182‑526‑0260	Amending the health care authority or managed care organization notice	Hearing and Appeals
182‑526‑0265	Amending hearing requests	Hearing and Appeals
182‑526‑0270	Mailing address changes.	Hearing and Appeals
182‑526‑0280	Continuing a hearing when an appellant is an applicant or recipient.	Hearing and Appeals
182‑526‑0284	Orders of default	Hearing and Appeals
182‑526‑0285	Orders of dismissal.	Hearing and Appeals
182‑526‑0290	Reinstating a hearing after an order of default or an order of dismissal.	Hearing and Appeals
182‑526‑0300	Order of dismissal based on subject matter	Hearing and Appeals
182‑526‑0310	Requesting a stay of the health care authority action	Hearing and Appeals
182‑526‑0320	Subpoenas.	Hearing and Appeals
182‑526‑0340	Hearing location.	Hearing and Appeals
182‑526‑0345	Administrative law judge present at the hearing	Hearing and Appeals
182‑526‑0350	Recording the hearing	Hearing and Appeals
182‑526‑0355	People who may attend the hearing.	Hearing and Appeals
182‑526‑0360	Changing how a hearing is held or how a witness appears at a hearing.	Hearing and Appeals
182‑526‑0370	Submitting documents for a telephonic hearing	Hearing and Appeals
182‑526‑0375	Summary of the hearing process.	Hearing and Appeals
182‑526‑0380	Group hearing requests.	Hearing and Appeals
182‑526‑0387	Requesting that a hearing be consolidated or severed when multiple agencies are parties to the proceeding.	Hearing and Appeals
182‑526‑0390	Evidence.	Hearing and Appeals
182‑526‑0405	Stipulations.	Hearing and Appeals
182‑526‑0415	Exhibits.	Hearing and Appeals
182‑526‑0440	Judicial notice	Hearing and Appeals
182‑526‑0450	Witness.	Hearing and Appeals
182‑526‑0480	Burden of proof	Hearing and Appeals
182‑526‑0485	Standard of proof	Hearing and Appeals
182‑526‑0495	Equitable estoppel.	Hearing and Appeals
182‑526‑0500	Hearing record.	Hearing and Appeals
182‑526‑0512	Contents of the hearing record	Hearing and Appeals
182‑526‑0520	Information which must be included in the ALJ's initial order.	Hearing and Appeals
182‑526‑0525	When initial orders become final.	Hearing and Appeals
182‑526‑0530	How to correct or appeal an initial order	Hearing and Appeals
182‑526‑0540	Correction of clerical errors are corrected in an initial order.	Hearing and Appeals
182‑526‑0545	How a party requests a corrected initial order.	Hearing and Appeals
182‑526‑0550	Deadline for a party to request a corrected initial order.	Hearing and Appeals
182‑526‑0555	Process after a party requests a corrected initial order.	Hearing and Appeals
182‑526‑0560	Review of an initial order by a review judge.	Hearing and Appeals
182‑526‑0565	Evidence a review judge considers in reviewing an initial order	Hearing and Appeals
182‑526‑0570	Request for review of an initial order	Hearing and Appeals
182‑526‑0575	How to request review of an initial order.	Hearing and Appeals
182‑526‑0580	Deadline for requesting review of an initial order by a review judge.	Hearing and Appeals
182‑526‑0590	Response to a request for review	Hearing and Appeals
182‑526‑0595	Process after review response deadline.	Hearing and Appeals
182‑526‑0600	Authority of the review judge.	Hearing and Appeals
182‑526‑0605	Reconsideration of a final order entered by a review judge.	Hearing and Appeals
182‑526‑0620	Deadline for requesting reconsideration	Hearing and Appeals
182‑526‑0630	Responding to a reconsideration request	Hearing and Appeals
182‑526‑0635	Process after a party requests reconsideration	Hearing and Appeals
182‑526‑0640	Judicial review of a final order.	Hearing and Appeals
182‑526‑0645	Deadline for petition for judicial review and filing requirements	Hearing and Appeals
182‑526‑0647	Exhaustion of administrative remedies required	Hearing and Appeals
182‑526‑0650	Service of petition for judicial review.	Hearing and Appeals
182‑527‑2730	Definitions	Estate Recovery and Pre-death Lien
182‑527‑2734	Liens during a client's lifetime.	Estate Recovery and Pre-death Lien
182‑527‑2738	Estate recovery - General right to recover.	Estate Recovery and Pre-death Lien
182‑527‑2740	Estate recovery - Age-related limitations.	Estate Recovery and Pre-death Lien
182‑527‑2742	Estate recovery-Service-related limitations.	Estate Recovery and Pre-death Lien
182‑527‑2746	Estate recovery-Asset-related limitations.	Estate Recovery and Pre-death Lien
182‑527‑2750	Estate recovery - Delay of recovery for undue hardship	Estate Recovery and Pre-death Lien
182‑527‑2753	Hearings.	Hearing and Appeals
182‑530‑5000	Billing requirements - Pharmacy claim payment	Billing Guidelines for Providers
182‑531‑0425	Collaborative Care	Administration of Medical Programs - General
182‑531‑1710	Alcohol and substance misuse counseling.	Administration of Medical Programs - General
182‑531‑1850	Payment methodology for physician-related services-General and billing modifiers.	Administration of Medical Programs - General
182‑532‑100	Reproductive health services - Eligibility.	Take Charge and Family Planning
182‑532‑120	Reproductive health - Covered yearly exams for women	Take Charge and Family Planning
182‑532‑123	Reproductive health - Other covered services for women	Take Charge and Family Planning
182‑532‑125	Reproductive health - Covered services for men	Take Charge and Family Planning
182‑532‑500	Family Planning only program - Purpose	Take Charge and Family Planning
182‑532‑510	Family Planning only program - Client eligibility	Take Charge and Family Planning
182‑532‑520	Family planning only programs - Provider requirements.	Take Charge and Family Planning
182‑532‑533	Family planning only program - Other covered services	Take Charge and Family Planning
182‑532‑540	Family planning only program - Noncovered services	Take Charge and Family Planning
182‑532‑790	TAKE CHARGE program - Good cause exemption from billing third party insurance.	Administration of Medical Programs - General
182‑534‑0100	EPSDT	Early and Periodic Screening, Diagnostic and Treatment
182‑535‑1270	Oral health connections pilot project	Administration of Medical Programs - General
182‑538‑050	Definitions	Managed Care
182‑538‑060	Managed care choice and assignment	Managed Care
182‑540‑001	Purpose	Administration of Medical Programs - General
182‑540‑005	Kidney disease program (KDP) - Definitions	Administration of Medical Programs - General
182‑540‑015	Kidney disease program (KDP) - General eligibility criteria	Administration of Medical Programs - General
182‑540‑021	Kidney disease program (KDP) - Household size	Administration of Medical Programs - General
182‑540‑022	Kidney disease program (KDP) - Income eligibility	Administration of Medical Programs - General
182‑540‑023	Kidney disease program (KDP) - Change of circumstance	Administration of Medical Programs - General
182‑540‑025	Kidney disease program (KDP) - Application and recertification requirements - KDP contractor	Administration of Medical Programs - General
182‑540‑026	Kidney disease program (KDP) - Application and recertification requirements - client	Administration of Medical Programs - General
182‑540‑030	Kidney disease programs (KDP) - Resource eligibility	Administration of Medical Programs - General
182‑540‑045	Kidney disease program (KDP) contractor requirements	Administration of Medical Programs - General
182‑540‑055	Kidney disease program (KDP) covered services	Administration of Medical Programs - General
182‑540‑060	Kidney disease program (KDP) client appeal rights	Administration of Medical Programs - General
182‑540‑065	Kidney disease program (KDP) - Reimbursement	Administration of Medical Programs - General
182‑543‑0500	General	Administration of Medical Programs - General
182‑543‑2000	Eligible providers and provider requirements.	Administration of Medical Programs - General
182‑543‑5000	Covered—Prosthetics/orthotics.	Administration of Medical Programs - General
182‑546‑0150	Client eligibility for ambulance transportation	Administration of Medical Programs - General
182‑546‑4600	Ambulance transportation - Involuntary substance use disorder treatment - Ricky Garcia Act	Administration of Medical Programs - General
182‑551‑1000	Hospice program - General	General Eligibility & Application Requirements
182‑551‑2040	Face-to-face encounter requirements	Administration of Medical Programs - General
182‑554‑500	Covered enteral nutrition products, equipment and related supplies - Orally administered - Clients twenty years of age and younger only.	Administration of Medical Programs - General
182‑560‑100	Achieving a Better Life Experience (ABLE) Act.	Long Term Services and Supports (LTSS)
388‑79A‑001	Definitions.	Long Term Services and Supports (LTSS)
388‑79A‑005	Maximum Amount of Guardianship Fees and Related Costs for a Long-term Care Medicaid Eligible Client.	Long Term Services and Supports (LTSS)
388‑79A‑010	Maximum guardianship fees and related costs before June 1, 2018.	Long Term Services and Supports (LTSS)
388‑79A‑015	Procedure for allowing guardianship fees and related costs from client participation before June 1, 2018.	Long Term Services and Supports (LTSS)