Long-term services and supports (LTSS) manual

Excluded income

Revised Date: 
February 14, 2018

WAC 182-513-1345 Determining disregarded income for institutional or hospice services under the medically needy (MN) program.

Effective February 20, 2017

This section describes income the agency or its designee disregards when determining a person's eligibility for institutional or hospice services under the medically needy (MN) program.  Disregarded income is available when determining a person's participation in the cost of care.

  1. The agency or its designee disregards the following income amounts in the following order:
    1. Income that is not reasonably anticipated, or is received infrequently or irregularly, when such income does not exceed:
      1. Twenty dollars per month if unearned; or
      2. Ten dollars per month if earned.
    2. The first $20 per month of earned or unearned income, unless the sole source of income paid to a person is:
      1. Based on need; and
      2. Totally or partially funded by the federal government or a nongovernmental agency.
  2. For a person who is related to the supplemental security income (SSI) program under WAC 182-512-0050(1), the first $65 per month of earned income not excluded under WAC 182-513-1340, plus one-half of the remainder.
  3. Department of Veterans Affairs benefits designated for:
    1. The veteran's dependent when determining LTC eligibility for the veteran. The VA dependent allowance is considered countable income to the dependent unless it is paid due to unusual medical expenses (UME);
    2. Unusual medical expenses, aid and attendance allowance, special monthly compensation (SMC) and housebound allowance, with the exception under subsection (4) of this section.
  4. Benefits under subsection (3)(b) of this section for a person who receives long-term care services are excluded when determining eligibility, but are considered available as a third-party resource (TPR) defined under WAC 182-513-1100 when determining the amount the person contributes in the cost of care.

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.

Clarifying Information

Income That Is Counted

Income that remains after exclusions and disregards provided by specific program rules must be counted when determining eligibility and participation in the cost of care for long-term care (LTC) services. This is "countable" income.

Income described in WAC 182-513-1340 is excluded when determining both initial eligibility and post eligibility (participation) in the cost of care. These exclusions apply to both the categorically needy (CN) and medically needy (MN) programs. Specific federal statutes provide that each type of income listed be excluded when determining a client's countable income.

Income described in WAC 182-513-1345 is disregarded when determining eligibility for MN programs. Disregarded income must be counted when determining eligibility for CN programs and when determining a client's participation in the cost of care.

Refer to WAC 182-515-1510 for income post eligibility deductions provided under DDA HCB Waivers.

Refer to WAC 182-515-1505 for income deductions post eligibility deductions provided under HCS HCB Waivers.