Long-term services and supports (LTSS) manual

If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.

Income requirements index

Revised Date: 
December 31, 2014

Purpose: Long-term care income requirements - index

Clarifying Information

There is two (2) parts to eligibility in LTC.

  • Initial eligibility (Eligibility for Medicaid)
  • Post eligibility treatment of income (Determination of how much an individual must participate toward the cost of care)

There are differences in income that is counted in initial eligibility for Medicaid, and what deductions are allowed from income in the post eligibility treatment of income calculation.

Institutional and HCB Waiver LTC follows SSI-related income methodology.