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TSOA income and resources

Revised Date:

July 1, 2017

Purpose: This section explains the income and resource rules and standards that apply to the Tailored Supports for Older Adults (TSOA) program.

WAC 182-513-1635 Tailored Supports for Older Adults (TSOA) - Income Eligibility

WAC 182-513-1635 Tailored Supports for Older Adults (TSOA) — Income Eligibility.

Effective July 1, 2017

To determine income eligibility for the tailored supports for older adults (TSOA) program, the medicaid agency or the agency's designee uses the following rules depending on whether the person is single or married.
If the TSOA applicant is single:
1. Determine available income under WAC 182-513-1325;
2. Exclude income under WAC 182-513-1340; and
3. Compare remaining gross nonexcluded income to the special income level (SIL). To be eligible, a person's gross income must be equal to or less than the SIL (three hundred percent of the federal benefit rate (FBR)).
If the TSOA applicant is married:
1. Determine available income under WAC 182-513-1330 with the exception of subsection (5) of that section;
2. Exclude income under WAC 182-513-1340;
3. Compare the applicant's remaining gross nonexcluded income to the SIL. To be eligible, a person's gross income must be equal to or less than the SIL (three hundred percent of the FBR).

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.

Note:

Community income rule does not apply to TSOA.
TSOA is a gross income test, so standard SSI-related deductions, such as the $20 disregard, work-related expenses, and the earned income deduction, are not deducted.

WAC 182-513-1640 Tailored Supports for Older Adults (TSOA) - Resource Eligibility

WAC 182-513-1640 Tailored supports for older adults (TSOA) — Resource eligibility.

Effective July 1, 2017

The resource standard for a single applicant for tailored supports for older adults (TSOA) is $53,100.
The resource standard for a married couple is $53,100 for the TSOA applicant plus the state spousal resource standard for the spousal impoverishment protections community (https://www.hca.wa.gov/free-or-low-cost-health-care/program-administration/program-standard-income-and-resources).
The medicaid agency or the agency's designee uses rules in WAC 182-513-1350 (1), (3) and (4) to determine general eligibility relating to resources, availability of resources, and which resources count.
The TSOA recipient has one year from the date of initial eligibility of TSOA to transfer resources in excess of the TSOA standard to the SIPC spouse.

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

Note: Excess home equity, transfer penalties, annuities LTC provision don’t apply. We do count the Community Spouse pension as a resource for TSOA just like COPES. TSOA and MAC are not considered ‘paid care’ for the purposes of transferring the home in 182-513-1363.

The $53,100 does not increase – it’s a set amount.

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