WAC 182-505-0211 Washington apple health -– Foster Care.

Effective July 1, 2017.

  1. A person under the age of nineteen is eligible for Washington apple health when they:
    1. Are in foster care under the legal responsibility of the state, or a federally recognized tribe located within the state; and
    2. Meet Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525.
  2. A person age twenty or younger is eligible for coverage when the person meets:
    1. Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525;
    2. Citizenship or immigration status requirements as described in WAC 182-503-0535;
    3. Social Security number requirements as described in WAC 182-503-0515; and
    4. One of the following requirements:
      1. Is in foster care, or is eligible for continued foster care services as determined by the children's administration, under the legal responsibility of the state, or a federally recognized tribe located within the state; or
      2. Receives subsidized adoption services through the children's administration; or
      3. Is enrolled in the unaccompanied refugee minor (URM) program as authorized by the office of refugee and immigrant assistance (ORIA); or
      4. Is living in a group home operated or contracted by the juvenile rehabilitation administration; or
      5. Is placed in a foster home or group home through the voluntary placement waiver program managed by the division of developmental disabilities.
  3. A person age nineteen or older but under age twenty-six is eligible for coverage when the person:
    1. Was both in foster care under the legal responsibility of the state or a federally recognized tribe located within the state and enrolled in medicaid:
      1. On the person's eighteenth birthday; or
      2. At such higher age at which foster care assistance ended; and
    2. Meets residency, Social Security number, and citizenship requirements as described in subsection (2) of this section.
  4. A person described in subsections (1) through (3) of this section is not eligible for full-scope coverage if the person is confined to a public institution as defined in WAC 182-500-0050, except:
    1. If the person is under age twenty-one;
    2. Resides in an institution for mental disease (IMD); and
    3. Meets the institutional status requirements in WAC 182-505-0240.

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.