WAC 182-513-1320 Determining institutional status for long-term care (LTC) services.

Effective February 17, 2017

  1. To attain institutional status outside a medical institution, a person must be approved for and receive:
    1. Home and community based (HCB) waiver services under chapter 182-515 WAC;
    2. Roads to community living (RCL) services under WAC 182-513-1235;
    3. Program of all-inclusive care for the elderly (PACE) under WAC 182-513-1230;
    4. Hospice services under WAC 182-513-1240(3); or
    5. State-funded long-term care service under WAC 182-507-0125.
  2. To attain institutional status in a medical institution, a person must reside in a medical institution thirty consecutive days or more, or based on a department assessment, be likely to reside in a medical institution thirty consecutive days or more.
  3. Once a person meets institutional status, the person's status is not affected if the person:
    1. Transfers between medical facilities; or
    2. Changes between any of the following programs: HCB waiver, RCL, PACE, hospice or services in a medical institution.
  4. A person loses institutional status if the person is absent from a medical institution, or does not receive HCB waiver, RCL, PACE, or hospice services, for more than twenty-nine consecutive days.

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.