WAC 182-514-0230 Purpose.

Effective February 29, 2016.

  1. This chapter describes eligibility requirements for the Washington apple health (WAH) modified adjusted gross income (MAGI)-based long-term care program (LTC) for children and adults who have been admitted to an institution as defined in WAC 182-500-0050 for at least thirty days. The rules are stated in the following sections:
    1. WAC 182-514-0240 General eligibility;
    2. WAC 182-514-0245 Resource eligibility;
    3. WAC 182-514-0250 Program for adults age nineteen and older;
    4. WAC 182-514-0260 Program for children under age nineteen;
    5. WAC 182-514-0263 Non-SSI-related institutional medically needy coverage for pregnant women and people age twenty and younger.
    6. WAC 182-514-0270 Involuntary commitment to Eastern or Western State Hospital.
  2. A noninstitutional WAH program recipient does not need to submit a new application for LTC coverage if admitted to an institution under this section. Admission to an institution constitutes a change of circumstances. Eligibility is based on institutional status under WAC 182-513-1320.
  3. In this chapter, "medicaid agency" or "agency" means the Washington state health care authority and includes the agency's designee. See chapter 182-500 WAC for additional definitions.
  4. Income standards used in this chapter are listed at https://www.hca.wa.gov/health-care-services-and-supports/program-standard-income-and-resources.

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.