WAC 182-515-1507 Home and community based (HCB) waiver services authorized by home and community services (HCS) — Financial eligibility if a client is eligible for an SSI-related noninstitutional categorically needy (CN) medicaid program.

Effective January 1, 2018

  1.  A client is financially eligible for home and community based (HCB) waiver services if the client:
    1. Is receiving coverage under one of the following categorically needy (CN) medicaid programs:
      1. SSI program under WAC 182-510-0001. This includes SSI clients under Section 1619(b) of the Social Security Act;
      2. SSI-related noninstitutional CN program under chapter 182-512 WAC; or
      3. Health care for workers with disabilities program (HWD) under chapter 182-511 WAC.
    2. Does not have a penalty period of ineligibility for the transfer of an asset under WAC 182-513-1363; and
    3. Does not own a home with equity in excess of the requirements under WAC 182-513-1350.
  2. A client eligible under this section does not pay toward the cost of care, but must pay room and board if living in an alternate living facility (ALF) under WAC 182-513-1100.
  3. A client eligible under this section who lives in a department-contracted ALF described under WAC 182-513-1100 :
    1. Keeps a personal needs allowance (PNA) under WAC 182-513-1105; and
    2. Pays towards room and board under WAC 182-513-1105
  4. A client who is eligible under the HWD program must pay the HWD premium under WAC 182-511-1250, in addition to room and board, if residing in an ALF.
  5. Current resource, income, PNA, and room and board standards are found at www.hca.wa.gov/free-or-low-cost-health-care/program-administration/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.