Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA)—Financial eligibility if a client is eligible for a noninstitutional SSI-related categorically needy (CN) program.
(1) A client is financially eligible for home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA) if:
(a) The client is receiving coverage under one of the following categorically needy (CN) medicaid programs:
(i) Supplemental security income (SSI) program under WAC
182-510-0001. This includes SSI clients under 1619(b) status; or
(ii) Health care for workers with disabilities (HWD) under chapter
182-511 WAC; or
(iii) SSI-related noninstitutional (CN) program under chapter
182-512 WAC; or
(iv) The foster care program under WAC
182-505-0211 and the client meets disability requirements under WAC
182-512-0050.
(b) The client does not have a penalty period of ineligibility for the transfer of an asset as under WAC
182-513-1363; and
(c) The client 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:
(a) Keeps a personal needs allowance (PNA) under WAC
182-513-1105; and
(b) Pays towards room and board up to the room and board standard 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/i-help-others-apply-and-access-apple-health/program-standard-income-and-resources.
[Statutory Authority: RCW
41.05.021 and
41.05.160. WSR 23-04-034, § 182-515-1512, filed 1/25/23, effective 2/25/23. Statutory Authority: RCW
41.05.021,
41.05.160, 2017 c 270. WSR 17-23-039, § 182-515-1512, filed 11/8/17, effective 1/1/18. Statutory Authority: RCW
41.05.021,
41.05.160, P.L. 111-148, 42 C.F.R. §§ 431, 435, and 457, and 45 C.F.R § 155. WSR 17-03-116, § 182-515-1512, filed 1/17/17, effective 2/17/17. WSR 13-01-017, recodified as WAC 182-515-1512, filed 12/7/12, effective 1/1/13. Statutory Authority: RCW
74.04.050,
74.04.057,
74.08.090,
74.09.530, section 6014 of the Deficit Reduction Act of 2005 (DRA), and 2010 1st sp.s. c 37 § 209(1). WSR 12-21-091, § 388-515-1512, filed 10/22/12, effective 11/22/12. Statutory Authority: RCW
74.04.050,
74.04.057,
74.08.090,
74.09.575,
74.09.500,
74.09.530. WSR 08-24-069, § 388-515-1512, filed 12/1/08, effective 1/1/09. Statutory Authority: RCW
74.04.050,
74.04.057,
74.08.090,
74.09.500,
74.09.530, and Washington state 2007-09 operating budget (SHB 1128). WSR 08-11-083, § 388-515-1512, filed 5/20/08, effective 6/20/08.]
