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PDFWAC 182-505-0211

Washington apple healthFoster care.

(1) A person under the age of nineteen is eligible for Washington apple health when they:
(a) Are in foster care under the legal responsibility of the state, or a federally recognized tribe located within the state; and
(b) 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:
(a) Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525;
(b) Citizenship or immigration status requirements as described in WAC 182-503-0535;
(c) Social Security number requirements as described in WAC 182-503-0515; and
(d) One of the following requirements:
(i) 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
(ii) Receives subsidized adoption services through the children's administration; or
(iii) Is enrolled in the unaccompanied refugee minor (URM) program as authorized by the office of refugee and immigrant assistance (ORIA); or
(iv) Is living in a group home operated or contracted by the juvenile rehabilitation administration; or
(v) 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:
(a) 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:
(i) On the person's eighteenth birthday; or
(ii) At such higher age at which foster care assistance ended; and
(b) 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:
(a) If the person is under age twenty-one;
(b) Resides in an institution for mental disease (IMD); and
(c) Meets the institutional status requirements in WAC 182-505-0240.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-12-017, § 182-505-0211, filed 5/30/17, effective 6/30/17. Statutory Authority: RCW 41.05.021, Patient Protection and Affordable Care Act (P.L. 111-148), 42 C.F.R. §§ 431, 435, 457, and 45 C.F.R. § 155. WSR 14-01-021, § 182-505-0211, filed 12/9/13, effective 1/9/14.]
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