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PDFWAC 182-506-0015

Medical assistance units for non-MAGI-based Washington apple health programs.

This section explains how medical assistance units (MAUs) are constructed for programs not based on modified adjusted gross income (MAGI) methodologies. (MAGI-based programs are described in WAC 182-503-0510.)
(1) An MAU is a person or group of people who must be included together when determining eligibility. MAUs are established based on each person's relationship to other family members and the person's financial responsibility for the other family members. MAUs for non-MAGI-based programs include an applicant and persons financially responsible for the applicant as described in subsection (2) of this section (as limited by subsection (3) of this section).
(2) Financial responsibility applies as follows:
(a) Married persons living together are financially responsible for each other;
(b) Natural, adoptive, or step-parents are financially responsible for their unmarried, minor children living in the same household;
(c) Minor children are financially responsible for only themselves;
(d) Married persons not living together are financially responsible for each other to the extent described in WAC 182-512-0960 and chapters 182-513 and 182-515 WAC when one or both are residing in a medical institution, or one or both are applying for or receiving home and community-based services.
(3) The number of persons in the MAU is increased by one for each verified unborn child for each pregnant person already included in the MAU under this section.
(4) A separate SSI-related MAU is required for:
(a) SSI recipients, except for spouses who both receive SSI;
(b) SSI-related persons, except spouses whose eligibility is determined as a couple in chapters 182-511, 182-512, and 182-513 WAC;
(c) Institutionalized persons;
(d) The purpose of applying medical income and resource standards for an:
(i) SSI-related applicant whose spouse is not relatable to SSI or is not applying for SSI-related medical; and
(ii) Ineligible spouse of an SSI recipient.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 20-21-037, § 182-506-0015, filed 10/12/20, effective 11/12/20. Statutory Authority: RCW 41.05.021, 41.05.160, Patient Protection and Affordable Care Act (Public Law 111-148), 42 C.F.R. §§ 431, 435, and 457; and 45 C.F.R. § 155. WSR 14-20-094, § 182-506-0015, filed 9/29/14, effective 10/30/14. 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, § 182-506-0015, filed 12/9/13, effective 1/9/14.]
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