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Chapter 182-523 WAC

Last Update: 8/28/17

MEDICAL EXTENSIONS

WAC Sections

HTMLPDF182-523-0100Washington apple health—Medical extension.
HTMLPDF182-523-0130Medical extension—Redetermination.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
182-523-0110Medical extensions—Reporting requirements. [WSR 12-13-056, recodified as § 182-523-0110, filed 6/15/12, effective 7/1/12. Statutory Authority: RCW 74.08.090 and 2001 c 7 § 209. WSR 02-10-018, § 388-523-0110, filed 4/22/02, effective 5/23/02.] Repealed by WSR 14-16-019, filed 7/24/14, effective 8/24/14. Statutory Authority: RCW 41.05.021, 41.05.160, Public Law 111-148, 42 C.F.R. § 431, 435, and 457, and 45 C.F.R. § 155.
182-523-0120Medical extensions—Premiums. [WSR 12-13-056, recodified as § 182-523-0120, filed 6/15/12, effective 7/1/12. Statutory Authority: RCW 74.08.090 and 2001 c 7 § 209. WSR 03-14-108, § 388-523-0120, filed 6/30/03, effective 6/30/03; WSR 02-10-018, § 388-523-0120, filed 4/22/02, effective 5/23/02.] Repealed by WSR 14-16-019, filed 7/24/14, effective 8/24/14. Statutory Authority: RCW 41.05.021, 41.05.160, Public Law 111-148, 42 C.F.R. § 431, 435, and 457, and 45 C.F.R. § 155.


PDF182-523-0100

Washington apple healthMedical extension.

(1) A parent or caretaker relative who was eligible for and who received coverage under Washington apple health for parents and caretaker relatives, described in WAC 182-505-0240, in any three of the last six months is eligible, along with all dependent children living in the household, for twelve months' extended health care coverage if the person becomes ineligible for his or her current coverage due to increased earnings or hours of employment.
(2) A person remains eligible for apple health medical extension unless:
(a) The person:
(i) Moves out of state;
(ii) Dies;
(iii) Becomes an inmate of a public institution; or
(iv) Leaves the household.
(b) The family:
(i) Moves out of state;
(ii) Loses contact with the agency or its designee or the whereabouts of the family are unknown; or
(iii) No longer includes an eligible dependent child as defined in WAC 182-503-0565(2).
(3) When a person or family is determined ineligible for apple health coverage under subsection (2)(a)(i) through (iii) or (b)(i) or (ii) of this section during the medical extension period, the agency or its designee redetermines eligibility for the remaining household members as described in WAC 182-504-0125 and sends written notice as described in chapter 182-518 WAC before apple health medical extension is terminated.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-18-024, § 182-523-0100, filed 8/28/17, effective 10/1/17. Statutory Authority: RCW 41.05.021, 41.05.160, Public Law 111-148, 42 C.F.R. § 431, 435, and 457, and 45 C.F.R. § 155. WSR 14-16-019, § 182-523-0100, filed 7/24/14, effective 8/24/14. WSR 12-13-056, recodified as § 182-523-0100, filed 6/15/12, effective 7/1/12. Statutory Authority: RCW 74.08.090, 74.08A.100, 74.09.080, and 74.09.415. WSR 02-17-030, § 388-523-0100, filed 8/12/02, effective 9/12/02. Statutory Authority: RCW 74.08.090 and 2001 c 7 § 209. WSR 02-10-018, § 388-523-0100, filed 4/22/02, effective 5/23/02. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. WSR 98-16-044, § 388-523-0100, filed 7/31/98, effective 9/1/98. Formerly WAC 388-522-2210, 388-523-2305 and 388-523-2320.]



PDF182-523-0130

Medical extensionRedetermination.

(1) When the agency or its designee determines the family or an individual family member is ineligible during the medical extension period, the agency or its designee must determine if they are eligible for another medical program.
(2) Children are eligible for twelve month continuous eligibility beginning with the first month of the medical extension period.
(3) When a family reports a reduction of income, the family may be eligible for the Washington apple health for parents and caretaker relatives program (described in WAC 182-505-0240) instead of medical extension benefits.
(4) When a medical extension period is ending, the family is required to complete a renewal of eligibility as described in WAC 182-504-0035.
(5) Postpartum and family planning extensions are described in WAC 182-505-0115.
[Statutory Authority: RCW 41.05.021, 41.05.160, Public Law 111-148, 42 C.F.R. § 431, 435, and 457, and 45 C.F.R. § 155. WSR 14-16-019, § 182-523-0130, filed 7/24/14, effective 8/24/14. WSR 12-13-056, recodified as § 182-523-0130, filed 6/15/12, effective 7/1/12. Statutory Authority: RCW 74.08.090, 74.09.530, and 74.09.415. WSR 05-23-013, § 388-523-0130, filed 11/4/05, effective 1/1/06. Statutory Authority: RCW 74.08.090 and 2001 c 7 § 209. WSR 02-10-018, § 388-523-0130, filed 4/22/02, effective 5/23/02.]