WAC 182-508-0005. Washington apple health medical care services — Eligibility and scope of coverage

(1) A person is eligible for state-funded Washington apple health medical care services (MCS) coverage to the extent of available funds if the person is: (a) Determined by the department of social and health services to be eligible for benefits under: (i) The aged, blind, or disabled program as described in WAC 388-400-0060 ; (ii) The housing and essential needs referral program as described in WAC 388-400-0070 ; or (iii) The survivors of certain crimes (SCC) program, as described in WAC 388-424-0035 , which includes victims of human trafficking as described in RCW 74.04.005 ; (b) Not eligible for another federally funded categorically needy (CN) (as defined in WAC 182-500-0020 ) or alternative benefits plan (ABP) (as defined in WAC 182-500-0010 ) Washington apple health program; and (c) Not residing in a public institution as defined in WAC 182-500-0050 . (2) If an enrollment cap exists under WAC 182-508-0150 , a waiting list of people may be established. (3) A person's period of eligibility for MCS is the same as the person's period of eligibility for: (a) The aged, blind, or disabled program as described in WAC 388-449-0150 ; (b) The person's incapacity authorization period for the housing and essential needs referral program as described in WAC 388-447-0110 ; or (c) The person's period of eligibility for the SCC program as described in WAC 388-424-0035 . (4) The MCS program covers only the medically necessary services defined in WAC 182-501-0060 . (5) The MCS program does not cover medical services received outside the state of Washington unless the medical services are provided in a border city listed in WAC 182-501-0175 .