WAC 182-513-1605. Medicaid alternative care (MAC) — Eligibility

(1) The person receiving care must meet the financial eligibility criteria for medicaid alternative care (MAC). (2) To be eligible for MAC services, the person receiving care must: (a) Be age 55 or older; (b) Be assessed as meeting nursing facility level of care under WAC 388-106-0355 , and choose to receive services under the MAC program instead of other long-term services and supports; (c) Meet residency requirements under WAC 182-503-0520 ; (d) Live at home and not in a residential or institutional setting; (e) Have an eligible unpaid caregiver under WAC 388-106-1905 ; (f) Meet citizenship and immigration status requirements under WAC 182-503-0535 (2)(a) or (b); and (g) Be eligible for either: (i) A noninstitutional medicaid program, which provides categorically needy (CN) or alternative benefit plan (ABP) scope of care under WAC 182-501-0060 ; or (ii) An SSI-related CN program by using spousal impoverishment protections institutionalized (SIPI) spouse rules under WAC 182-513-1660 . (3) An applicant whose eligibility is limited to one or more of the following programs is not eligible for MAC: (a) The medically needy program under WAC 182-519-0100 ; (b) The medicare savings programs under chapter 182-517 WAC; (c) The Washington apple health pregnancy and after-pregnancy coverage program under WAC 182-505-0115 ; (d) The family planning only programs under chapter 182-532 WAC; (e) The medical care services (MCS) program under WAC 182-508-0005 ; (f) The alien emergency medical (AEM) program under WAC 182-507-0110 through 182-507-0120 ; (g) The state funded long-term care for noncitizens program under WAC 182-507-0125 ; (h) The kidney disease program under chapter 182-540 WAC; or (i) The tailored supports for older adults (TSOA) program under WAC 182-513-1610 . (4) The following rules do not apply to services provided under the MAC benefit: (a) Transfer of asset penalties under WAC 182-513-1363 ; (b) Excess home equity under WAC 182-513-1350; and (c) Estate recovery under chapter 182-527 WAC.