WAC 182-514-0230. Purpose

(1) This chapter describes eligibility requirements for the Washington apple health (WAH) modified adjusted gross income (MAGI)-based long-term care program (LTC) for children and adults who have been admitted to an institution as defined in WAC 182-500-0050 for at least 30 days. The rules are stated in the following sections: (a) WAC 182-514-0240 General eligibility; (b) WAC 182-514-0245 Resource eligibility; (c) WAC 182-514-0250 Program for adults age 19 and older; (d) WAC 182-514-0260 Program for children under age 19; (e) WAC 182-514-0263 Non-SSI-related institutional medically needy coverage for pregnant women and people age 20 and younger. (f) WAC 182-514-0270 Involuntary commitment to Eastern or Western State Hospital. (2) A noninstitutional WAH program recipient does not need to submit a new application for LTC coverage if admitted to an institution under this section. Admission to an institution constitutes a change of circumstances. Eligibility is based on institutional status under WAC 182-513-1320 . (3) In this chapter, "medicaid agency" or "agency" means the Washington state health care authority and includes the agency's designee. See chapter 182-500 WAC for additional definitions. (4) Income standards used in this chapter are listed at www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/program-standard-income-and-resources .