WAC 182-515-1507
WAC 182-515-1507. Home and community based (HCB) waiver services authorized by home and community services (HCS) — Financial eligibility if a client is eligible for an SSI-related noninstitutional categorically needy (CN) medicaid program
(1) A client is financially eligible for home and community based (HCB) waiver services if the client:
(a) Is receiving coverage under one of the following categorically needy (CN) medicaid programs:
(i) SSI program under WAC 182-510-0001 . This includes SSI clients under Section 1619(b) of the Social Security Act;
(ii) SSI-related noninstitutional CN program under chapter 182-512 WAC; or
(iii) Health care for workers with disabilities program (HWD) under chapter 182-511 WAC.
(b) Does not have a penalty period of ineligibility for the transfer of an asset under WAC 182-513-1363 ; and
(c) Does not own a home with equity in excess of the requirements under WAC 182-513-1350 .
(2) A client eligible under this section does not pay toward the cost of care, but must pay room and board if living in an alternate living facility (ALF) under WAC 182-513-1100 .
(3) A client eligible under this section who lives in a department-contracted ALF described under WAC 182-513-1100 :
(a) Keeps a personal needs allowance (PNA) under WAC 182-513-1105 ; and
(b) Pays towards room and board under WAC 182-513-1105 .
(4) A client who is eligible under the HWD program must pay the HWD premium under WAC 182-511-1250 , in addition to room and board, if residing in an ALF.
(5) Current resource, income, PNA, and room and board standards are found at www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/program-standard-income-and-resources .