WAC 182-515-1512
WAC 182-515-1512. Home and community based (HCB) waiver services authorized by developmental disabilities community services (DDCS) — Financial eligibility if a client is eligible for a noninstitutional SSI-related categorically needy (CN) program
(1) A client is financially eligible for home and community based (HCB) waiver services authorized by developmental disabilities community services (DDCS) if:
(a) The client is receiving coverage under one of the following categorically needy (CN) medicaid programs:
(i) Supplemental security income (SSI) program under WAC 182-510-0001 . This includes SSI clients under 1619(b) status; or
(ii) Health care for workers with disabilities (HWD) under chapter 182-511 WAC; or
(iii) SSI-related noninstitutional (CN) program under chapter 182-512 WAC; or
(iv) The foster care program under WAC 182-505-0211 and the client meets disability requirements under WAC 182-512-0050 .
(b) The client does not have a penalty period of ineligibility for the transfer of an asset as under WAC 182-513-1363 ; and
(c) The client 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 up to the room and board standard 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 .