WAC 182-551-1810. Pediatric palliative care (PPC) case management/coordination services — Client eligibility

To receive pediatric palliative care (PPC) case management/coordination services, a person must: (1) Be 20 years of age or younger; (2) Be a current recipient of the: (a) Alternative benefit plan (ABP); (b) Categorically needy program (CNP); (c) Limited casualty program - Medically needy program (LCP-MNP); (d) CNP - Alien emergency medical; (e) LCP-MNP - Alien emergency medical; or (f) Children's health insurance program (CHIP); and (3) Have a life-limiting medical condition that requires case management and coordination of medical services due to at least three of the following circumstances: (a) An immediate medical need during a time of crisis; (b) Coordination with family member(s) and providers required in more than one setting (i.e., school, home, and multiple medical offices or clinics); (c) A life-limiting medical condition that impacts cognitive, social, and physical development; (d) A medical condition with which the family is unable to cope; (e) A family member(s) and/or caregiver who needs additional knowledge or assistance with the client's medical needs; or (f) Therapeutic goals focused on quality of life, comfort, and family stability. (4) See WAC 182-551-1860 for concurrent palliative and curative care for hospice clients age 20 and younger.