WAC 182-558-0060. PPP for a client with a qualified employer-sponsored group health insurance plan

(1) General rule. Under section 1906A of the Social Security Act, the agency pays an eligible person's premium assistance subsidy and other cost-sharing obligations when the agency determines it is cost-effective as defined in WAC 182-558-0020 . (2) Eligible persons. An eligible person is: (a) A client under age nineteen who is: (i) Covered under a qualified employer-sponsored group health insurance plan as defined in WAC 182-558-0020 ; (ii) Receiving benefits under: (A) Alternative benefits plan coverage; (B) Categorically needy coverage; or (C) Medically needy coverage. (b) The parent of the client in (a) of this subsection, if: (i) Enrollment in the health plan depends on a parent's enrollment; and (ii) The client is a dependent of the parents. (3) Cost-sharing benefit. The premium payment program (PPP) may provide cost-sharing reimbursement to nonmedicaid-eligible parents for medicaid-covered services under this section.