WAC 388-106-0210. Am I eligible for medicaid personal care (MPC) funded services?

You are eligible for MPC-funded services when the department assesses your functional ability and determines that you meet all of the following criteria: (1) You are certified as noninstitutional categorically needy, as defined in WAC 182-500-0020 , or have been determined eligible for Washington apple health alternative benefit plan coverage, as described in WAC 182-505-0250 . Categorically needy medical institutional programs described in chapter 182-513 and 182-515 WAC do not meet the criteria for MPC. (2) You do not require the level of care furnished in a hospital or nursing facility, as defined in WAC 388-106-0355 , an intermediate care facility for intellectual disability, as defined in WAC 388-825-3080 and WAC 388-828-4400 , an institution providing psychiatric services for individuals under the age of twenty-one, or an institution for mental disease for individuals age sixty-five or over. (3) You are functionally eligible which means one of the following applies: (a) You have an unmet or partially met need for assistance with at least three of the following activities of daily living, as defined in WAC 388-106-0010 : For each Activity of Daily Living, the minimum level of assistance required in: Self-Performance, Status or Treatment Need is: Support Provided is: Eating N/A Setup Toileting Supervision N/A Bathing Supervision N/A Dressing Supervision N/A Transfer Supervision Setup Bed Mobility Supervision Setup Walk in Room or Locomotion in Room or Locomotion Outside Immediate Living Environment Supervision Setup Medication Management Assistance Required N/A Personal Hygiene Supervision N/A Body care which includes: ■ Application of ointment or lotions; ■ Toenails trimmed; ■ Dry bandage changes; (■ = if you are over eighteen years of age or older) or Passive range of motion treatment (if you are four years of age or older). Needs or Received/Needs Need: Coded as "Yes" N/A For each Activity of Daily Living, the minimum level of assistance required in: Self-Performance, Status or Treatment Need is: Support Provided is: Eating N/A Setup Toileting Supervision N/A Bathing Supervision N/A Dressing Supervision N/A Transfer Supervision Setup Bed Mobility Supervision Setup Walk in Room or Locomotion in Room or Locomotion Outside Immediate Living Environment Supervision Setup Medication Management Assistance Required N/A Personal Hygiene Supervision N/A Body care which includes: ■ Application of ointment or lotions; ■ Toenails trimmed; ■ Dry bandage changes; (■ = if you are over eighteen years of age or older) or Passive range of motion treatment (if you are four years of age or older). Needs or Received/Needs Need: Coded as "Yes" N/A Your need for assistance in any of the activities listed in subsection (a) of this section did not occur because you were unable or no provider was available to assist you will be counted for the purpose of determining your functional eligibility. Your need for assistance in any of the activities listed in subsection (a) of this section did not occur because you were unable or no provider was available to assist you will be counted for the purpose of determining your functional eligibility. ; or (b) You have an unmet or partially met need for assistance or the activity did not occur (because you were unable or no provider was available) with at least one or more of the following: For each Activity of Daily Living, the minimum level of assistance required in Self-Performance, Status or Treatment Need is: Support Provided is: Eating Supervision One person physical assist Toileting Extensive Assistance One person physical assist Bathing Physical Help/part of bathing One person physical assist Dressing Extensive Assistance One person physical assist Transfer Extensive Assistance One person physical assist Bed Mobility and Turning and repositioning Limited Assistance and Need One person physical assist Walk in Room or Locomotion in Room or Locomotion Outside Immediate Living Environment Extensive Assistance One person physical assist Medication Management Assistance Required Daily N/A Personal Hygiene Extensive Assistance One person physical assist Body care which includes: ■ Application of ointment or lotions; ■ Toenails trimmed; ■ Dry bandage changes; (■ = if you are eighteen years of age or older) or Passive range of motion treatment (if you are four years of age or older). Needs or Received/Needs Need: Coded as "Yes" N/A For each Activity of Daily Living, the minimum level of assistance required in Self-Performance, Status or Treatment Need is: Support Provided is: Eating Supervision One person physical assist Toileting Extensive Assistance One person physical assist Bathing Physical Help/part of bathing One person physical assist Dressing Extensive Assistance One person physical assist Transfer Extensive Assistance One person physical assist Bed Mobility and Turning and repositioning Limited Assistance and Need One person physical assist Walk in Room or Locomotion in Room or Locomotion Outside Immediate Living Environment Extensive Assistance One person physical assist Medication Management Assistance Required Daily N/A Personal Hygiene Extensive Assistance One person physical assist Body care which includes: ■ Application of ointment or lotions; ■ Toenails trimmed; ■ Dry bandage changes; (■ = if you are eighteen years of age or older) or Passive range of motion treatment (if you are four years of age or older). Needs or Received/Needs Need: Coded as "Yes" N/A Your need for assistance in any of the activities listed in subsection (b) of this section did not occur because you were unable or no provider was available to assist you will be counted for the purpose determining your functional eligibility. Your need for assistance in any of the activities listed in subsection (b) of this section did not occur because you were unable or no provider was available to assist you will be counted for the purpose determining your functional eligibility.