WAC 388-515-1506
|
Agency filings affecting this section
|
What are the general eligibility requirements for home and community based (HCB) services authorized by home and community services (HCS) and hospice?
|
(1) To be eligible for home and community based (HCB) services and hospice you must:
(a) Meet the program and age requirements for the specific program:
(i) COPES, per WAC
388-106-0310;
(ii) PACE, per WAC
388-106-0705;
(iii) WMIP waiver services, per WAC
388-106-0750;
(iv) New Freedom, per WAC
388-106-1410;
(v) Hospice, per chapter
182-551 WAC; or
(vi) Roads to community living (RCL), per WAC
388-106-0250,
388-106-0255 and
388-106-0260.
(b) Meet the disability criteria for the supplemental security income (SSI) program as described in WAC
182-512-0050;
(c) Require the level of care provided in a nursing facility described in WAC
388-106-0355;
(d) Be residing in a medical institution as defined in WAC
182-500-0050, or likely to be placed in one within the next thirty days without HCB services provided under one of the programs listed in subsection (1)(a);
(e) Have attained institutional status as described in WAC
388-513-1320;
(f) Be determined in need of services and be approved for a plan of care as described in subsection (1)(a);
(g) Be able to live at home with community support services and choose to remain at home, or live in a department-contracted:
(i) Enhanced adult residential care (EARC) facility;
(ii) Licensed adult family home (AFH); or
(iii) Assisted living (AL) facility.
(h) Not be subject to a penalty period of ineligibility for the transfer of an asset as described in WAC
388-513-1363 through
388-513-1365;
(i) Not have a home with equity in excess of the requirements described in WAC
388-513-1350.
(2) Refer to WAC
388-513-1315 for rules used to determine countable resources, income, and eligibility standards for long-term care services.
(3) Current income and resource standard charts are located at: http://www.dshs.wa.gov/manuals/eaz/sections/LongTermCare/LTCstandardspna.html.
[Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530, section 6014 of the Deficit Reduction Act of 2005 (DRA), and 2010 1st sp.s. c 37 § 209(1). 12-21-091, § 388-515-1506, filed 10/22/12, effective 11/22/12. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and 74.09.530 and Washington state 2007-09 operating budget (SHB 1128). 08-22-052, § 388-515-1506, filed 11/3/08, effective 12/4/08.]