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PDFWAC 388-106-0360

How do I pay for nursing facility care services?

(1) If you are medicaid eligible and the nursing facility admits you without a request for assessment from the department, the nursing facility will not:
(a) Be reimbursed by the department; or
(b) Be allowed to collect payment, including a deposit or minimum stay fee, from you or your family/representative for any care provided before the date of request for assessment.
(2) If you are eligible for medicaid-funding nursing facility care, the department pays for your services beginning on the date:
(a) Of the request for a department assessment; or
(b) Nursing facility care actually begins, whichever is later.
(3) If you become financially eligible for medicaid after you have been admitted, the department pays for your nursing facility care beginning on the date of:
(a) Request for assessment or financial application, whichever is earlier;
(b) Nursing facility placement; or
(c) When you are determined financially eligible, whichever is later.
(4) Exception: Payment back to the request date is limited to three months prior to the month that the financial application is received.
[Statutory Authority: RCW 74.08.090, 74.09.520. WSR 05-11-082, ยง 388-106-0360, filed 5/17/05, effective 6/17/05.]
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