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WACs > Title 182 > Chapter 182-514 > Section 182-514-0250











182-514-0245    

182-514-0255







Agency filings affecting this section







WAC 182-514-0250









Washington apple health—MAGI-based long-term care program for adults age twenty-one or older.









(1) A person twenty-one years of age or older must meet the requirements in WAC 182-505-0250 to qualify for Washington apple health (WAH) modified adjusted gross income (MAGI)-based long-term care (LTC) coverage under this section. (2) The categorically needy income level (CNIL) for health care coverage under this section is one hundred thirty-three percent of the federal poverty level. A person's countable income (after a standard five percentage point income disregard) must be at or below this amount to be eligible. (3) Countable income for categorically needy (CN) coverage under this section is determined using the MAGI methodologies described in chapter 182-509 WAC. (4) With the exception of an institutionalized pregnant woman, if the person's income exceeds the standards to be eligible under the WAH MAGI-based CN long-term care program, he or she is not eligible for medically needy coverage under this section. (5) A person, age twenty-one through sixty-four years of age who is admitted to an institution for mental diseases (IMD) is not eligible for coverage under this section. [Statutory Authority: RCW 41.05.021 and Patient Protection and Affordable Care Act (P.L. 111-148), 42 C.F.R. §§ 431, 435, and 457, and 45 C.F.R. § 155. WSR 14-06-068, § 182-514-0250, filed 2/28/14, effective 3/31/14. WSR 12-02-034, recodified as § 182-514-0250, filed 12/29/11, effective 1/1/12. Statutory Authority: RCW 74.04.055, 74.04.057, 74.08.090, 74.09.530, and 42 C.F.R. 441.151. WSR 09-06-029, § 388-505-0250, filed 2/24/09, effective 3/27/09.]