WSR 04-06-052

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Economic Services Administration)

[ Filed March 1, 2004, 1:04 p.m. , effective April 1, 2004 ]

     Date of Adoption: February 27, 2004.

     Purpose: Amend WAC 388-450-0215 How does the department estimate my assistance unit's income to determine my eligibility and benefits?, the changes are necessary to correct editing errors made in the last revision of this rule.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-450-0215.

     Statutory Authority for Adoption: RCW 74.04.050, 74.04.055, 74.04.057, 74.04.510.

      Adopted under notice filed as WSR 04-01-031 on December 8, 2003.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
     Effective Date of Rule: April 1, 2004.

February 27, 2004

Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

3351.2
AMENDATORY SECTION(Amending WSR 03-21-029, filed 10/7/03, effective 11/1/03)

WAC 388-450-0215   How does the department estimate my assistance unit's income to determine my eligibility and benefits?   The department uses prospective budgeting to determine if your assistance unit (AU) is eligible and to calculate your benefits.

     (1) We determine if your AU is eligible for benefits and calculate your monthly benefits based on an estimate of your AU's income and expenses for that month. This is known as prospective budgeting.

     (2) We base this estimate on what can be reasonably expected based on your current, past and future circumstances.

     (3) We determine if our estimate is reasonable by looking at documents, statements, and other verification.

     (4) We use two methods to estimate your AU's income:

     (a) Anticipating monthly income: We estimate the actual amount of income you expect to receive in the month; and

     (b) Averaging income: We estimate your income based on adding the total income you expect to receive for a period of time and dividing by the number of months in the time period.

     (5) When we use the anticipating monthly method, we estimate the actual amount of income your AU expects to receive in the month. Your benefits will vary based on the income that is expected for that month.

     (6) In general, you can choose which method we use to estimate your income. However, we must use the anticipating monthly method:

     (a) For all your AU's income in the following circumstances:

     (i) If you receive SSI-related medical benefits under chapter 388-475 WAC ((388-450-0150)); or

     (ii) If you are a destitute migrant or destitute seasonal farmworker under WAC 388-406-0021, we must use the anticipating monthly method for the month your AU applied for benefits.

     (b) For the income of any member of your AU who has income allocated to someone receiving SSI-related medical benefits under chapter 388-475 WAC ((388-450-0150));

     (c) For the following sources of income to your AU:

     (i) SSI;

     (ii) Social Security benefits; or

     (iii) Income your AU already received in the month that you applied for benefits. If we do not have to use the anticipating monthly method for any other reason, we may average this income for the remaining months of your certification or review period.

     (7) When we use the averaging method, we take the expected changes in your AU's income into consideration so your benefits do not change as much:

     (a) If you receive your income weekly or every other week, we convert this income ((converted)) to a monthly amount. If you are paid: ((If you are paid:))

     (i) Weekly, we multiply your expected pay by 4.3; or

     (ii) Every other week, we multiply your expected pay by 2.15.

     (b) In most cases if you receive your income other than weekly or every other week, we estimate your monthly income by:

     (i) Adding the total amount of income we expect you to receive for your certification or review period; and

     (ii) Dividing by the number of months in the period of time.

     (c) If you receive your yearly income over less than a year because you are self employed or work under a contract, we average this income over the year unless you are:

     (i) Paid on an hourly or piecework basis; or

     (ii) A migrant or seasonal farmworker under WAC 388-406-0021.

     (8) If you report a change in your AU's income, and we expect the change to last for at least a month beyond the month you reported the change, we recalculate your AU's income based on this change.

     (9) If your actual income is different than the income we estimated, we do not make you repay an overpayment under chapter 388-410 WAC or increase your benefits unless:

     (a) You provided incomplete or false information; or

     (b) We made an error in calculating your benefits.

[Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057, and 74.04.510. 03-21-029, § 388-450-0215, filed 10/7/03, effective 11/1/03. Statutory Authority: RCW 74.08.090 and 74.04.510. 99-23-083, § 388-450-0215, filed 11/16/99, effective 1/1/00; 99-16-024, § 388-450-0215, filed 7/26/99, effective 9/1/99. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-450-0215, filed 7/31/98, effective 9/1/98. Formerly WAC 388-505-0590.]

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