EMERGENCY RULES
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Date of Adoption: March 15, 2004.
Purpose: This rule increases the standards based on the federal poverty level (FPL) effective April 1, 2004, based on the standards published in the Federal Register, Vol. 69, No. 30.
Citation of Existing Rules Affected by this Order: Amending WAC 388-478-0075.
Statutory Authority for Adoption: RCW 74.08.090, 74.04.057, 74.04.050, and 74.09.530.
Other Authority: Federal Register, Volume 69, Number 30; 42 U.S.C., Chapter 7.
Under RCW 34.05.350 the agency for good cause finds that state or federal law or federal rule or a federal deadline for state receipt of federal funds requires immediate adoption of a rule.
Reasons for this Finding: The increase in the FPL must be effective by April 1, 2004, to comply with federal requirements. Federal statute (42 U.S.C., chapter 7) requires states to use the annually adjusted federal poverty level (FPL) guidelines as the basis for determining financial eligibility standards for certain medical assistance programs.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 1, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.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Repealed 0;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Repealed 0;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Repealed 0.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.
March 15, 2004
Brian H. Lindgren, Manager
Rules and Policies Assistance Unit
3371.1(a) Pregnant women's program up to one hundred eighty-five percent of FPL;
(b) Children's categorically needy program up to two hundred percent of FPL;
(c) Healthcare for workers with disabilities (HWD) up to two hundred twenty percent of FPL; and
(d) The state children's health insurance program (SCHIP) is over two hundred percent of FPL but under two hundred fifty percent of FPL.
(2) The department uses the FPL income standards to determine:
(a) The mandatory or optional Medicaid status of an individual; and
(b) Premium amount, if any, for a Medicaid child.
(3) There are no resource limits for the programs under this section.
(4) Beginning April 1, 2003, the monthly FPL standards are:
SIZE FPL FPL FPL FPL FPL
((FAMILY
100%
185%
200%
220%
250%
1
$749
$1385
$1497
$1647
$1871
2
$1010
$1869
$2020
$2222
$2525
3
$1272
$2353
$2544
$2798
$3180
4
$1534
$2837
$3067
$3374
$3834
5
$1795
$3321
$3590
$3949
$4488
6
$2057
$3805
$4114
$4525
$5142
7
$2319
$4289
$4637
$5101
$5796
8
$2580
$4773
$5160
$5676
$6450
9
$2842
$5258
$5684
$6252
$7105
10
$3104
$5742
$6207
$6828
$7759
Add to the ten person standard for each person over
ten:
$262
$485
$524
$576
$655
((FAMILY
SIZE
100% FPL
Benchmark
133% FPL
150% FPL
185% FPL
200% FPL
220% FPL
250% FPL
1
$ 776
$1032
$1164
$1436
$1552
$1707
$1940
2
$1041
$1385
$1562
$1926
$2082
$2290
$2603
3
$1306
$1737
$1953
$2416
$2612
$2873
$3265
4
$1571
$2090
$2357
$2907
$3142
$3456
$3928
5
$1836
$2442
$2754
$3397
$3672
$4039
$4590
6
$2101
$2795
$3152
$3887
$4202
$4622
$5253
7
$2366
$3147
$3549
$4377
$4732
$5205
$5915
8
$2631
$3499
$3947
$4868
$5262
$5788
$6578
9
$2896
$3852
$4344
$5358
$5792
$6371
$7240
10
$3161
$4204
$4742
$5848
$6322
$6954
$7903
Add to the ten person standard for each person over ten:
$ 265
$353
$398
$ 491
$530
$583
$663
(3) There are no resource limits for the programs under
this section.))
[Statutory Authority: RCW 74.08.090, 74.04.050, 74.04.057, 74.09.530, and 42 U.S.C. 9902(2). 03-15-088, § 388-478-0075, filed 7/17/03, effective 7/17/03. Statutory Authority: RCW 74.08.090, 74.08A.100, 74.09.080, and 74.09.415. 02-17-030, § 388-478-0075, filed 8/12/02, effective 9/12/02. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.500, 74.09.510, and Section 1902 (a)(10)(A)(ii)(XV) and (XVI) of the Social Security Act. 02-07-090, § 388-478-0075, filed 3/19/02, effective 4/1/02. Statutory Authority: RCW 74.08.090, 74.04.050, 74.04.057, 74.09.530, and Section 673(2) (42 U.S.C. 9902(2)). 01-18-056, § 388-478-0075, filed 8/30/01, effective 9/30/01; 00-17-085, § 388-478-0075, filed 8/14/00, effective 9/14/00; 99-19-005, § 388-478-0075, filed 9/3/99, effective 10/4/99. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-478-0075, filed 7/31/98, effective 9/1/98. Formerly WAC 388-507-0805, 388-508-0810, 388-509-0910, 388-509-0920, 388-509-0940 and 388-509-0960.]