WSR 06-03-080

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Health and Recovery Services Administration)

[ Filed January 12, 2006, 4:28 p.m. , effective February 12, 2006 ]


Effective Date of Rule: Thirty-one days after filing.

Purpose: The department is amending this rule to reinstate the children's health program for noncitizen children under age eighteen with income at or below 100% of the federal poverty level who are not otherwise eligible for Medicaid, as directed by the legislature (E2SHB 1441 (chapter 279, Laws of 2005)).

Citation of Existing Rules Affected by this Order: Amending WAC 388-478-0075.

Statutory Authority for Adoption: RCW 74.08.090, 74.09.415, and 74.09.530.

Other Authority: Chapter 279, Laws of 2005.

Adopted under notice filed as WSR 05-23-078 on November 15, 2005.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

Date Adopted: January 11, 2006.

Andy Fernando, Manager

Rules and Policies Assistance Unit

3612.1
AMENDATORY SECTION(Amending WSR 05-17-157, filed 8/22/05, effective 9/22/05)

WAC 388-478-0075   Medical programs--Monthly income standards based on the federal poverty level (FPL).   (1) The department bases the income standard upon the Federal Poverty Level (FPL) for the following medical programs:

(a) Children's health program is one hundred percent of FPL;

(b) Pregnant women's program up to one hundred eighty-five percent of FPL;

(((b))) (c) Children's categorically needy program up to two hundred percent of FPL;

(((c))) (d) Healthcare for workers with disabilities (HWD) up to two hundred twenty percent of FPL; and

(((d))) (e) The state children's health insurance program (SCHIP) is over two hundred percent of FPL but not over 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, 2005, the monthly FPL standards are:


FAMILY SIZE 100% FPL ((Benchmark)) 133% FPL 150% FPL 185% FPL 200% FPL 220% FPL 250% FPL
1 $798 $1061 $1197 $1476 $1595 $1755 $1994
2 $1070 $1422 $1604 $1978 $2139 $2353 $2673
3 $1341 $1784 $2012 $2481 $2682 $2950 $3353
4 $1613 $2145 $2419 $2984 $3225 $3548 $4032
5 $1885 $2506 $2827 $3486 $3769 $4146 $4711
6 $2156 $2868 $3234 $3989 $4312 $4743 $5390
7 $2428 $3229 $3642 $4491 $4855 $5341 $6069
8 $2700 $3590 $4049 $4994 $5399 $5939 $6748
9 $2971 $3952 $4457 $5497 $5942 $6536 $7428
10 $3243 $4313 $4864 $5999 $6485 $7134 $8107
Add to the ten person standard for each person over ten:
$272 $362 $408 $503 $544 $598 $680

[Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and 42 U.S.C. 9902(2). 05-17-157, 388-478-0075, filed 8/22/05, effective 9/22/05. Statutory Authority: RCW 74.08.090, 74.04.057, 74.04.050, and 74.09.530. 04-15-092, 388-478-0075, filed 7/16/04, effective 8/16/04. 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.]