HEALTH CARE AUTHORITY

[Filed November 27, 2019, 11:12 a.m., effective December 28, 2019]

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

Purpose: The agency is striking subsection (2)(iii). The agency does not change eligibility based on incarceration status.

Citation of Rules Affected by this Order: Amending WAC 182-523-0100.

Statutory Authority for Adoption: RCW 41.05.021, 41.05.160; SSB 6430, chapter 154, 2016 regular session.

Adopted under notice filed as WSR 19-21-129 on October 21, 2019.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.

Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

Date Adopted: November 27, 2019.

AMENDATORY SECTION(Amending WSR 17-18-024, filed 8/28/17, effective 10/1/17)

WAC 182-523-0100Washington apple health—Medical extension.

(1) A parent or caretaker relative who was eligible for and who received coverage under Washington apple health for parents and caretaker relatives, described in WAC 182-505-0240, in any three of the last six months is eligible, along with all dependent children living in the household, for twelve months' extended health care coverage if the person becomes ineligible for ((his or her current)) coverage due to increased earnings or hours of employment.

(2) A person remains eligible for apple health medical extension unless:

(a) The person:

(i) Moves out of state;

(ii) Dies; or

(iii) ((Becomes an inmate of a public institution; or

(iv))) Leaves the household.

(b) The family:

(i) Moves out of state;

(ii) Loses contact with the agency or its designee or the whereabouts of the family are unknown; or

(iii) No longer includes an eligible dependent child as defined in WAC 182-503-0565(2).

(3) When a person or family is determined ineligible for apple health coverage under subsection (2)(a)(i) through (iii) or (b)(i) or (ii) of this section during the medical extension period, the agency or its designee redetermines eligibility for the remaining household members as described in WAC 182-504-0125 and sends written notice as described in chapter 182-518 WAC before apple health medical extension is terminated.