WSR 97-12-081




(Medical Assistance Administration)

(Public Assistance)

[Filed June 4, 1997, 10:31 a.m.]

Reviser's note: Due to a clerical error, the following section was not shown correctly in WSR 97-12-081. Following is the correct version of WAC 388-524-2405 in the paper filing by the agency.

AMENDATORY SECTION (Amending Order 3732, filed 5/3/94, effective 6/3/94)

WAC 388-524-2405 SSI/state supplement termination. ((When SSA terminates an SSI/state supplemental client because of failure to meet blindness and disability criteria under Title XVI,)) (1) The department shall ((terminate)) provide uninterrupted medical assistance ((at the end of the second month following the month in which eligibility based on disability or blindness criteria ceases)) for a period of up to one hundred twenty days:

(a) For a person whose SSI/state supplemental is terminated; and

(b) While the department redetermines the person's eligibility for other financial or medical programs.

(((1) If the client has)) (2) The department shall continue medical assistance for a person:

(a) Who has filed a timely request for a hearing under SSA jurisdiction; and ((SSA continues benefits, the department shall continue medical assistance concurrently))

(b) Until SSA makes a final decision on the hearing request and any subsequent timely appeals.

(((2))) (3) The department shall ((not authorize the CSO to resubmit)) only submit a request for a redetermination of blindness or disability ((for consideration of the categorically needy or medically needy program.

(3) If the client)) if:

(a) The person presents new medical evidence ((to the CSO or the client's));

(b) The person's medical condition ((worsens, the department shall require a referral to SSA)) changes significantly; or

(c) The termination of SSI/state supplement or Social Security Disability Insurance was not based on a review of current medical evidence.

[Statutory Authority: RCW 74.08.090. 94-10-065 (Order 3732), 388-524-2405, filed 5/3/94, effective 6/3/94. Formerly WAC 388-85-110 (part).]

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