WSR 03-12-068

PROPOSED RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)

[ Filed June 2, 2003, 4:51 p.m. ]

     Original Notice.

     Preproposal statement of inquiry was filed as WSR 03-06-058.

     Title of Rule: WAC 388-478-0075 Medical programs -- Monthly income standards based on the federal poverty level (FPL).

     Purpose: Implements the increased federal standards for the federal poverty level, which was effective April 1, 2003. An emergency rule has been in effect since April 1, 2003.

     Statutory Authority for Adoption: RCW 74.04.050, 74.04.057, 74.08.090, and 74.09.530.

     Statute Being Implemented: RCW 74.04.050, 74.04.057, 74.09.530, 42 U.S.C. 9902(2).

     Summary: These amendments increase the monthly income standards for children, pregnant women and for people participating in the Medicare cost-sharing programs.

     Reasons Supporting Proposal: To amend state rules to implement the increased standards for the federal poverty level guidelines updated annually in the Federal Register under the authority of section 673(2).

     Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Joanie Scotson, MAA, Program Manager, P.O. Box 45534, Olympia, WA 98504-5534, (360) 725-1330.

     Name of Proponent: Department of Social and Health Services, governmental.

     Rule is necessary because of federal law, 42 U.S.C. 9902(2).

     Explanation of Rule, its Purpose, and Anticipated Effects: See Purpose and Summary above.

     Proposal Changes the Following Existing Rules: See Purpose above.

     No small business economic impact statement has been prepared under chapter 19.85 RCW. This proposed rule will have no impact on small businesses. It affects client eligibility for medical assistance programs.

     RCW 34.05.328 does not apply to this rule adoption. Although this rule meets the definition of a significant legislative rule, rules relating to client eligibility are exempt from preparing a cost benefit analysis under RCW 34.05.328 (5)(b)(vii).

     Hearing Location: Blake Office Park (behind Goodyear Courtesy Tire), 4500 10th Avenue S.E., Rose Room, Lacey, WA 98503, on July 8, 2003, at 10:00 a.m.

     Assistance for Persons with Disabilities: Contact Fred Swenson, DSHS Rules Consultant, by July 1, 2003, phone (360) 664-6097, TTY (360) 664-6178, e-mail swensFH@dshs.wa.gov.

     Submit Written Comments to: Identify WAC Numbers, DSHS Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, e-mail swensfh@dshs.wa.gov, fax (360) 664-6185, by 5:00 p.m. on July 8, 2003.

     Date of Intended Adoption: Not sooner than July 9, 2003.

May 29, 2003

Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

3213.1
AMENDATORY SECTION(Amending WSR 02-17-030, filed 8/12/02, effective 9/12/02)

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) 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) Beginning April 1, ((2002)) 2003, the monthly FPL standards are:


FAMILY

SIZE

 100%

FPL

 185%

FPL

 200%

FPL

 220%

FPL

 250%

FPL
1 $((739))

749

 $((1366)) 1385 $((1477)) 1497 $((1625)) 1647 $((1846)) 1871
2 $((995)) 1010 $((1841)) 1869 $((1990)) 2020 $((2189)) 2222 $((2488)) 2525
3 $((1252)) 1272 $((2316)) 2353 $((2504)) 2544 $((2754)) 2798 $((3130)) 3180
4 $((1509)) 1534 $((2791)) 2837 $((3017)) 3067 $((3319)) 3374 $((3771)) 3834
5 $((1765)) 1795 $((3266)) 3321 $((3530)) 3590 $((3883)) 3949 $((4413)) 4488
6 $((2022)) 2057 $((3741)) 3805 $((4044)) 4114 $((4448)) 4525 $((5055)) 5142
7 $((2279)) 2319 $((4215)) 4289 $((4557)) 4637 $((5013)) 5101 $((5696)) 5796
8 $((2535)) 2580 $((4690)) 4773 $((5070)) 5160 $((5577)) 5676 $((6338)) 6450
9 $((2792)) 2842 $((5165)) 5258 $((5584)) 5684 $((6142)) 6252 $((6980)) 7105
10 $((3049)) 3104 $((5640)) 5742 $((6097)) 6207 $((6707)) 6828 $((7621)) 7759
Add to the ten person standard for each person over ten:
$((257))

262

 $((475))

485

 $((514))

524

 $((565))

576

 $((642))

655

     (3) There are no resource limits for the programs under this section.

[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.]

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