WSR 03-15-088

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)

[ Filed July 17, 2003, 4:35 p.m. , effective July 17, 2003, 4:35 p.m. ]

Date of Adoption: July 14, 2003.

Purpose: This rule implements the increased standards based on the federal poverty level effective April 1, 2003, based on the standards published in the Federal Register, Vol. 68, No. 26.

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

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

Other Authority: RCW 74.09.530 and 42 U.S.C. 9902(2).

Adopted under notice filed as WSR 03-12-068 on June 2, 2003.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 1, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

Other Findings Required by Other Provisions of Law as Precondition to Adoption or Effectiveness of Rule: 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. The department adopted an emergency rule, WSR 03-08-066 effective April 1, 2003, to implement the 2003 FPL guidelines that went into effect on that date per the United States Department of Health and Human Services announcement published in the Federal Register (Volume 68, No. 26, pages 6456-6458). This permanent rule will replace WSR 03-08-066 that would otherwise expire on July 28, 2003. The immediate effective date is needed to prevent a lapse in the applicable FPL that could result in incorrect eligibility determinations for individuals and families in need of medical assistance.
Effective Date of Rule: Immediately on filing [July 17, 2003, 4:35 p.m.]

July 14, 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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