PROPOSED RULES
SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)
Original Notice.
Preproposal statement of inquiry was filed as WSR 04-07-165.
Title of Rule: WAC 388-478-0075 Monthly income standards based on the federal poverty level (FPL).
Purpose: To permanently adopt the increased FPL standards.
Statutory Authority for Adoption: RCW 74.08.090, 74.04.057, 74.04.050, and 74.09.530.
Statute Being Implemented: RCW 74.08.090, 74.04.057, 74.04.050, and 74.09.530.
Summary: See Purpose above.
Reasons Supporting Proposal: Department standards must comply with those published by the United States Department of Health and Human Services in the Federal Register, (Volume 69, Number 30, pages 7335 to 7338) on February 13, 2004.
Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Joanie Scotson, MAA, 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, Federal Register, (Volume 69, Number 30) on February 13, 2004, pages 7335 to 7338 per 42 U.S.C. 9902(2).
Explanation of Rule, its Purpose, and Anticipated Effects: See Purpose above.
Proposal Changes the Following Existing Rules: See Purpose and Reasons Supporting Proposal above.
No small business economic impact statement has been prepared under chapter 19.85 RCW. This proposed rule has no impact on small businesses. It affects client eligibility for medical assistance programs.
RCW 34.05.328 does not apply to this rule adoption. RCW 34.05.328 (5)(b)(vii) exempts DSHS medical and financial eligibility rules from this requirement. The proposed rule affects client eligibility for medical assistance programs.
Hearing Location: Blake Office Park (behind Goodyear Courtesy Tire), 4500 10th Avenue S.E., Rose Room, Lacey, WA 98503, on July 6, 2004, at 10:00 a.m.
Assistance for Persons with Disabilities: Contact Andy Fernando, DSHS Rules Coordinator by July 1, 2004, phone (360) 664-6097, TTY (360) 664-6178, e-mail fernaax@dshs.wa.gov.
Submit Written Comments to: Identify WAC Numbers, DSHS Rules Coordinator, Rules and Policies Assistance Unit, mail to P.O. Box 45850, Olympia, WA 98504-5850, deliver to 4500 10th Avenue S.E., Lacey, WA, fax (360) 664-6185, e-mail fernaax@dshs.wa.gov, by 5:00 p.m., July 6, 2004.
Date of Intended Adoption: Not sooner than July 7, 2004.
May 24, 2004
Brian H. Lindgren, Manager
Rules and Policies Assistance Unit
3371.3(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)) 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, 2003)) April 1, 2004, the
monthly FPL standards are:
SIZE FPL FPL FPL FPL FPL
((FAMILY
100%
185%
200%
220%
250%
1
$749
$1385
$1497
$1647
$1871
2
$1010
$1869
$2020
$2222
$2525
3
$1272
$2353
$2544
$2798
$3180
4
$1534
$2837
$3067
$3374
$3834
5
$1795
$3321
$3590
$3949
$4488
6
$2057
$3805
$4114
$4525
$5142
7
$2319
$4289
$4637
$5101
$5796
8
$2580
$4773
$5160
$5676
$6450
9
$2842
$5258
$5684
$6252
$7105
10
$3104
$5742
$6207
$6828
$7759
Add to the ten person standard for each person over
ten:
$262
$485
$524
$576
$655
((FAMILY
SIZE
100% FPL
Benchmark
133% FPL
150% FPL
185% FPL
200% FPL
220% FPL
250% FPL
1
$ 776
$1032
$1164
$1436
$1552
$1707
$1940
2
$1041
$1385
$1562
$1926
$2082
$2290
$2603
3
$1306
$1737
$1953
$2416
$2612
$2873
$3265
4
$1571
$2090
$2357
$2907
$3142
$3456
$3928
5
$1836
$2442
$2754
$3397
$3672
$4039
$4590
6
$2101
$2795
$3152
$3887
$4202
$4622
$5253
7
$2366
$3147
$3549
$4377
$4732
$5205
$5915
8
$2631
$3499
$3947
$4868
$5262
$5788
$6578
9
$2896
$3852
$4344
$5358
$5792
$6371
$7240
10
$3161
$4204
$4742
$5848
$6322
$6954
$7903
Add to the ten person standard for each person over ten:
$ 265
$353
$398
$ 491
$530
$583
$663
(3) There are no resource limits for the programs under
this section.))
[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.]