WSR 05-02-091

PROPOSED RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Medical Assistance Administration)

[ Filed January 5, 2005, 9:41 a.m. ]

Original Notice.

Preproposal statement of inquiry was filed as WSR 04-23-065.

Title of Rule and Other Identifying Information: WAC 388-478-0070 Monthly income and countable resource standards for medically needy (MN); and 388-478-0080 Supplemental security income (SSI) standards, SSI-related categorically needy income level (CNIL).

Hearing Location(s): Blake Office Park East (behind Goodyear Courtesy Tire), Rose Room, 4500 10th Avenue S.E., Lacey, WA, on February 8, 2005, at 10:00 a.m.

Date of Intended Adoption: Not sooner than February 9, 2005.

Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504, delivery 4500 10th Avenue S.E., Lacey, WA, e-mail fernaax@dshs.wa.gov, fax (360) 664-6185, by 5:00 p.m., February 8, 2005.

Assistance for Persons with Disabilities: Contact Fred Swenson, DSHS Rules Consultant, by February 4, 2005, TTY (360) 664-6178 or (360) 664-6097.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: To update standards that were changed by federal rules effective January 1, 2005, under Section 1924 of the Social Security Act.

Reasons Supporting Proposal: See above.

Statutory Authority for Adoption: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and 74.09.530.

Statute Being Implemented: Section 1924 of the Social Security Act (42 U.S.C. 1396r-5).

Rule is necessary because of federal law, Section 1924 of the Social Security Act (42 U.S.C. 1396r-5).

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

Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Wendy Forslin, (360) 725-1343 and Deborah O'Connor, (360) 725-1328; P.O. Box 45534, Olympia, WA 98504-5534.

No small business economic impact statement has been prepared under chapter 19.85 RCW. This change does not affect small businesses.

A cost-benefit analysis is not required under RCW 34.05.328. This rule revision is exempt from the provisions of RCW 34.05.328 per RCW 34.05.328 (5)(b)(vii) regarding rules related to DSHS financial or medical eligibility.

January 3, 2005

Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

3485.2
AMENDATORY SECTION(Amending WSR 02-10-116, filed 4/30/02, effective 5/31/02)

WAC 388-478-0070   Monthly income and countable resource standards for medically needy (MN) ((and medically indigent (MI) programs)).   (1) Beginning January 1, ((2002)) 2005, the medically needy income level (MNIL) ((and MI monthly income standards are as follows)) is:


(a) One person $((571.00))

579.00

(b) Two persons $592
(c) Three persons $667
(d) Four persons $742
(e) Five persons $858
(f) Six persons $975
(g) Seven persons $1,125
(h) Eight persons $1,242
(i) Nine persons $1,358
(j) Ten persons and more $1,483

(2) The MNIL standard for a person who meets institutional status requirements is in WAC 388-513-1305(3).

(3) Countable resource standards for the MN and MI programs are:


(a) One person $2,000
(b) Two persons $3,000
(c) For each additional family member add $50

[Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and 42 U.S.C. 1396r-5. 02-10-116, 388-478-0070, filed 4/30/02, effective 5/31/02. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and Section 1924 (42 U.S.C. 1396R-5). 01-12-073, 388-478-0070, filed 6/4/01, effective 7/5/01. Statutory Authority: RCW 74.08.090, 74.04.050, 74.04.057, and 74.09.575. 00-10-095, 388-478-0070, filed 5/2/00, effective 5/2/00; 99-11-054, 388-478-0070, filed 5/17/99, effective 6/17/99. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, 388-478-0070, filed 7/31/98, effective 9/1/98. Formerly WAC 388-507-0710, 388-507-0720, 388-511-1115, 388-518-1820, 388-518-1830, 388-518-1840 and 388-518-1850.]


AMENDATORY SECTION(Amending WSR 04-16-107, filed 8/3/04, effective 9/3/04)

WAC 388-478-0080   Supplemental security income (SSI) standards; SSI-related categorically needy income level (CNIL); and countable resource standards.   (1) The SSI payment standards, also known as the federal benefit rate (FBR), beginning January 1, ((2004)) 2005 are:

(a) Living alone (in own home or alternate care, does not include nursing homes or medical situations)


Individual $((564))

579

Individual with an ineligible spouse $((564))

579

Couple $((846))

869


(b) Shared living (in the home of another)


Individual $((376))

386

Individual with an ineligible spouse $((376))

386

Couple $((564))

579


(c) Living in an institution


Individual $30

(2) See WAC 388-478-0055 for the amount of the state supplemental payments (SSP) for SSI recipients.

(3) ((The SSI-related CNIL standard varies in area 1 and area 2 for a single person. Area 1 is defined as the following counties: King, Pierce, Snohomish, Thurston, and Kitsap. All other counties are area 2.)) The SSI-related CNIL standards are:


((Area 1)) ((Area 2))
(a) Single person $((570.90))

579.00

(($564.00))
(b) Married couple - both eligible ((846.00))

869.00

((846.00))
(c) Supplied shelter -single person ((376.00))

386.00

((376.00))
(d) Supplied shelter couple - both eligible ((564.00))

579.00

((564.00))

(4) The countable resource standards for SSI and SSI-related CN medical programs are:


(a) One person $2,000
(b) A legally married couple $3,000

[Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, 42 U.S.C. 9902(2). 04-16-107, 388-478-0080, filed 8/3/04, effective 9/3/04. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and 42 U.S.C. 1396r-5. 02-10-116, 388-478-0080, filed 4/30/02, effective 5/31/02. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and Section 1924 (42 U.S.C. 1396R-5). 01-12-073, 388-478-0080, filed 6/4/01, effective 7/5/01. Statutory Authority: RCW 74.08.090, 74.04.050, 74.04.057, and 74.09.575. 00-10-095, 388-478-0080, filed 5/2/00, effective 5/2/00; 99-11-054, 388-478-0080, filed 5/17/99, effective 6/17/99. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, 388-478-0080, filed 7/31/98, effective 9/1/98. Formerly WAC 388-511-1110.]

Washington State Code Reviser's Office