Subject of Possible Rule Making: WAC 388-513-1380 Determining a client's participation in the cost of care for long-term (LTC) services.

     Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.500, and 74.09.530.

     Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: To permanently adopt the:

•	April 1, 2005, federal changes in the institutional Medicaid standard and community spouse income and family allocation standard.
•	July 1, 2005, change in the personal needs allowance (PNA) allowed for clients residing in a medical facility who are not receiving general assistance.

     These changes will be adopted on an emergency basis while the permanent rule-making process is completed.

     Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None.

     Process for Developing New Rule: The department invites the interested public to review and provide input on the draft language of this rule. Draft material and information about how to participate may be obtained from the department representative listed below.

     Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Lori Rolley, P.O. Box 45534, Olympia, WA 98504-5534, e-mail rollelj@dshs.wa.gov, phone (360) 725-1304, fax (360) 664-0910, TTY 1-800-848-5429.

June 7, 2005

Andy Fernando, Manager

Rules and Policies Assistance Unit

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