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13-0029 will address the disregard of certain income when determining eligibility for pregnant teens. This SPA is proposed to become effective on November 1, 2013, and will have no effect on annual aggregate expenditures.

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13-0030 will address mandatory and optional eligibility groups in the family/adult category. States must cover certain mandatory groups under their medicaid programs, except for the adult group, which is voluntarily elected by states and is mandatory for states that will begin to use the modified adjusted gross income (MAGI) methodology for determining eligibility for the other medicaid and CHIP coverage groups. Washington is also electing to cover certain optional eligibility groups. This SPA is proposed to become effective on January 1, 2014, and will have no effect on annual aggregate expenditures.

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13-0031 will address the application forms and methods for individuals to apply for and renew medicaid coverage and describe the frequency of medicaid renewals of eligibility and documents agreements for the coordination of eligibility and enrollment with other agencies administering insurance affordability programs. This SPA is proposed to become effective on January 1, 2014, and will have no effect on annual aggregate expenditures.

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13-0032 will describe the options elected by Washington with respect to MAGI-based income methodologies, which is the income methodology that will be used effective January 1, 2014, for determining eligibility for most children, pregnant women and parents and caretaker relatives and the new adult expansion group. This SPA is proposed to become effective on January 1, 2014. Per the state's enacted budget for the 2013-2015 biennium, expenditures are expected to be $646,018,000 per year (federal medicaid funds = $830,810,000 minus state general funds of $184,792,000 = $646,018,000).

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13-0033 will describe specific requirements for what constitutes state residency. This SPA is proposed to become effective on January 1, 2014, and will have no effect on annual aggregate expenditures.

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13-0034 will describe the rules concerning medicaid requirements related to United States citizenship and noncitizen eligibility. This SPA is proposed to become effective on January 1, 2014, and will have no effect on annual aggregate expenditures.

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13-0035 provides the opportunity for the state to indicate in the state plan that hospitals in the state determine eligibility presumptively; Washington does not choose to exercise this option. This SPA is proposed to become effective on January 1, 2014, and will have no effect on annual aggregate expenditures.