WSR 14-02-079 EMERGENCY RULES HEALTH CARE AUTHORITY (Medicaid Program) [Filed December 30, 2013, 12:47 p.m., effective January 1, 2014] Effective Date of Rule: January 1, 2014.
Purpose: The health care authority must implement federal requirements under the Affordable Care Act and changes under the legislative session of 2013 concerning eligibility for TAKE CHARGE in accordance with the federal waiver amendments.
Citation of Existing Rules Affected by this Order: Amending WAC 182-532-720.
Statutory Authority for Adoption: RCW 41.05.021.
Other Authority: Patient Protection and Affordable Care Act (Public Law 111-148); RCW 41.05.021; and 3ESSB 5034, section 213(29), chapter 4, Laws of 2013.
Under RCW 34.05.350 the agency for good cause finds that state or federal law or federal rule or a federal deadline for state receipt of federal funds requires immediate adoption of a rule.
Reasons for this Finding: This rule is necessary to update eligibility criteria for TAKE CHARGE to comply with changes under the legislative session of 2013 and in federal law that take effect January 1, 2014.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 1, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: December 30, 2013.
Kevin M. Sullivan
Rules Coordinator
AMENDATORY SECTION (Amending WSR 13-16-008, filed 7/25/13, effective 9/1/13)
WAC 182-532-720 TAKE CHARGE program—Eligibility.
(1) The TAKE CHARGE program is for men and women. To be eligible for the TAKE CHARGE program, an applicant must: (a) Be a United States citizen, U.S. National, or "qualified alien" as described in WAC 182-503-0530, and give proof of citizenship or qualified alien status and identity upon request from the medicaid agency; (b) Provide a valid Social Security number (SSN); (c) Be a resident of the state of Washington as described in WAC 388-468-0005; (d) Have an income at or below two hundred ((fifty)) sixty percent of the federal poverty level as described in WAC 182-505-0100; (e) Need family planning services; (f) Have applied for and been denied full-scope medicaid coverage by the agency; (g) Apply voluntarily for family planning services with a TAKE CHARGE provider; and (((g))) (h) Not be covered currently through another medical assistance program for family planning. (2) ((A client)) An applicant who is pregnant or sterilized is not eligible for TAKE CHARGE. (3) An applicant who has concurrent coverage under a creditable health insurance policy is not eligible for TAKE CHARGE unless the applicant is a minor seeking confidential services. (4) A client is authorized for TAKE CHARGE coverage for one year from the date the medicaid agency determines eligibility. Upon reapplication for TAKE CHARGE by the client, the medicaid agency may renew the coverage for an additional period of up to one year, or for the duration of the waiver, whichever is shorter.
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