WSR 19-21-103
PERMANENT RULES
HEALTH CARE AUTHORITY
[Filed October 16, 2019, 10:59 a.m., effective January 1, 2020]
Effective Date of Rule: January 1, 2020.
Purpose: Added a new subsection (2)(d) to the list of who is not eligible for Washington apple health with premiums. With the availability of the school employees' benefits board (SEBB) health insurance, effective January 1, 2020, a child who is eligible for SEBB insurance coverage based on family member's employment with a Washington school district, charter school, or education services [educational service] district is not eligible for Washington apple health with premiums.
Citation of Rules Affected by this Order: Amending WAC 182-505-0215.
Adopted under notice filed as WSR 19-18-066 on September 3, 2019.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: October 16, 2019.
Wendy Barcus
Rules Coordinator
AMENDATORY SECTION(Amending WSR 17-12-018, filed 5/30/17, effective 6/30/17)
WAC 182-505-0215Children's Washington apple health with premiums.
(1) A child is eligible for Washington apple health with premiums if the child:
(a) Meets the requirements in WAC 182-505-0210(1);
(b) Has countable income below the standard in WAC 182-505-0100 (6)(b); and
(c) Pays the required premium under WAC 182-505-0225, unless the child is exempt under WAC 182-505-0225 (2)(c).
(2) A child is not eligible for Washington apple health with premiums if the child:
(a) Is eligible for no-cost Washington apple health;
(b) Has creditable health insurance coverage as defined in WAC 182-500-0020; ((or))
(c) Is eligible for public employees benefits board (PEBB) health insurance coverage based on a family member's employment with a Washington state agency, or a Washington state university, community college, or technical college; or
(d) Is eligible for school employees benefits board (SEBB) health insurance coverage based on a family member's employment with a Washington school district, charter school, or educational service district.