WSR 21-01-207
PERMANENT RULES
HEALTH CARE AUTHORITY
[Filed December 23, 2020, 9:04 a.m., effective January 23, 2021]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The agency is amending WAC 182-505-0215 to expand the children's health insurance program to include coverage for eligible children of public employees.
Citation of Rules Affected by this Order: Amending WAC 182-505-0215.
Adopted under notice filed as WSR 20-23-047 on November 12, 2020.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: December 23, 2020.
Wendy Barcus
Rules Coordinator
OTS-2648.2
AMENDATORY SECTION(Amending WSR 19-21-103, filed 10/16/19, effective 1/1/20)
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; or
(b) Has creditable health insurance coverage as defined in WAC 182-500-0020((;
(c))).
(3) A child with creditable health insurance coverage may be eligible for Washington apple health with premiums if the child:
(a) Is eligible for either:
(i) 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))(ii) 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; and
(b) Meets the requirements in subsection (1) of this section.