HEALTH CARE AUTHORITY

[Filed May 13, 2021, 10:21 a.m.]

Title or Subject: Medicaid State Plan Amendment (SPA) 21-0021 Special Income Level Resource Disregard - Medicaid Disaster Relief.

Effective Date: November 2, 2020.

Description: The health care authority (HCA) intends to submit SPA 21-0021 to provide a disregard of income and resources when applying rules of the individuals in institutions under a special income level eligibility group as described in Section 1902 (a)(10)(A)(ii)(V) of the Social Security Act. These rules apply to programs that provide long-term services and supports. When determining eligibility for this group, HCA will: (1) Disregard income that would have otherwise been part of an individual's liability for his or her institutional or home and community-based waiver services based on application of the post-eligibility treatment-of-income (PETI) rules but which became countable resources on or after March 18, 2020; and (2) disregard as resource funds in a designated separate account that consists only of earnings resulting from work activity while enrolled in the Ticket to Work and Balanced Budget Act work incentives eligibility groups.

HCA anticipates SPA 21-0021 will have no effect on payments/expenditures.

A draft of SPA 21-0021 is available. HCA would appreciate any input or concerns regarding this SPA. To request a copy of the SPA or submit comments, you may contact the person named below (please note that all comments are subject to public review and disclosure, as are the names of those who comment).

Contact: Stephen Kozak, Medicaid Eligibility and Policy, 626 8th Avenue S.E., Olympia, WA 98504, phone 360-725-1343, TRS 711, email atephen.kozak@hca.wa.gov [stephen.kozak@hca.wa.gov].