To qualify for medicaid-funded PACE services, you must apply for an assessment by contacting your local home and community services office. The department will assess and determine whether you:
(1) Are age:
(a) Fifty-five or older, and blind or have a disability, as defined in WAC
182-512-0050, SSI-related eligibility requirements; or
(b) Sixty-five or older.
(2) Need nursing facility level of care as defined in WAC
388-106-0355;
(3) Live within the designated service area of the PACE provider;
(4) Meet financial eligibility requirements. This means the department will assess your finances, determine if your income and resources fall within the limits, and determine the amount you may be required to contribute, if any, toward the cost of your care as described in WAC
182-515-1505;
(5) Not be enrolled in any other medicare or medicaid prepayment plan or optional benefit; and
(6) Agree to receive services exclusively through the PACE provider and the PACE provider's network of contracted providers.
[Statutory Authority: RCW
74.08.090 and
74.09.520. WSR 15-03-038, § 388-106-0705, filed 1/12/15, effective 2/12/15. Statutory Authority: RCW
34.05.353 (2)(d),
74.08.090, and chapters
74.09,
74.04 RCW. WSR 08-11-047, § 388-106-0705, filed 5/15/08, effective 6/15/08. Statutory Authority: RCW
74.08.090,
74.09.520,
74.39A.010 and
74.39A.020. WSR 06-05-022, § 388-106-0705, filed 2/6/06, effective 3/9/06. Statutory Authority: RCW
74.08.090,
74.09.520. WSR 05-11-082, § 388-106-0705, filed 5/17/05, effective 6/17/05.]