PDFWAC 182-505-0211

Washington apple health—Foster care.

(1) A client under the age of 18 is eligible for Washington apple health foster care coverage when they:
(a) Are in foster care, as determined by the department of children, youth, and families (DCYF), under the legal responsibility of the state, or a federally recognized tribe located within the state; and
(b) Meet Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525.
(2) A client age 20 or younger is eligible for coverage when the client meets:
(a) Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525;
(b) Citizenship or immigration status requirements as described in WAC 182-503-0535;
(c) Social Security number requirements as described in WAC 182-503-0515; and
(d) One of the following requirements:
(i) Is in foster care, or is eligible for continued foster care services as determined by DCYF, under the legal responsibility of the state, or a federally recognized tribe located within the state; or
(ii) Receives subsidized adoption services through DCYF; or
(iii) Is enrolled in the unaccompanied refugee minor (URM) program as authorized by the office of refugee and immigrant assistance (ORIA); or
(iv) Is living in a community facility (as defined in WAC 110-700-0005) operated or contracted by DCYF's juvenile rehabilitation.
(3) A client age 18 or older but under age 26 is eligible for Washington apple health coverage when the client:
(a) Was in foster care under the legal responsibility of any state or a federally recognized tribe located within any state:
(i) On the client's 18th birthday; or
(ii) At such higher age as to when the state or tribe extends foster care coverage; and
(b) Meets residency, Social Security number, and citizenship requirements as described in subsection (2) of this section.
(4) A client described in subsections (1) through (3) of this section is not eligible for full-scope coverage if the client is confined to a public institution as defined in WAC 182-500-0050, except:
(a) If the client is under age 21;
(b) Resides in an institution for mental disease (IMD); and
(c) Meets the institutional status requirements in WAC 182-513-1320, 182-514-0250, or 182-514-0260.
[Statutory Authority: RCW 41.05.021, 41.05.160, and P.L. 115-271, Sec. 1002. WSR 22-20-049, § 182-505-0211, filed 9/28/22, effective 1/1/23. Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-12-017, § 182-505-0211, filed 5/30/17, effective 6/30/17. Statutory Authority: RCW 41.05.021, Patient Protection and Affordable Care Act (P.L. 111-148), 42 C.F.R. §§ 431, 435, 457, and 45 C.F.R. § 155. WSR 14-01-021, § 182-505-0211, filed 12/9/13, effective 1/9/14.]