PDFWAC 182-512-0840

SSI-related medical—Work- and agency-related income exclusions.

The agency excludes the following when determining eligibility for Washington apple health (WAH) SSI-related medical programs:
(1) Work related expenses:
(a) That enable an SSI-related person to work; or
(b) That allows a blind or disabled person to work and that are directly related to the person's impairment.
(2) First sixty-five dollars plus one-half of the remainder of earned income. This is considered a work allowance/incentive. This deduction does not apply to income already excluded.
(3) Any portion of self-employment income normally allowed as an income deduction by the Internal Revenue Service (IRS).
(4) Earned income of a person age twenty-one or younger if that person meets the definition of a student as defined in WAC 182-512-0820.
(5) Veteran's aid and attendance, housebound allowance, unusual/unreimbursed medical expenses (UME) paid by the VA to some disabled veterans, their spouses, widows or parents. For people receiving WAH long-term care services, see chapter 182-513 WAC.
(6) Department of veterans affairs benefits designated for the veteran's dependent as long as the SSI-related applicant is not the dependent receiving the income. If an SSI-related applicant receives a dependent allowance based on the veteran's or veteran's survivor claim, the income is countable as long as it is not paid due to unusual medical expenses (UME).
(7) Payments provided in cash or in-kind, to an ineligible or nonapplying spouse, under any government program that provides social services provided to the person, such as chore services or attendant care.
(8) SSA refunds for medicare buy-in premiums paid by the person when the state also paid the premiums.
(9) Income that causes a person to lose SSI eligibility, due solely to reduction in the SSP.
(10) Tax rebates or special payments excluded under other statutes.
(11) Any public agency refund of taxes paid on real property or on food.
[Statutory Authority: RCW 41.05.021 and Patient Protection and Affordable Care Act (Public Law 111-148), 42 C.F.R. §§ 431, 435, 457 and 45 C.F.R. § 155. WSR 14-07-059, § 182-512-0840, filed 3/14/14, effective 4/14/14. WSR 11-24-018, recodified as § 182-512-0840, filed 11/29/11, effective 12/1/11. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, and 74.09.500. WSR 11-15-023, § 388-475-0840, filed 7/8/11, effective 8/8/11. Statutory Authority: RCW 74.04.050, 74.08.090. WSR 04-09-005, § 388-475-0840, filed 4/7/04, effective 6/1/04.]