SOCIAL AND HEALTH SERVICES
(Health and Rehabilitative Services Administration)
Date of Adoption: August 26, 2003.
Purpose: To clarify WAC 388-865-0217 adopted under notice filed as WSR 03-14-081 on June 27, 2003, to implement a state-funded eligible assistance category, psychiatric indigent inpatient program. The previous emergency WAC 388-865-0217 did not specifically include involuntary psychiatric inpatient care. Without the clarification, it would appear that involuntary psychiatric inpatient will not be available to the persons who otherwise are qualified for this program.
Citation of Existing Rules Affected by this Order: Amending [new section] WAC 388-865-0217.
Statutory Authority for Adoption: RCW 71.05.560, 71.24.035, and 71.34.800.
Under RCW 34.05.350 the agency for good cause finds that immediate adoption, amendment, or repeal of a rule is necessary for the preservation of the public health, safety, or general welfare, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the public interest.
Reasons for this Finding: Conditions have changed since the emergency rule adopted as WSR 03-14-081 did not include a specific reference to involuntary psychiatric inpatient service. Without revision of this emergency rule, persons who are involuntary detained will not qualify for the psychiatric indigent inpatient program. See Purpose above. Adoption of this rule also is necessary because the legislature eliminated funding for the medically indigent program in the 2003-05 state operating budget. Without this emergency rule, indigent persons who need emergency psychiatric inpatient care will be without such services.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making:
Pilot Rule Making:
or Other Alternative Rule Making:
Effective Date of Rule: Immediately.
August 26, 2003
Brian H. Lindgren, Manager
Rules and Policies Assistance Unit3261.3
(2) The psychiatric indigent inpatient (PII) program pays only for involuntary and emergent voluntary inpatient psychiatric care in community hospitals within the state of Washington. Psychiatric indigent inpatient (PII) does not cover ancillary charges for physician, transportation, pharmacy or other costs associated with an inpatient psychiatric hospitalization.
(3) To be eligible for the psychiatric indigent inpatient (PII) program, a client is subject to the following conditions and limitations:
(a) The client must have an involuntary or voluntary inpatient psychiatric admission authorized by a regional support network (RSN) in the month of application or within the three months immediately preceding the month of application.
(b) If a client's income and/or resources exceed the standard for medically needy (MN), as described in WAC 388-478-0070, the excess must be spend down as described in 388-519-0100 for the client to be eligible for the psychiatric indigent inpatient (PII) program.
(c) A client must have incurred an emergency medical expense requirement (EMER) of two thousand dollars over a twelve-month period.
(i) Qualifying emergency medical expense requirement (EMER) expenses are psychiatric indigent inpatient (PII) services in a community hospital.
(ii) The emergency medical expense requirement (EMER) period lasts for twelve calendar months, beginning on the first day of the month of certification for psychiatric indigent inpatient (PII) and continuing through the last day of the twelfth month.
(d) A client is limited to a single three-month period of psychiatric indigent inpatient (PII) eligibility per twelve-month emergency medical expense requirement (EMER) period.
(4) Consumers applying for the psychiatric indigent inpatient (PII) program are subject to the resource rules for TANF and TANF-related clients in chapter 388-470 WAC.
(5) Clients are not eligible for the psychiatric indigent inpatient (PII) program if they:
(a) Are eligible for, or receiving, any other cash or medical program; or
(b) Entered the Washington state specifically to obtain medical care; or
(c) Are an inmate of a federal or state prison.