WSR 04-21-026PERMANENT RULES
DEPARTMENT OFSOCIAL AND HEALTH SERVICES
(Economic Services Administration)
[
Filed October 13, 2004,
4:19 p.m.
, effective November 13, 2004
]
Purpose: To amend WAC 388-418-0005 What types of changes
must I report for cash, Basic Food, and medical assistance?,
clarifying what changes people must report for cash
assistance, medical assistance, and the Washington Basic Food
program. These changes are necessary to implement the
department's simplified reporting initiative for cash,
medical, and the Washington Basic Food program.
ESB 6411 requires the department to implement simplified
reporting for the Washington Basic Food program. When
effective, the permanent rule will replace the emergency rule
filed as WSR 04-20-044.
Citation of Existing Rules Affected by this Order: Amending WAC 388-418-0005.
Statutory Authority for Adoption: RCW 74.04.050,
74.04.055, 74.04.057, 74.04.510.
Other Authority: ESB 6411 (chapter 54, Laws of 2004).
Adopted under notice filed as WSR 04-15-053
on July 13,
2004, and supplemental WSR 04-17-108 on August 17, 2004.
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Repealed 0;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Repealed 0;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Repealed 0.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Repealed 0.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Repealed 0.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Repealed 0.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:
New 0,
Amended 0,
Repealed 0;
Pilot Rule Making:
New 0,
Amended 0,
Repealed 0;
or Other Alternative Rule Making:
New 0,
Amended 1,
Repealed 0.
Date Adopted: October 12, 2004.
Brian H. Lindgren, Manager
Rules and Policies Assistance Unit
3430.6
AMENDATORY SECTION(Amending WSR 04-06-026, filed 2/23/04,
effective 3/25/04)
WAC 388-418-0005
How will I know what ((type of))
changes I must ((I)) report ((for cash, Basic Food, and
medical assistance))?
((For purposes of this section, an
"assistance unit" or "AU" is a group of people who live
together and whose income or resources we count to decide what
benefits the AU gets. Even if someone in your AU is not
eligible to get a benefit, we still count that person's income
or resources if they are financially responsible for you or
someone in your AU, such as a common child. If you are a
parent of a child who gets long-term care benefits, you need
only report changes in income or resources that are actually
contributed to the child. Tables one, two and three below
show the types of changes you must report based on the type of
assistance you get. Use table one to see if you must report a
change for cash or Basic Food. Use table two to see if you
must report a change for children's, pregnant women's, or
family medical assistance. Use table three to see if you must
report a change for SSI-related medical or long-term care
medical assistance.
Table 1 - Cash Assistance and Basic Food |
Type of change
to report when
you or anyone in
your assistance
unit (AU): |
Do I have to
report this
change for cash
assistance? |
Do I have to
report this
change for
Basic Food? |
(1) Starts to get
money from a
new source; |
Yes |
Yes, but only if
the change
causes a change
in the person's
income. |
(2) Has unearned
income that
changed by
more than fifty
dollars from
amount we
budgeted; |
Yes |
Yes |
(3) Moves into
or out of your
home, including
newborns or if
an AU member
dies. This also
includes when
someone
temporarily
moves in or out; |
Yes |
Yes |
(4) Moves to a
new residence; |
Yes |
Yes |
(5) Has a change
in shelter costs; |
Yes, but only if
you went from
having no
shelter costs to
having a shelter
cost, or from
having shelter
costs to not
having to pay
anything. You
don't have to
report a change
in the amount
you pay. |
Yes, report the
change at your
recertification. If
your shelter
costs go up, you
could get more
benefits. Report
the change
sooner to see if
you will get more
benefits. |
(6) Gets married,
divorced, or
separated; |
Yes |
Yes |
(7) Gets a
vehicle; |
Yes |
Yes |
(8) Has a
disability that
ends; |
Yes |
Yes |
(9) Has
countable
resources that
are more than
the resource
limits under
WAC 388-470-0005; |
Yes |
Yes |
(10) Gets a job or
changes
employers; |
Yes |
Yes, but only if it
causes a change
in the person's
income. |
(11) Changes
from part-time to
full-time or
full-time to
part-time work.
We use your
employer's
definition of
part-time and
full-time work; |
Yes |
Yes |
(12) Has a
change in hourly
wage rate or
salary; |
Yes |
Yes |
(13) Stops
working; |
Yes |
Yes |
(14) Has a
pregnancy that
begins or ends; |
Yes |
No |
(15) Has a
change in
uncovered
medical
expenses; |
No |
Yes, report this
change only at
your next
eligibility review.
If you are
elderly or
disabled and
you have an
increase in
uncovered
medical
expenses, report
this change
sooner as you
may be eligible
to get more
benefits. |
(16) A change in
work hours to
below 20 hours
per week
averaged
monthly. |
No |
Yes, but only if
there are no
children in your
AU and the
person is a
nonexempt
ABAWD under
WAC 388-444-0030 and
388-444-0035. |
(17) A change in
legal obligation
to pay child
support. |
No |
Yes |
Table 2 - Medical Assistance |
Type of change
to report when
you or anyone in
your assistance
unit (AU): |
Do I have to
report this
change for
family medical
assistance (i.e.,
TANF-related)
or Children's
Medical? |
Do I have to
report this
change for
Pregnancy
Medical? |
(18) Starts to get
money from a
new source; |
Yes |
No |
(19) Has
unearned income
that changed; |
Yes |
No |
(20) Moves into
or out of your
home, including
newborns or if
an AU member
dies. This also
includes when
someone
temporarily
moves in or out; |
Yes |
Yes |
(21) Moves to a
new residence; |
Yes |
Yes |
(22) Has a
change in shelter
costs; |
No |
No |
(23) Gets
married,
divorced, or
separated; |
Yes |
No |
(24) Gets a
vehicle; |
No |
No |
(25) Has a
disability that
ends; |
No |
No |
(26) Has
countable
resources that
are more than
the resource
limits under
WAC 388-470-0005; |
No |
No |
(27) Gets a job or
changes
employers; |
Yes |
No |
(28) Changes
from part-time to
full-time or
full-time to
part-time work.
We use your
employer's
definition of
part-time and
full-time work; |
Yes |
No |
(29) Has a
change in hourly
wage rate or
salary; |
Yes |
No |
(30) Stops
working; |
Yes |
No |
(31) Has a
pregnancy that
begins or ends; |
Yes |
Yes |
(32) Has a
change in
uncovered
medical
expenses. |
Yes, but only if
an AU member
has a
spenddown. |
Yes, but only if
an AU member
has a
spenddown. |
Table 3 - SSI-Related Medical Assistance and
Long-Term Care |
Type of change
to report when
you or anyone in
your assistance
unit (AU): |
Do I have to
report this
change for
SSI-related
medical
assistance? |
Do I have to
report this
change for
long-term care
(i.e., COPES,
CAP, or nursing
home) |
(33) Starts to get
money from a
new source; |
Yes |
Yes |
(34) Has
unearned income
that changed; |
Yes |
Yes |
(35) Has a
change in
earnings or
stops working |
Yes |
Yes |
(36) Moves into
or out of your
home, including
newborns or if
an AU member
dies. This also
includes when
someone
temporarily
moves in or out; |
Yes |
Yes |
(37) Moves to a
new residence; |
Yes |
Yes |
(38) Has a
change in shelter
costs; |
No, unless you
went from
paying rent to
not paying any
rent. You do not
need to report if
your rent
amount changes. |
Yes, if client or
community
spouse live in
their own home |
(39) Gets
married,
divorced, or
separated; |
Yes |
Yes |
(40) Gets a
vehicle; |
Yes, but only if
that person or
their spouse
gets SSI-related
medical |
Yes, but only if
that person gets
long-term care |
(41) Has a
disability that
ends; |
Yes |
Yes |
(42) Has
countable
resources that
are more than
the resource
limits, under
WAC 388-470-0005 or
388-513-1350; |
Yes, but only if
that person or
their spouse get
SSI-related
medical |
Yes, but only if
that person gets
long-term care |
(43) Has a
change in
uncovered
medical
expenses. |
Yes, but only if
an AU member
has a
spenddown. |
Yes. |
)) You must report changes to the department based on the
kinds of assistance you receive. The set of changes you must
report for people in your assistance unit under chapter 388-408 WAC is based on the benefits you receive that require
you to report the most changes. It is the first program that
you receive benefits from in the list below. For example:
If you receive Long Term Care and Basic Food benefits,
you tell us about changes based on the Long Term Care
requirements because it is the first program in the list below
you receive benefits from.
(1) If you receive Long Term Care benefits such as Basic,
Basic Plus, Chore, Community Protection, COPES, nursing home,
Hospice, or Medically Needy Waiver, you must tell us if you
have a change of:
(a) Address;
(b) Marital status;
(c) Living arrangement;
(d) Income;
(e) Resources;
(f) Medical expenses; and
(g) If we allow you expenses for your spouse or
dependents, you must report changes in their income or shelter
cost.
(2) If you receive medical benefits based on age,
blindness, or disability (SSI-related medical), you need to
tell us if:
(a) You move;
(b) Someone moves into or out of your home;
(c) Your resources change; or
(d) Your income changes. This includes the income of
you, your spouse or your child living with you.
(3) If you receive Basic Food and all adults in your
assistance unit are elderly or disabled and have no earned
income, you need to tell us if:
(a) You move;
(b) You start getting money from a new source;
(c) Your income changes by more than fifty dollars;
(d) Your liquid resources, such as your cash on hand or
bank accounts, are more than two thousand dollars; or
(e) Someone moves into or out of your home.
(4) If you receive cash benefits, you need to tell us if:
(a) You move;
(b) Someone moves out of your home;
(c) Your total gross monthly income goes over the:
(i) Payment standard under WAC 388-478-0030 if you
receive general assistance or ADATSA benefits; or
(ii) Earned income limit under WAC 388-450-0165 for all
other programs;
(d) You have liquid resources more than four thousand
dollars; or
(e) You have a change in employment. Tell us if you:
(i) Get a job or change employers;
(ii) Change from part-time to full-time or full-time to
part-time;
(iii) Have a change in your hourly wage rate or salary;
or
(iv) Stop working.
(5) If you receive Children's Medical or Family Medical
benefits, you need to tell us if:
(a) You move;
(b) Someone moves out of your home; or
(c) If your income goes up or down by one hundred dollars
or more a month and you expect this income change will
continue for at least two months.
(6) If you receive Basic Food benefits, you need to tell
us if:
(a) You move; or
(b) Your total gross monthly income is more than the
gross monthly income limit under WAC 388-478-0060.
(7) If you receive Pregnancy Medical benefits, you need
to tell us if:
(a) You move;
(b) Someone moves out of the home; or
(c) You have a change in your pregnancy.
(8) If you receive other medical benefits, you need to
tell us if:
(a) You move; or
(b) Someone moves out of the home.
[Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057,
74.04.510. 04-06-026, § 388-418-0005, filed 2/23/04,
effective 3/25/04; 03-21-028, § 388-418-0005, filed 10/7/03,
effective 11/1/03. Statutory Authority: RCW 74.08.090 and
74.04.510. 01-11-109, § 388-418-0005, filed 5/21/01,
effective 7/1/01; 99-23-034, § 388-418-0005, filed 11/10/99,
effective 1/1/00. Statutory Authority: RCW 74.04.050,
74.04.055, 74.04.057 and 74.08.090. 98-16-044, §
388-418-0005, filed 7/31/98, effective 9/1/98.]
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