WSR 18-07-060 PROPOSED RULES HEALTH CARE AUTHORITY [Filed March 15, 2018, 3:00 p.m.] Original Notice. Preproposal statement of inquiry was filed as WSR 17-22-109. Title of Rule and Other Identifying Information: WAC 182-503-0005 Washington apple health—How to apply. Hearing Location(s): On April 24, 2018, at 10:00 a.m., at the Health Care Authority (HCA), Cherry Street Plaza, Sue Crystal Conference Room 106A, 626 8th Avenue, Olympia, WA 98504. Metered public parking is available street side around building. A map is available at https://www.hca.wa.gov/assets/program/Driving-parking-checkin-instructions.pdf or directions can be obtained by calling 360-725-1000. Date of Intended Adoption: April 25, 2018. Submit Written Comments to: HCA Rules Coordinator, P.O. Box 42716, Olympia, WA 98504-2716, email arc@hca.wa.gov, fax 360-586-9727, by April 24, 2018. Assistance for Persons with Disabilities: Contact Amber Lougheed, phone 360-725-1349, fax 360-586-9727, TTY 800-848-5429 or 711, email amber.lougheed@hca.wa.gov, by April 20, 2018. Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The agency is amending these rules to include tailored supports for older adults (TSOA) in subsection (5). The agency is also amending the rules to clarify both who may apply and language regarding the application process for these programs, and to update a web site. In addition, the agency added a new subsection (11) to make it clear that authorized representatives may apply on an applicant's behalf. Reasons Supporting Proposal: See purpose above. Rule is not necessitated by federal law, federal or state court decision. Name of Proponent: HCA, governmental. Name of Agency Personnel Responsible for Drafting: Melinda Froud, P.O. Box 42716, Olympia, WA 98504-2716, 360-725-1408; Implementation and Enforcement: Aranzazu Granrose, P.O. Box 42684, Olympia, WA 98504-2684, 360-725-1390. A school district fiscal impact statement is not required under RCW 28A.305.135. A cost-benefit analysis is not required under RCW 34.05.328. RCW 34.05.328 does not apply to HCA rules unless requested by the joint administrative rules review committee or applied voluntarily. The proposed rule does not impose more-than-minor costs on businesses. Following is a summary of the agency's analysis showing how costs were calculated. This rule does not impose any costs on businesses. March 15, 2018 Wendy Barcus Rules Coordinator
AMENDATORY SECTION (Amending WSR 17-15-061, filed 7/13/17, effective 8/13/17)
WAC 182-503-0005 Washington apple health—How to apply.
(1) You may apply for Washington apple health at any time.
(2) For apple health programs for children, pregnant people, parents and caretaker relatives, and adults age sixty-four and under without medicare((, parents and caretaker relatives (modified adjusted gross income (MAGI)):
(a))) (including people who have a disability or are blind), you may apply:
(((i))) (a) Online via the Washington Healthplanfinder at ((http://www.wahealthplanfinder.org)) www.wahealthplanfinder.org;
(((ii))) (b) By calling the Washington Healthplanfinder customer support center ((number)) and completing an application by telephone;
(((iii))) (c) By completing the application for health care coverage (HCA 18-001P), and mailing or faxing to Washington Healthplanfinder; or
(((iv) Through)) (d) At a department of social and health services (DSHS) community services office (CSO).
(((b) If you need help filing a MAGI-based apple health application, you may:
(i) Contact the Washington Healthplanfinder customer support center number listed on the application for health care coverage form (HCA 18-001P); or
(ii) Contact a navigator, health care authority community assistor, or broker.))
(3) If you seek apple health ((and have a disability or are blind, age sixty-five or older, eligible for medicare, or need long-term services and supports (non-MAGI))) coverage and are age sixty-five or older, have a disability, are blind, need assistance with medicare costs, or seek coverage of long-term services and supports, you may apply:
(a) Online via Washington Connection at ((http://www.WashingtonConnection.org)) www.WashingtonConnection.org;
(b) By completing the application for aged, blind, disabled/long-term care coverage (HCA 18-005) and mailing or faxing to DSHS; or
(c) In person at a local DSHS CSO or home and community services (HCS) office.
(4) ((For apple health that is not based on MAGI, you may apply if you are:
(a) Age sixty-five or older;
(b) Eligible for medicare;
(c) Applying for health care based on blindness or disability;
(d) Applying for long-term services
and supports; or
(e) Applying for assistance with medicare premiums.
(5))) You may receive help filing an application ((by:
(a) Visiting)):
(a) For household containing people described in subsection (2) of this section:
(i) Call the Washington Healthplanfinder customer support center number listed on the application for health care coverage form (HCA 18-001P); or
(ii) Contact a navigator, health care authority volunteer assistor, or broker.
(b) For people described in subsection (3) of this section who are not applying with a household containing people described in subsection (2) of this section:
(i) Call or visit a local DSHS CSO or HCS office; or
(((b) Calling)) (ii) Call the DSHS community services customer service contact center number listed on the medicaid application form.
(5) To apply for tailored supports for older adults (TSOA), see WAC 182-513-1625.
(6) You must apply directly with the service provider for the following programs:
(a) The breast and cervical cancer treatment program under WAC 182-505-0120;
(b) The TAKE CHARGE program under chapter 182-532 WAC; and
(c) The kidney disease program under chapter 182-540 WAC.
(7) For the confidential pregnant minor program under WAC 182-505-0117 and for minors living independently, you must complete a separate application directly with us (the medicaid agency).
(8) More information on how to give us an application may be found at the agency's web site: ((http://www.hca.wa.gov)) www.hca.wa.gov/free-or-low-cost-health-care.
(((8))) (9) As the primary applicant or head of household, you may start an application for apple health by((:
(a))) providing your:
(((i))) (a) Full name;
(((ii))) (b) Date of birth; ((and
(iii))) (c) Physical address, and mailing addresses (if different)((.
(b) Signing the application)); and
(d) Signature.
(((9))) (10) To complete an application for apple health, you must also give us all of the other information requested on the application.
(((10))) (11) You may have an authorized representative apply on your behalf as described in WAC 182-503-0130.
(12) We help you with your application or renewal for apple health in a manner that is accessible to you if you:
(a) Are a person with disabilities, impairments, or other limitations and ((may need)) choose equal access services as described in WAC 182-503-0120; or
(b) Have limited-English proficiency as described in WAC 182-503-0110.
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