WSR 19-08-025
PERMANENT RULES
HEALTH CARE AUTHORITY
[Filed March 27, 2019, 12:14 p.m., effective April 27, 2019]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The agency is amending this rule to replace incorrect references to the developmental disabilities administration with the correct program name of division of disability determination services.
Citation of Rules Affected by this Order: Amending WAC 182-511-1150.
Adopted under notice filed as WSR 19-03-050 on January 9, 2019.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 0.
Date Adopted: March 27, 2019.
Wendy Barcus
Rules Coordinator
AMENDATORY SECTION(Amending WSR 15-14-080, filed 6/29/15, effective 7/30/15)
WAC 182-511-1150Health care for workers with disabilities (HWD)—Disability requirements.
This section describes the disability requirements for the two groups of individuals that may qualify for the health care for workers with disabilities (HWD) program.
(1) To qualify for the HWD program, a person must meet the requirements of the Social Security Act in section 1902 (a)(10)(A)(ii):
(a) (XV) for the basic coverage group (BCG); or
(b) (XVI) for the medical improvement group (MIG).
(2) The BCG consists of individuals who:
(a) Meet federal disability requirements for the supplemental security income (SSI) or Social Security Disability Insurance (SSDI) program; or
(b) Are determined by the ((developmental disabilities administration (DDA)))department of social and health services, division of disability determination services (DDDS), to meet federal disability requirements for the HWD program.
(3) The MIG consists of individuals who:
(a) Were previously eligible and approved for the HWD program as a member of the BCG; and
(b) Are determined by DDDS to have a medically improved disability. The term "medically improved disability" refers to the particular status granted to persons described in subsection (1)(b).
(4) When completing a disability determination for the HWD program, ((DDA))DDDS will not deny disability status because of employment.