Wash. Admin. Code § 170-290-3650

Current through Register Vol. 25-01, January 1, 2025
Section 170-290-3650 - Change in copayment
(1) A consumer's SCC program copayment could change when:
(a) DEL makes a mass change in subsidy benefits due to a change in law or program funding;
(b) The consumer's family size increases and causes the copayment to decrease;
(c) DSHS makes an error in the consumer's copayment computation;
(d) The consumer did not report all income, activity and household information at the time of application and reapplication; or
(e) The consumer is approved for a new eligibility period.
(2) If a consumer's copayment changes during the eligibility period, the change is effective on the first day of the month immediately following the date the copayment change was made.
(3) DSHS does not prorate the copayment.
(4) DSHS does not increase a consumer's copayment during the current eligibility period when countable income remains at or below the maximum eligibility limit as provided in WAC 170-290-0005.

Wash. Admin. Code § 170-290-3650

Amended by WSR 16-09-059, Filed 4/15/2016, effective 5/16/2016
Amended by WSR 16-19-107, Filed 9/21/2016, effective 10/22/2016

Statutory Authority: RCW 43.215.060, 43.215.070, and chapter 43.215 RCW. 11-12-078, § 170-290-3650, filed 5/31/11, effective 7/1/11. Statutory Authority: RCW 43.215.060, 43.215.070, 2006 c 265, and chapter 43.215 RCW. 09-22-043, § 170-290-3650, filed 10/28/09, effective 12/1/09.