Wash. Admin. Code § 182-505-0211

Current through Register Vol. 24-12, June 15, 2024

Section 182-505-0211 - Washington apple health-Foster care

(1) A client under the age of 18 is eligible for Washington apple health foster care coverage when they:

(a) Are in foster care, as determined by the department of children, youth, and families (DCYF), under the legal responsibility of the state, or a federally recognized tribe located within the state; and

(b) Meet Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525.

(2) A client age 20 or younger is eligible for coverage when the client meets:

(a) Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525;

(b) Citizenship or immigration status requirements as described in WAC 182-503-0535;

(c) Social Security number requirements as described in WAC 182-503-0515; and

(d) One of the following requirements:

(i) Is in foster care, or is eligible for continued foster care services as determined by DCYF, under the legal responsibility of the state, or a federally recognized tribe located within the state; or

(ii) Receives subsidized adoption services through DCYF; or

(iii) Is enrolled in the unaccompanied refugee minor (URM) program as authorized by the office of refugee and immigrant assistance (ORIA); or

(iv) Is living in a community facility (as defined in WAC 110-700-0005) operated or contracted by DCYF's juvenile rehabilitation.

(3) A client age 18 or older but under age 26 is eligible for Washington apple health coverage when the client:

(a) Was in foster care under the legal responsibility of any state or a federally recognized tribe located within any state:

(i) On the client's 18th birthday; or

(ii) At such higher age as to when the state or tribe extends foster care coverage; and

(b) Meets residency, Social Security number, and citizenship requirements as described in subsection (2) of this section.

(4) A client described in subsections (1) through (3) of this section is not eligible for full-scope coverage if the client is confined to a public institution as defined in WAC 182-500-0050, except:

(a) If the client is under age 21;

(b) Resides in an institution for mental disease (IMD); and

(c) Meets the institutional status requirements in WAC 182-513-1320, 182-514-0250, or 182-514-0260.

Wash. Admin. Code § 182-505-0211

Adopted by WSR 14-01-021, filed 12/9/13, effective 1/9/2014

Amended by WSR 17-12-017, Filed 5/30/2017, effective 6/30/2017

Amended by WSR 22-20-049, Filed 9/28/2022, effective 1/1/2023