WAC 388-450-0210   Countable income for medical programs.  (1) For purposes of medical program eligibility, a client's countable income is income which remains when:

     (a) The income cannot be specifically excluded; and

     (b) All appropriate deductions and disregards allowed by a specific program, have been applied.

     (2) A client's countable income cannot exceed the income standard for the specific medical programs described in WAC 388-478-0065, 388-478-0070, 388-478-0075, 388-478-0080, or 388-513-1305, 388-513-1315, or 388-513-1395 unless the program allows for those limits to be exceeded.

     (3) Unless modified by subsection (4) or (6) of this section, the TANF/SFA income rules, as described in this chapter, are used to determine a client's countable income for the following programs:

     (a) Family medical program as described in WAC 388-505-0220;

     (b) Medical extensions as described in chapter 388-523 WAC;

     (c) Pregnant women's program as described in WAC 388-462-0015;

     (d) Children's healthcare programs as described in WAC 388-505-0210; and

     (e) Psychiatric indigent inpatient (PII) program as described in WAC 388-865-0217.

     (4) Exceptions to the TANF/SFA cash assistance methodology apply as follows:

     (a) The financial responsibility of relatives when a client is applying for medical for families, children, pregnant women or for the psychiatric indigent inpatient program is specified in WAC 388-408-0055;

     (b) Actual work-related child and dependent care expenses, which are the client's responsibility, are income deductions (the limits on this deduction in WAC 388-450-0170 (3) and (4) do not apply);

     (c) Court or administratively ordered current or back support paid to meet the needs of legal dependents, are income deductions;

     (d) Only income actually contributed to an alien client from the alien's sponsor is countable unless the sponsor signed the affidavit of support I-864 or I-864A. See subsection (5) of this section;

     (e) TANF/SFA gross earned income limits as described in WAC 388-450-0165 do not apply;

     (f) The fifty percent earned income deduction is not used to calculate countable income for CN scope of care programs with income levels based upon the federal poverty level (FPL). These programs are listed in subsections (3)(c) and (d). The only work related income deductions for these programs are:

     (i) Ninety dollars; and

     (ii) Actual work-related child and dependent care expenses, as described in (b) of this subsection; and

     (iii) Child support as described in (c) of this subsection.

     (g) When determining medically needy (MN) or MN scope of care coverage for children or pregnant women for the programs described in subsections (3)(c) and (d), the exception described in subsection (4)(f) is not used as the MN income standards are not based on the FPL;

     (h) For nonrecurring lump sum payments, see chapter 388-455 WAC and WAC 388-475-0300(4);

     (i) Diversion cash assistance (DCA), is not countable income;

     (j) Effective April 1, 2002, the department will disregard an increase in earned income when:

     (i) A family is receiving benefits under the family medical program; and

     (ii) The increase occurs during the second or third month of eligibility. The disregard stops the last day of the third month of eligibility for a family medical program.

     (5) When an alien's sponsor has signed the affidavit of support I-864 or I-864A, the sponsor's income and resources are counted as described in WAC 388-450-0155, 388-450-0156, 388-450-0160, and 388-470-0060.

     (6) Except when this state has adopted more liberal rules, SSI income rules are used to determine a client's countable income for the following programs:

     (a) SSI-related CN or MN; and

     (b) Medicare savings programs. Refer to chapter 388-475 WAC.



[Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530, 74.09.700, and 2007 c 5. 08-05-018, § 388-450-0210, filed 2/12/08, effective 3/14/08. Statutory Authority: RCW 74.08.090, 74.09.530, and 74.09.415. 05-23-013, § 388-450-0210, filed 11/4/05, effective 1/1/06. Statutory Authority: RCW 74.08.090, 74.08A.100, 74.09.080, and 74.09.415. 02-17-030, § 388-450-0210, filed 8/12/02, effective 9/12/02. Statutory Authority: RCW 74.08.090, 74.08A.100, and Title XIX State Plan amendment 00-008. 02-03-009, § 388-450-0210, filed 1/4/02, effective 2/4/02. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-450-0210, filed 7/31/98, effective 9/1/98. Formerly WAC 388-505-0580, 388-505-0590 and 388-519-1910.]