WAC 388-513-1320
Determining institutional status for
long-term care (LTC) services. Institutional status is an
eligibility requirement for LTC services.
(1) To attain institutional status, a client must:
(a) Be approved for and receiving waiver or hospice
services; or
(b) Reside or be likely to reside in a medical facility
for a continuous period of:
(i) Ninety days for a child seventeen years of age or
younger receiving inpatient chemical dependency and/or
inpatient mental health treatment; or
(ii) Thirty days for:
(A) An SSI-related client;
(B) A child not described in subsection (1)(b)(i); or
(C) A client related to medical eligibility as described
in WAC 388-513-1315 (10) or (11).
(2) A client's institutional status is not affected by a:
(a) Transfer between medical facilities; or
(b) Change from one kind of long-term care services to
another.
(3) A client loses institutional status when the client:
(a) Is absent from the medical facility for at least
thirty consecutive days; or
(b) Does not receive waiver or hospice services for
at least thirty consecutive days.
[Statutory Authority: RCW 74.08.090. 06-07-077, §
388-513-1320, filed 3/13/06, effective 4/13/06. Statutory
Authority: RCW 11.92.180, 43.20B.460, 48.85.020, 74.04.050,
74.04.057, 74.08.090, 74.09.500, 74.09.530, 74.[09.]575,74.09.585
; 20 C.F.R. 416.1110-1112, 1123 and 1160; 42 C.F.R.
435.403 (j)(2) and 1005; and Sections 17, 1915(c), and 1924
(42 U.S.C. 1396) of the Social Security Act. 00-01-051, §
388-513-1320, filed 12/8/99, effective 1/8/00. Statutory
Authority: RCW 74.08.090 and 74.09.500. 99-06-045, §
388-513-1320, filed 2/26/99, effective 3/29/99. Statutory
Authority: RCW 74.04.050, 74.04.057, 74.08.090 and 42 CFR
435.403 (j)(2). 97-15-025, § 388-513-1320, filed 7/8/97,
effective 8/8/97. Statutory Authority: RCW 74.08.090. 96-11-072 (Order 3980), § 388-513-1320, filed 5/10/96,
effective 6/10/96; 94-10-065 (Order 3732), § 388-513-1320,
filed 5/3/94, effective 6/3/94.]