Other Facilities (fraternal, religious or benevolent)
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Other Facilities (fraternal, religious or benevolent)

Revised October 28, 2007

Purpose:
WAC 388-513-1396Clients living in a fraternal, religious, or benevolent nursing facility

WAC 388-513-1396

WAC 388-513-1396

Effective January 8, 2000

WAC 388-513-1396 Clients living in a fraternal, religious, or benevolent nursing facility

This section describes how the department determines eligibility for long-term care (LTC) services for a client living in a fraternal, religious, or benevolent nursing facility.  

  1. For a client living in a licensed nursing facility operated by a fraternal, religious, or benevolent organization, who meets all other eligibility requirements, the department approves institutional  services and noninstitutional medical assistance, if:

    1. Any contract between the client and the facility excludes such benefits on a free or prepaid basis for life; or

    2. The facility is unable to fulfill the terms of the contract and has:

      1. Voided the contract; and

      2. Refunded any of the client's existing assets to the client.

  2. For a client described in subsection (1), the department denies institutional services and noninstitutional medical assistance, if the client:

    1. Signs a contract with the organization that includes such benefits on a free or prepaid basis for life; and

    2. Surrenders income and/or resources to the organization in exchange for such benefits.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

Residents of fraternal, religious or benevolent nursing facilities often sign life care contracts with the facility. These contracts offer institutional and/or medical care in exchange for the surrender of the client’s income and resources.

WORKER RESPONSIBILITIES

  1. If the client signed a contract for life care, consider the following to determine if adequate consideration was received when assets were transferred to the facility:

    1. The amount of the client’s assets surrendered under the contract

    2. The client’s cost of care up to the date of application for LTC services

  2. Follow necessary supplemental accommodation (NSA) procedures described in WAC 388-472-0040  when appropriate.

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Modification Date: October 28, 2007
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