| Medical Institutions WAC 388-513-1380 |
PNA Amount |
| Medical Institutions (nursing home, hospice care center, RHC) out of home full month Effective 7/1/2008 and ongoing |
57.28 |
| State Veterans Home |
160 |
| Admit from home to NF during the month no Waiver services (MNIL) |
674 |
| Discharge to home from NF during the month no Waiver services (MNIL) |
674 |
| General Assistance (GA-U, GA-X, GA-D, GA-A) payment standard in a medical institution |
41.62 |
| Home and Community Service Waivers WAC 388-515-1505 (CN-P), 388-515-1540 (MN-P), 388-515-1550 (MN-P) |
|
| Home setting. Single person (COPES, New Freedom, PACE, WMIP, RCL, MNIW) FPL increases annually April 1 (4/1/2009) Married person on CN Waiver living at home and apart from the community spouse. See note in WAC 388-515-1509 |
903 |
| Home setting. Married with a community spouse.(COPES, New Freedom, PACE, WMIP, RCL) MNIL increases annually January 1 |
674 |
| ALF/residential settings (COPES, New Freedom, PACE, MNRW, WMIP, RCL ) . Effective 7/1/2008 and ongoing |
62.79 |
| Maintenance in an ALF /residential settings. From this amount a client keeps $60.78 PNA and pays the remainder to the ALF as room and board. FBR increases annually January 1. Effective 1/1/2009 |
674 |
| Aging & Disability Services Administration (ADSA) Room and Board Standard |
|
| ADSA room and board standard is based on the FBR rate minus the current CN/COPES Waiver in ALF PNA. ($674 - $62.79) Room and board is considered the non personal care cost of the ALF (meals and shelter). This standard is used for DDD and HCS services authorized in an ALF. It is the maximum amount paid for room and board in a contracted/licensed ALF. Effective 1/1/2009 |
611.21 |
| Division of Disability Services (DDD) Waivers WAC 388-515-1510 |
|
| DDD Waiver at home (SIL) 300% of the FBR effective 1/1/2009 |
2022 |
| DDD Waiver in ALF Effective 1/1/2009 will match HCS Waiver in ALF. No $20 disregard from non SSI income |
62.79 |
| Medicaid Personal Care (MPC) |
|
| Home setting. No cost to client, No PNA for MPC at home |
|
| ALF/Residential setting. Effective 1/1/2009 will match HCS Waiver in ALF. No $20 disregard from non SSI income |
62.79 |
| Hospice services outside a medical institution |
|
| If using HCS CN (COPES) Waiver rules for eligibility use the same PNA as you would for the HCS CN Waiver program. If client is on Hospice and Waiver services at the same time, the Waiver program is the priority program. |
|
| General Assistance living in an ALF or Medical Institution (GA-X, GA-D, GA-A and GA-U) |
|
| Living in a medical institution |
41.62 |
| Living in an adult family home (AFH) An adult family home is considered a non facility setting. Clients are allowed to keep a PNA of $38.84 from the $339 standard. The remainder goes to the AFH for room and board |
339 |
| Living in a boarding home (assisted living, ARC, EARC, DDD group home) receive a PNA check for $38.84 |
38.84 |
| SSI client living in a Medical Institution |
|
| SSI clients living in a medical institution receiving $30 federal PNA will receive a state supplement to bring their PNA amount up to the $57.28 PNA standard. Effective 7/1/2008 |
57.28 |
| G03 program-Non institutional in an alternate living facility WAC 388-513-1305 |
|
| If on MPC service, it is the same MPC PNA that is effective 1/1/2009 for ADSA clients. The rest of the income goes to the ALF provider. See WAC 388-513-1305 for detailed instructions. This is the only MPC group that pays over the ADSA room and board standard to the provider. G03 clients on MPC pay their countable income minus $62.79 to the provider. Effective 1/1/2009 |
62.79 |
| Private pay clients on G03 are responsible to pay the provider. See WAC 388-513-1305. G03 standard is based on daily rate x 31 days plus $38.84 General Assistance PNA. |
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