|
Go to the Reason Code Link chart to link directly to a specific reason code or scroll through the list below.
For ACES Procedures go to ACES Letters in the ACES User Manual.
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Code
|
Reason Code Title / Text
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WACReferences
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Free Form Text
|
|
200
|
You do not meet the citizenship requirements to receive federal Medicaid. You can get federal Medicaid only after living in the U.S. with legal status for five years or by becoming a naturalized citizen. For information on becoming a naturalized citizen visit the web at USCIS web site about Naturalization.
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388-424-0010
388-424-0016
388-424-0015
|
Need to specify which persons in AU do not meet citizenship requirements.
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|
201
|
Living Arrangement - Cash / Medical Assistance
Due to your living arrangement, we do not consider you a member of the household.
|
388-408-0010 388-408-0015 388-408-0020 388-408-0025 388-438-0100 388-505-0210 388-505-0220
|
Your living arrangement does not meet our requirements because (specify relevant requirement and how client’s living situation does not meet that requirement) .
(Note to Users: This reason code is based on the valid value entered in the living arrangement field on the DEM1 screen).
|
|
202
|
Citizenship / Alien Status
You do not meet the citizenship or alien status requirements for this program. See WAC rule (Washington Administrative Code):
|
388-424-0005 388-424-0010 388-424-0015 388-424-0020 388-424-0025 388-462-0015 388-505-0110 388-505-0210
|
If client submitted verification of alien status:
You do not meet the requirements because (specify relevant requirement and how client’s alien status does not meet that requirement). .
If client didn’t submit verification of status:
We can’t determine if you meet our requirements because we do not have verification of your citizenship status.
|
|
203
|
Receiving SSI
You cannot get cash benefits from us if you already get SSI (Supplemental Security Income). If you don’t get SSI or if your SSI check was lost or stolen, please tell us. See WAC rule (Washington Administrative Code:
|
388-408-0020 388-474-0020
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None Required
|
|
204
|
No Dependent Child
You are not pregnant and do not have a dependent child living with you. You will get another letter if you can get medical benefits from another program. See WAC rule (Washington Administrative Code):
|
388-408-0015 388-408-0025 388-454-0005 388-454-0015 388-505-0220
|
If pending medical:
We have not figured out if you are eligible for medical assistance because we are still waiting to hear if your condition meets our definition of a disability or emergency medical condition.
|
|
205
|
Failed Age / School Attendance
Children over 18 years old must meet certain requirements to get these benefits. Your child does not meet these requirements. See WAC rule (Washington Administrative Code):
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388-404-0005 388-505-0210
|
(Name) is # years old. S/he cannot get assistance because (specify requirement that client does not meet). .
|
|
206
|
Living Arrangement - Food Assistance
Due to your current living arrangement, we do not consider you a member of the household. See WAC rule (Washington Administrative Code):
|
388-408-0035
388-492-0030
|
Your living arrangement does not meet our requirements because (specify requirement that client does not meet) .
(Note to Users: This reason code is based on the valid value entered in the living arrangement field on the DEM1 screen).
|
|
207
|
Failed Eligible Student Requirement - Food Assistance
Students have to meet certain requirements to get benefits. You do not meet the requirements. See WAC rule (Washington Administrative Code):
|
388-482-0005
|
Specify requirements and why client doesn’t meet them.
|
|
208
|
Failed Social Security Number Requirement
We do not have your SSN (Social Security Number) or proof that you applied for one. We need proof if: You cannot get one. You don’t want one for religious reasons, or You have applied or tried to apply. See WAC rule (Washington Administrative Code):
|
388-476-0005 388-462-0015 388-503-0505 388-505-0110 388-505-0210 388-505-0220
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None Required
|
|
209
|
Failed Refugee Requirement
Refugees and asylees must meet certain requirements to get benefits from this program. You do not meet the requirements. See WAC rule (Washington Administrative Code):
|
388-400-0030 388-400-0035 388-466-0005
|
For refugees:
You entered the United States on 00/00/00. (Specify why this doesn't meet the requirements.)
or
For asylees:
You were granted asylee status on 00/00/00. (Specify why this doesn't meet the requirement.)
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Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
210
|
Failed Residency Requirement
We do not consider you a resident of Washington. See WAC rule (Washington Administrative Code):
|
388-400-0005 388-454-0015 388-462-0015 388-468-0005 388-503-0505 388-505-0110 388-505-0210 388-505-0220
|
You do not meet the residency requirements because (specify client facts showing why client is not considered a WA resident) .
|
|
212
|
No Relationship
To get cash assistance for a child, you must be:
- a relative
- a legal guardian,
- acting as the child’s parent, or
- a court ordered custodian.
See WAC rule (Washington Administrative Code):
|
388-454-0005 388-454-0010 388-505-0220
|
(Caretaker’s name) is not a relative of specified degree, legal guardian, acting as a parent or permanent custodian of (Child’s Name).
(Note to Users: This reason code is based on the valid value entered in the relationship field on the STAT screen).
If pending medical:
We have not figured out if you are eligible for medical assistance because we are still waiting to hear if your medical condition meets our definition of a disability or emergency.
|
|
213
|
Failed Pregnancy Requirement - S Medical & Family Planning Medical
You cannot get benefits until we have proof that you are pregnant or have been pregnant in the last 12 months. See WAC rule (Washington Administrative Code):
|
388-462-0010 388-462-0015 388-408-0015
|
You are not eligible for post-partum coverage because it has been more than 2 months since your pregnancy ended. or
You are not eligible for family planning coverage since it has been more than 12 months since your pregnancy ended.
|
|
214
|
TANFPregnancy Only - Father of Unborn Not Eligible
Only a pregnant woman can get TANF/SFA when there are no other children in the household. Until the baby is born, the father of your unborn child cannot get TANF/SFA. See WAC rule (Washington Administrative Code):
|
388-408-0015
|
None Required
|
|
215
|
Failed Work Registration Requirements
You are required to participate in the Employment and Training program. You have not met the registration requirements or given us proof that you have good cause not to participate. See WAC rule (Washington Administrative Code):
|
388-444-0015 388-444-0005 388-444-0050
|
You did not on 00/00/00. You cannot get benefits from 00/00/00 to 00/00/00 unless you . If you don't do this, you will have to reapply after 00/00/00 and start participating.
|
|
218
|
Roomer - Food Assistance
The person listed above is a roomer. A roomer is someone who pays for rent and not for meals. Roomers must apply for food assistance on their own. See WAC rule (Washington Administrative Code):
|
388-408-0035
|
None Required
|
|
219
|
Voluntary Quit
We do not have proof that you had good cause to quit your job. See WAC rule (Washington Administrative Code):
|
388-444-0060 388-444-0065 388-444-0070 388-444-0075
|
You quit your job at on 00/00/00. You cannot get benefits until [date] unless you (specify requirement) for # months. If you want benefits, you must reapply.
You can get food assistance, during this time if you (specify what clients must do to get food assistance .
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
220
|
Failed Age Requirement - Medical
You do not meet the age requirement for this program. See WAC rule (Washington Administrative Code):
|
388-505-0110 388-505-0210 388-515-1505
|
You must be to get benefits from this program.
|
|
221
|
Failed GA Incapacity Requirement
We do not have proof that your condition keeps you from working for at least 90 days. See WAC rule (Washington Administrative Code):
|
388-448-0001
|
You do not meet our requirements because (enter case specific information regarding the medical information received and why it doesn't meet severity and/or duration requirements - e.g. The information we got from Dr. Sun shows your back injury is not severe enough to keep you from doing light work that you have done in the past".)
(The social Worker should provide the FSS with some free-form text (via the 14-118) .
|
|
222
|
Eligibility Not Established For Month
We could not approve your benefits for the months listed because we did not get your information in time. You will get another letter listing the months that you can get benefits. See WAC rule (Washington Administrative Code):
|
388-515-1505 388-515-1510 388-515-1530 388-406-0055
|
None Required
|
|
223
|
Failed E&T Requirements - 2nd Offense
You are required to participate in the Employment and Training program. You have not met the registration requirements or given us proof that you have good cause not to participate. Since this is your second offense, you may not get food assistance for 3 months and until you participate. See WAC rule (Washington Administrative Code):
|
388-444-0050 388-444-0005 388-444-0055 388-444-0015 388-444-0010
|
You did not on 00/00/00. You cannot get benefits until 00/00/00. If you want food assistance after that, you must reapply and start participating.
|
|
224
|
Failed E&T Requirements - 3rd Offense
You are required to participate in the Employment and Training program. You have not met the registration requirements or given us proof that you have good cause not to participate. Since this is your third offense, you may not get food assistance for 6 months and until you participate. See WAC rule (Washington Administrative Code):
|
388-444-0050 388-444-0005 388-444-0010 388-444-0015 388-444-0055
|
You did not on 00/00/00. You cannot get benefits until 00/00/00. If you want food assistance after that, you must reapply and start participating.
|
|
225
|
Now Receiving SSI
When you get SSI (Supplemental Security Income) you also get medical benefits from DSHS. You will get a letter telling you about SSI Medical. If you have questions, please call 1-800-562-3022. See WAC rule (Washington Administrative Code):
|
388-474-0005
|
None Required
|
|
226
|
Residing In Inpatient Psychiatric Institution
We cannot give you cash assistance while you are living in an inpatient psychiatric institution. See WAC rule (Washington Administrative Code):
|
388-400-0025
|
None Required
|
|
227
|
Under Previous Work Registration Penalty - Food Assistance
You have a penalty period because you did not participate in the Employment and Training program. We cannot give you food assistance until the penalty period is over, you reapply and you participate. See WAC rule (Washington Administrative Code):
|
388-444-0055 388-444-0050 388-444-0005 388-444-0015 388-444-0010
|
You cannot get benefits until 00/00/00. We told you about this on 00/00/00.
|
|
228
|
IV-D Non-Cooperation
You have not helped DCS (Division of Child Support) get support for a child you get benefits for. You don’t have to help DCS if you prove you have good cause because it would put you or a child in danger. If you swear under oath that you have given DCS all the information you have, you will keep getting medical benefits. Contact your DCS worker for more information. See WAC rule (Washington Administrative Code):
|
388-422-0005 388-422-0010 388-422-0020 388-14A-2040 388-14A-2041 388-14A-2045
388-14A-2050
388-14A-2060
388-14A-2075
|
DCS told us that you (specify non-cooperation) .
|
|
229
|
Exceeds TANF Time Limits
Under law, you can only get TANF or State Family Assistance benefits for 60 months in a lifetime. You have used all of the 60 months available to you. Please note that time limits apply only to TANF/SFA cash assistance. You may still be able to get food assistance, childcare assistance, work support services or other cash assistance. Your medical benefits will continue and you will be notified when it is time to review your family’s eligibility for medical.
You are exempt from the time limit if you are:
- Following your IRP;
- An adult with a severe and chronic disability;
- Needed at home to care for a child with special needs or another adult with disabilities;
- 55 or older and caring for a child and you are not the child’s parent; or
- applying for SSI with a DSHS facilitator.
If you think you should be exempt, call me for more information. See WAC rule (Washington Administrative Code):
|
388-484-0005
|
None Required
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
230
|
Verification
You did not give us the information we asked for. We can’t figure out if you are eligible without it. See WAC rule (Washington Administrative Code):
|
388-472-0005 388-490-0005
|
On 00/00/00, I asked you to provide the following items by 00/00/00: List of items
|
|
232
|
IPVDisqualified
A judge or hearing officer found that you broke a food assistance rule on purpose. You will get another letter with information about your penalty. See WAC rule (Washington Administrative Code):
|
388-446-0020 388-446-0015
|
This is the (first/second/third) time that (name) has done this. S/he cannot get benefits again until 00/00/00.
|
|
233
|
Change In Household Size
The number of people getting assistance with you has changed. See WAC rule (Washington Administrative Code):
|
388-408-0025 388-408-0030 388-408-0035 388-408-0010 388-408-0015 388-408-0020
|
(Name) moved in/out on 00/00/00. or (Name) is now/no longer getting benefits with you because .
|
|
235
|
Review Not Complete
We did not get your review form. If we get it before the end of the month, we will reconsider our decision. If you have already sent it, let me know. See WAC rule (Washington Administrative Code):
|
388-434-0005
388-434-0010
388-492-0110
388-492-0100
388-492-0090
|
None Required
|
|
237
|
Change In Shelter Cost / Shelter Deduction
There was a change in the amount you pay for housing and utilities. See WAC rule (Washington Administrative Code):
|
388-450-0195 388-478-0010 388-478-0020 388-478-0030
388-492-0070
388-450-0190
|
For cash assistance:
You now have housing costs.
or
You no longer have housing or utility costs
For food assistance:
Your changed from $ to $ .
|
|
238
|
Change In Food Assistance Medical Expenses
Your medical expenses have changed. See WAC rule (Washington Administrative Code):
|
388-450-0200
|
If newly elderly/disabled:
Since you are now considered disabled or elderly we are using your medical expenses to figure out how much of your income counts.
|
|
239
|
Does Not Meet ADATSA Treatment / Shelter Requirements
You do not meet the requirements to get benefits from this program. See WAC rule (Washington Administrative Code):
|
388-800-0048 388-800-0050 388-800-0055 388-800-0057 388-800-0135
388-800-0140
|
Specify the requirements not met and why they do not meet it.
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
240
|
CEAPAUTO Close - For Administrative Use Only
|
None
|
None Required
|
|
241
|
MEQRNon-Compliance
|
|
None Required
|
|
242
|
GA Lump Sum Retry
You cannot get assistance because of your lump sum payment. See WAC rule (Washington Administrative Code):
|
388-450-0245 388-470-0005
|
You got $ from on 00/00/00. You cannot get benefits until 00/00/00. We told you about this on 00/00/00.
|
|
243
|
DETOXAUTO Denial - For Administrative Use Only
|
None
|
None Required
|
|
244
|
Death
We were notified someone passed away. Please accept our condolences for your loss.
|
388-503-0505 388-408-0005 388-408-0035, 388-492-0030
|
Specify the person who died.
|
|
245
|
No Eligible Household Members
No one in your household meets the requirements to get assistance. See WAC rule (Washington Administrative Code):
|
388-408-0005 388-408-0010 388-408-0015 388-408-0020 388-408-0025 388-408-0035
|
If no other reason code or letter: No one is eligible because (specify the requirement if not met. If more than one specify the one that applies to all members or the one that primarily prevented eligibility) .
|
|
246
|
Under Previous Penalty
Your penalty period is not yet over. Ask your worker what to do to get out of sanction. See WAC rule (Washington Administrative Code):
|
388-444-0055 388-505-0220
|
You cannot get benefits because (specify what action caused the penalty). . We told you about this on 00/00/00. You cannot get benefits until 00/00/00.
|
|
247
|
Under Previous Non-Cooperation With QC Penalty
Your penalty period is not yet over. Ask your worker what to do to get out of sanction. See WAC rule (Washington Administrative Code):
|
388-464-0001
|
You cannot get benefits for # months because (specify what action caused the penalty) . You can regain your eligibility by (specify actions needed to be eligible again . If you have any questions about this, call the Quality Assurance worker at (000) 000-0000.
|
|
248
|
Head of Household Not Eligible
The person listed as the head of household for your food assistance cannot get food assistance. See WAC rule (Washington Administrative Code):
|
388-408-0035 388-468-0005, 388-492-0030
|
(Name) cannot get benefits because (specify why that person cannot get benefits - requirement not met and why they don't meet it) .
|
|
249
|
Receipt Of Benefits From Another State During Month
Your assistance unit already got benefits from another state this month. You can’t get assistance from Washington and another state in the same month. Please contact your worker if you and your children have an emergency. See WAC rule (Washington Administrative Code):
|
388-468-0005 388-503-0505 388-505-0110 388-505-0210 388-505-0220
|
You already got benefits from (Name of State).
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
250
|
Not Aged, Blind Or Disabled - Medical
You cannot get medical benefits under this program because you do not meet the rules set by the Social Security Administration (SSA). The rules say you must be age 65 or older, blind, or disabled. See WAC rule (Washington Administrative Code):
|
388-505-0110 388-511-1105
|
None Required
|
|
251
|
Already Received Food Assistance
You already got food assistance this month. You cannot get more unless you just moved to a shelter for battered women and children. See WAC rule (Washington Administrative Code):
|
388-468-0005 388-408-0045
|
None Required
|
|
252
|
Non-Compliance Sanction for not participating in the WorkFirst program as required See WAC rule (Washington Administrative Code):
|
388-310-1600
|
(Name) is in non-compliance sanction status.
|
|
254
|
Under Previous Transfer Of Resources Penalty - Food Assistance
Your assistance unit sold or gave away property for less than it was worth. See WAC rule (Washington Administrative Code):
|
388-488-0010
|
You transferred your (type of property) on 00/00/00. Since you did not get the fair market value, you cannot get benefits from 00/00/00 to 00/00/00. We told you about this on 00/00/00.
|
|
255
|
Transfer Penalty Still In Effect (MA)
Your penalty period for transferring money or property has not ended. Your penalty cannot be stopped unless you prove that you cannot pay for your housing, food, clothing, or health needs. See WAC rule (Washington Administrative Code):
|
388-488-0005 388-513-1365 388-488-0010
|
You transferred your (type of property) on 00/00/00. Since you did not get the fair market value, you cannot get benefits from 00/00/00 to 00/00/00. We told you about this on 00/00/00.
|
|
256
|
Fleeing Felon & Parole Violation - CA / FA
Our rules say that no one fleeing or breaking parole/probation to avoid going to court or jail for a felony charge can get cash or food assistance. See WAC rule (Washington Administrative Code):
|
388-442-0010,
388-492-0120
|
Specify the information used to verify that A/R was fleeing or breaking probation/parole, and what the violation is. A finding that the A/R is breaking probation or parole must be from an administrative body or court.
|
|
257
|
Drug Related Felony Conviction - CA / FA
You were convicted of a drug-related felony committed after August 21, 1996. You can get food assistance despite your conviction if you give us proof of all of the following:
- You were convicted only of possession or use of an illegal drug;
- You did not have a drug felony conviction for at least 3 years before the latest conviction;
- You were assessed as chemically dependent by a program certified by the division of alcohol and substance abuse (DASA); and
- You are taking part in or have completed a rehabilitation plan including chemical dependency treatment and job services.
See WAC rule (Washington Administrative Code):
|
388-400-0010,
388-422-0010
|
None Required
|
|
258
|
Failed ABAWD Requirement
You are an Able Bodied Adult Without any Dependents (ABAWD) who did not work or participate in a work or training program. You already got food assistance for three months in this 36-month period and cannot have more now. See WAC rule (Washington Administrative Code):
|
388-444-0030 388-444-0035 388-444-0045
|
None required.
|
|
259
|
Temporary Absence Change Not Reported In 5 Days
Your child is out of your home for more than 180 days. You did not tell us about this within 5 days of when you knew they’d be gone this long. As a penalty, you will not get your part of the grant for 1 month.
|
388-418-0007
|
(Name of child(ren)) left your house on (date). You knew they were going to be gone for longer than 90 days because (specify information source and how recipient knew this).
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
260
|
Food Assistance Voluntary Quit - 2nd Offense
We do not have proof you had good cause to quit your job. Because this is the second time you quit a job without good cause, you cannot get food assistance for 3 months. After that, you must reapply and comply with the work requirements to get food assistance again. See WAC rule (Washington Administrative Code):
|
388-444-0075
388-444-0070
|
You quit your job at on 00/00/00. You cannot get benefits until 00/00/00 unless you reapply and (specify what client has to do to get benefits before that).
|
|
261
|
Food Assistance Voluntary Quit - 3rd Or Subsequent Offense
We do not have proof you had good cause to quit your job. Because this is the third time that you quit a job without good cause, you cannot get food assistance for 6 months. After that, you must reapply and comply with the work requirements to get food assistance again. See WAC rule (Washington Administrative Code):
|
388-444-0075
388-444-0070
|
You quit your job at on 00/00/00. You cannot get benefits until 00/00/00 unless you reapply and (specify what client has to do to get benefits before that)..
|
|
262
|
Convicted of Receiving PA In 2 Or More States
We cannot give you cash assistance because you were convicted of fraud. You got benefits from more than one state at the same time. The only people with such a conviction that can get cash assistance are pregnant women. See WAC rule (Washington Administrative Code):
|
388-446-0005
388-446-0010
|
None Required
|
|
263
|
Convicted Of Unlawful Practices
You cannot get cash assistance right now because a court decided that you broke the law to get cash assistance. See WAC rule (Washington Administrative Code):
|
388-446-0005
388-446-0010
|
You were convicted on 00/00/00. The court says you cannot get benefits until 00/00/00.
|
|
264
|
Minor Parent Inappropriate Living Situation
We did not approve your living arrangement. Unmarried parents who are younger than age 18 must have their living arrangement approved by the department unless they live with their parent, legal guardian or other adult relative. See WAC rule (Washington Administrative Code):
|
388-486-0005
|
None Required
|
|
265
|
MinorParent Failed SchoolRequirement
To get assistance, you must be in high school or in another program approved by the department. See WAC rule (Washington Administrative Code):
|
388-486-0010
|
None Required
|
|
266
|
Non-Cooperation With TPL
We did not get your form about other coverage for your medical bills. You cannot get medical benefits from DSHS until we have the information. Your children can still get medical assistance. See WAC rule (Washington Administrative Code):
|
388-505-0540
|
None Required
|
|
268
|
40% WorkFirst Sanction
You are not getting your part of the grant because you did not follow the rules about your IRP (Individual Responsibility Plan). You are in WorkFirst sanction. There are penalties for being in sanction See WAC rule (Washington Administrative Code):
|
388-310-1600
|
(Name) did not (specify IRP requirement not met) on 00/00/00. We told you about this on 00/00/00. (Name) can regain eligibility by .
|
|
269
|
10-Year Penalty For Fraudulent Statement
You are not eligible for food assistance because you have been convicted of providing false identification or residency information. This kind of conviction disqualifies you for ten years. See WAC rule (Washington Administrative Code):
|
388-446-0020
|
You were convicted on 00/00/00.
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
271
|
Trafficking Less Than $500 Or For Controlled Substance
You were convicted of trading food assistance for a controlled substance. See WAC rule (Washington Administrative Code):
|
388-446-0020
388-492-0120
|
You cannot get benefits from 00/00/00 to 00/00/00 because you .
|
|
272
|
Permanent Disqualification - Illegal Trafficking More Than $500 Or For Controlled Substance
You are permanently disqualified from getting food assistance because you were:
- Convicted of trading food assistance for a total of $500 or more;
- Convicted twice of trading food assistance for a controlled substance;
- Convicted of trading food assistance for firearms, ammunition, or explosives; or
See WAC rule (Washington Administrative Code):
|
388-446-0020
388-492-0120
|
You cannot get benefits from 00/00/00 to 00/00/00 because you .
|
|
275
|
No Longer Receiving SSI
You no longer get SSI (Supplemental Security Income).
|
388-474-0005
388-492-0030
|
None Required
|
|
276
|
DSHS doesn't define your medical condition as an emergency.
|
388-438-0100 388-500-0005
|
None Required
|
|
279
|
QMBStart Date - Administrative Use Only
|
None
|
None Required
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
280
|
Not Entitled To Medicare Part A
DSHS cannot pay for your Medicare Part B premium because you are not eligible for Medicare Part A. If you have questions about your Medicare coverage, call your Social Security Office. See WAC rule (Washington Administrative Code):
|
388-517-0300
|
None Required
|
|
281
|
Waiver Not Approved
You need an approved plan of care before we can help pay for your care provider. See WAC rule (Washington Administrative Code):
|
388-515-1505 388-515-1510 388-515-1530
|
We do not have a plan of care for your (type of home or community based (HCB) program).
|
|
282
|
Indian Food Distribution Program
Your assistance unit got food from an Indian Food Distribution Program this month. You are not allowed to get food from two FNS (Food and Nutrition Services) programs in one month. See WAC rule (Washington Administrative Code):
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388-400-0040
|
None Required
|
|
283
|
Newborn Not Living With Mother
Your baby no longer lives with you. See WAC rule (Washington Administrative Code):
|
388-505-0210
|
None Required
|
|
284
|
Failed To Meet Spenddown Requirement
You didn't give us enough medical bills to meet your spenddown. You can reapply for medical at any time. See WAC rule (Washington Administrative Code):
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388-416-0020 388-416-0030
|
None Required
|
|
285
|
Income Exceeds 250% Of FPL (CHIP)
The amount of your countable income is more than the maximum for the Children’s Health Insurance Program (CHIP). See WAC rule (Washington Administrative Code):
|
388-478-0075 388-505-0210
|
The income limit for your family size is $_____
|
|
286
|
Cash Diversion - Not Eligible For TANF
To get Diversion Cash Assistance everyone in your family must be able to get TANF/SFA (Temporary Assistance for Needy Families/State Family Assistance). See WAC rule (Washington Administrative Code):
|
388-432-0005
|
If no other reason code or letter: You are not eligible for TANF/SFA because .
|
|
287
|
Enrollment Packet Not Received (CHIP)
We were unable to complete your request for medical benefits because you did not return the needed information. See WAC rule (Washington Administrative Code):
|
388-406-0025 388-406-0030
|
None Required
|
|
288
|
Ineligible ESLMB Already Receiving MA
You are not eligible for the Qualified Individual (QI-1) Program because you are receiving Medicaid Benefits. You are eligible for the State-funded Buy-In Program. We will pay for your Medicare Part A premiums, if you have any, as well as your Part B premiums, coinsurance, and deductibles. See WAC rule (Washington Administrative Code):
|
388-517-0300
|
None Required
|
|
289
|
Failed To Appear For Application Appointment CA/MA/FA
You or a representative did not appear for the scheduled appointment required to determine your eligibility for financial, medical or food stamp assistance. See WAC rule (Washington Administrative Code):
|
388-406-0050 388-406-0035 388-452-0005
|
None Required
|
|
Code
|
Reason Code Title / Text
|
WACReferences
|
Free Form Text
|
|
290
|
Overdue Incapacity Review
You were approved for a limited time period based on the medical information we had. That time period is over and we did not get your updated medical information. See WAC rule (Washington Administrative Code):
|
388-448-0160
|
None Required
|
|
292
|
Group Home Decertified
The facility where you live is no longer certified to get food assistance for you. You can’t get food assistance while you live there. See WAC rule (Washington Administrative Code):
|
388-408-0040
388-460-0010
|
You live at (Name of Facility).
|
|
293
|
Failed Age Requirement for Cash-Related Medical
Your child is over 18 and no longer eligible for medical benefits. If you are also listed above, you cannot get benefits either because of your child's age. Both of you will still get cash assistance. See WAC rule (Washington Administrative Code):
|
388-404-0005
|
None Required
|
|
294
|
Changed To Family Planning
Since you are no longer pregnant, the type of medical coverage you receive has changed. You will start receiving coverage for only family planning services. See WAC rule (Washington Administrative Code):
|
388-462-0015
|
None Required
|
|
295
|
Dependent Has Creditable Medical Coverage (CHIP)
Your child/children have other medical coverage. See WAC rule (Washington Administrative Code):
|
388-542-0150
|
None Required
|
|
296
|
Health Plan Not Chosen (CHIP)
You did not choose a health plan for your child/children. See WAC rule (Washington Administrative Code):
|
388-542-0150
|
None Required
|
|
297
|
AU Did Not Agree To Pay Premiums And Co-Payments (CHIP)
You did not agree to pay the required premiums and co-pays. See WAC rule (Washington Administrative Code):
|
388-542-0150
|
None Required
|
|
298
|
AU Stopped Employer Sponsored Health Care Coverage (CHIP)
You stopped your employer sponsored health care coverage for your child/children. If you had a reason for stopping the coverage, contact your worker so they can determine if you meet the ‘Good Cause’ reason for stopping the coverage. See WAC rule (Washington Administrative Code):
|
388-542-0300
|
None Required
|
|
299
|
Premiums Not Paid (CHIP)
You are losing CHIP coverage because you have not paid the premiums for 4 months or more. To keep CHIP, your past due premium must be paid before the ending date listed above. Mail your payment to the Office of Financial Recovery, PO Box 3951, Olympia, WA 98503. See WAC rule (Washington Administrative Code):
|
388-542-0150
|
None Required
|
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