WAC 182-505-0235 Order of payments under the premium-based apple health for kids program as funded by Title XXI of the Social Security Act.
The agency administers the programs included in apple health for kids that provide premium-based coverage through a combination of state and federal funding sources. For expenditures funded by Title XXI of the Social Security Act, also known as the children's health insurance program (CHIP), federal financial participation will be sought in compliance with section 2105 of the act in the following order:
1. For medical assistance for targeted low-income children from birth through age eighteen as described in section 4 of the Title XXI state plan.
2. For medical assistance for unborn children, as described in section 4.1.2.1 of the Title XXI state plan.
3. For medical assistance for unborn children, as described in CHIPRA, section 214.
4. For medical assistance for medicaid-eligible children, as described in section 2105 (g) (4) (A) and (B) of the act.
5. For allowable administrative expenditures under the ten percent cap, as defined in section 2105 (a) (1) (D) of the act in the following order:
a. First, for reasonable expenditures necessary to administer the plan, including staffing for eligibility determinations, plan administration, quality assurance, and similar costs.
b. Second, for a toll-free 800 telephone number providing information regarding the Washington apple health for kids program.
c. Third, for health services initiatives, such as the funding of the Washington poison center, to the extent that state funds are appropriated by the legislature.
d. Fourth, for translation or interpretation services in connection with the enrollment, retention, or use of services under this title by individuals for whom English is not their primary language, but only to the extent that state-matching funds are made available.
e. Fifth, for outreach services for the Washington apple health for kids program, to the extent that appropriated state-matching funds are available.
f. Sixth, for other CMS-approved activities to the extent that federal matching funds are available, and where such activities do not duplicate efforts conducted under this subsection.